Study on the current status and influencing factors of medical coping strategies in patients with gastrointestinal stromal tumors_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HAO Yingchun , XIA Yiwen , LI Fengyuan , XU Hao ,  HOU Hui

Department of General Surgery, Second Ward of Gastric Surgery of the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, P. R. China;

Corresponding author：

HOU Hui, Email: houh1003@163.com

Keywords：

gastrointestinal stromal tumor; medical coping strategy; social support; fear of illness

DOI：

10.7507/1007-9424.202409031

Video：

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Objective To investigate the current status and influencing factors of medical coping strategies in patients with gastrointestinal stromal tumors (GIST). Methods A convenience sampling method was used to select 181 GIST patients who visited the First Affiliated Hospital of Nanjing Medical University from September 2022 to May 2024. The Fear of Progression Questionnaire (FoP), Brief Illness Perception Questionnaire (BIPQ), Social Support Rating Scale (SSRS), and Medical Coping Modes Questionnaire (MCMQ) were administered for data collection. Multiple linear stepwise regression analysis was conducted to explore the influencing factors of the three types of medical coping strategies. Results Multivariate linear stepwise regression analysis showed that patients with tumor metastasis (P=0.016) and high support utilization (P=0.006) had higher score of confrontation coping. Patients with high education level (P=0.016) and subjective support (P=0.002) had higher score of avoidance coping. Patients with lower fear of physical health deterioration (P=0.003), high education level (P=0.010) and subjective support (P=0.027) had higher score of submission coping. Conclusions The influencing factors of medical coping strategies in GIST patients are complex, involving social support, disease-related fear, tumor metastasis, and education level. Providing comprehensive GIST-related knowledge and information to patients may help establish correct health beliefs and attitudes.

