Abstract: Objective　To explore the status and influencing factors of the fear of cancer recurrence（FCR） among breast cancer survivors.Methods　By convenience sampling，280 breast cancer patients who received postoperative chemotherapy in the First Affiliated Hospital of Zhengzhou University from September 2016 to March 2017 were enrolled.A self-developed sociodemographic data questionnaire，Chinese version of the Fear of Progression Questionnaire-Short Form
（FoP-Q-SF），Chinese version of the Hospital Anxiety and Depression Scale（HADS） and Chinese version of the Perceived Social Support Scale（PSSS） were used to survey them for collecting the sociodemographic characteristics，status of FCR，anxiety and depression，and social support.Results　A total of 280 questionnaires were handed out，and 270 responsive ones were returned.The effective recovery rate was 96.4%.The mean score of FoP-Q-SF was（36.8±10.7），171 cases（63.3%） had a FCR score≥34 and the mean score was（19.3±5.5） for physical health，and（17.5±6.2） for social and family.The mean score was（16.6±7.4） for HADS，（8.9±4.3） for anxiety subscale and（7.8±3.9） for depression subscale.The mean score of PSSS was（59.9±13.9），the family support score was（21.7±5.1），and the score of external support of family dimension was （38.2±9.8）．The mean FoP-Q-SF score varied significantly by age，marital status，employment status，average household monthly income，cancer stage and treatment response（P<0.05）．FoP-Q-SF score of breast cancer patients was positively correlated with HADS score（r=0.665，P<0.01），but negatively correlated with PSSS score（r=-0.464，P<0.01）．Multiple linear regression analysis revealed that age（t=-3.908），marital status（t=-3.218），HADS score（t=11.327），and the score of PSSS（t=-4.672）were associated factors of FoP-Q-SF score of breast cancer patients（P<0.05）．Conclusion　The prevalence rate of FCR was high among breast cancer survivors，which was significantly affected by age，marital status，anxiety，depression and social support.

Key words: Breast neoplasms, Fear of cancer recurrence, Anxiety, Depression, Social support

摘要： 目的　探讨乳腺癌患者癌症复发恐惧（FCR）现状及其影响因素。方法　采用方便抽样法选取2016年9月—2017年3月在郑州大学第一附属医院住院接受术后化疗的乳腺癌患者280例。采用一般资料问卷收集患者的一般资料，采用癌症患者恐惧疾病进展简化量表（FoP-Q-SF）、医院焦虑抑郁量表（HADS）、领悟社会支持量表（PSSS）对患者的FCR水平、焦虑抑郁程度、社会支持水平进行调查。结果　共发放问卷280份，回收有效问卷270份，有效回收率为96.4%。乳腺癌患者FoP-Q-SF得分为（36.8±10.7）分，≥34分者171例（63.3%），生理健康维度得分为（19.3±5.5）分，社会家庭维度得分为（17.5±6.2）分。HADS得分为（16.6±7.4）分，焦虑分量表得分为（8.9±4.3）分，抑郁分量表得分为（7.8±3.9）分。PSSS得分为（59.9±13.9）分，家庭内支持维度得分为（21.7±5.1）分，家庭外支持维度得分为（38.2±9.8）分。不同年龄、婚姻状况、职业状态、家庭人均月收入、疾病分期、疗效评价的乳腺癌患者FoP-Q-SF得分比较，差异均有统计学意义（P<0.05）。乳腺癌患者HADS得分与FoP-Q-SF得分呈正相关（r=0.665，P<0.01）；PSSS得分与FoP-Q-SF得分呈负相关（r=-0.464，P<0.01）。多元线性回归分析结果显示，年龄（t=-3.908）、婚姻状况（t=-3.218）、HADS得分（t=11.327）、PSSS得分（t=-4.672）是乳腺癌患者FoP-Q-SF得分的影响因素（P<0.05）。结论　乳腺癌患者FCR检出率较高，年龄、婚姻状况、焦虑抑郁、社会支持是影响乳腺癌患者FCR水平的重要因素。

关键词: 乳腺肿瘤, 复发恐惧, 焦虑, 抑郁, 社会支持