1.	侯英勇, 袁伟, 徐晨. 胃肠间质瘤良恶性认识的历史阶段. 临床与实验病理学杂志, 2024, 40(2): 113-117.
2.	李承秋, 王明达. 医学应对方式在宫颈癌术后放疗患者希望水平和心理弹性中的中介效应. 解放军预防医学杂志, 2019, 37(9): 98-99,102.
3.	Fitzell A, Pakenham KI. Application of a stress and coping model to positive and negative adjustment outcomes in colorectal cancer caregiving. Psychooncology, 2010, 19(11): 1171-1178.
4.	Krok D, Telka E, Zarzycka B. Illness perception and affective symptoms in gastrointestinal cancer patients: a moderated mediation analysis of meaning in life and coping. Psychooncology, 2019, 28(8): 1728-1734.
5.	汪靖园, 李瑞华, 张昊, 等. 领悟社会支持在胃癌患者家庭功能和创伤后成长间的中介效应. 中国医学伦理学, 2019, 32(11): 1481-1486.
6.	Mehnert A, Herschbach P, Berg P, et al. Fear of progression in breast cancer patients–validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF). Z Psychosom Med Psychother, 2006, 52(3): 274-288.
7.	吴奇云, 叶志霞, 李丽, 等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析. 中华护理杂志, 2015, 50(12): 1515-1519.
8.	Broadbent E, Petrie KJ, Main J, et al. The brief illness perception questionnaire. J Psychosom Res, 2006, 60(6): 631-637.
9.	梅雅琪, 李惠萍, 杨娅娟, 等. 中文版疾病感知问卷简化版在女性乳腺癌患者中的信效度检验. 护理学报, 2015, 22(24): 11-14.
10.	肖水源, 杨德森. 社会支持对身心健康的影响. 中国心理卫生杂志, 1987(4): 183-187.
11.	郎颖. 宁夏地区胃癌患者社会支持现状及影响因素分析. 中国初级卫生保健, 2014, 28(4): 73-76.
12.	Feifel H, Strack S, Nagy VT. Coping strategies and associated features of medically ill patients. Psychosom Med, 1987, 49(6): 616-625.
13.	沈晓红, 姜乾金. 医学应对方式问卷中文版701例测试报告. 中国行为医学科学, 2000(1): 22-24.
14.	Macdonald N, Shapiro A, Bender C, et al. Experiences and perspectives on the GIST patient journey. Patient Prefer Adherence, 2012, 6: 253-262.
15.	van de Wal D, Venkatesan S, Benson C, et al. A patient’s perspective on the side effects of tyrosine kinase inhibitors in the treatment of advanced and metastatic gastrointestinal stromal tumors. Future Oncol, 2023, 19(4): 299-314.
16.	吴春晓, 顾凯, 庞怡, 等. 2002—2016年上海市胃肠间质瘤发病和生存分析. 肿瘤, 2022, 42(7): 489-498.
17.	洪伊荣, 何朝珠, 胡婷婷, 等. 胃癌患者术后生活体验质性研究的系统评价和Meta整合. 南昌大学学报(医学版), 2020, 60(1): 41-47,68.
18.	Zhang YN, Wang CJ, Xu Y, et al. Sensitivity, specificity and accuracy of ultrasound in diagnosis of breast cancer metastasis to the axillary lymph nodes in chinese patients. Ultrasound Med Biol, 2015, 41(7): 1835-1841.
19.	石琳琳, 朱雅麟, 张进兰, 等. 消化道肿瘤患者社会支持、应对方式与自我管理效能感的现状调查及相关性分析. 湖北医药学院学报, 2024, 43(1): 96-99.
20.	李晓芳, 王雪萍. 晚期消化道肿瘤患者家庭主要照顾者对缓和医疗认知及态度的调查分析. 中国临床护理, 2020, 12(4): 293-296.
21.	Bangolo A, Fwelo P, Al-Qatish T, et al. Outcomes of patients with gastrointestinal stromal tumors in the past decade. Med Sci (Basel), 2023, 11(3): 54.
22.	Dutt H, Dean A, Kamal RS, et al. Importance of incorporating the perspectives of people with cancer into oncology education: a scoping review. J Med Educ Curric Dev, 2023, 10: 23821205231219394.
23.	谢松洪, 徐滢佳, 冯寸, 等. 基于CiteSpace我国癌症恐惧疾病进展研究热点与趋势的可视化分析. 全科护理, 2023, 21(25): 3479-3483.
24.	Wang J, Chen T, Li W, et al. The fear of cancer recurrence in elderly patients after endoscopic submucosal dissection for early esophageal cancer: a cross-sectional study. J Thorac Dis, 2024, 16(10): 7063-7071.
25.	Marzouk M, Hamze M, Debel J, et al. Accessing breast cancer care in a protracted conflict: qualitative exploration of the perspectives of women with breast cancer in northwest Syria. Soc Sci Med, 2024, 361: 117364.
26.	Yao H, Xiong M, Cheng Y, et al. The relationship among body image, psychological distress, and quality of life in young breast cancer patients: a cross-sectional study. Front Psychol, 2024, 15: 1411647.
27.	Faviana P, Boldrini L, Gronchi L, et al. Steroid hormones as modulators of emotional regulation in male urogenital cancers. Int J Behav Med, 2023, 30(6): 836-848.

1. 侯英勇, 袁伟, 徐晨. 胃肠间质瘤良恶性认识的历史阶段. 临床与实验病理学杂志, 2024, 40(2): 113-117.
2. 李承秋, 王明达. 医学应对方式在宫颈癌术后放疗患者希望水平和心理弹性中的中介效应. 解放军预防医学杂志, 2019, 37(9): 98-99,102.
3. Fitzell A, Pakenham KI. Application of a stress and coping model to positive and negative adjustment outcomes in colorectal cancer caregiving. Psychooncology, 2010, 19(11): 1171-1178.
4. Krok D, Telka E, Zarzycka B. Illness perception and affective symptoms in gastrointestinal cancer patients: a moderated mediation analysis of meaning in life and coping. Psychooncology, 2019, 28(8): 1728-1734.
5. 汪靖园, 李瑞华, 张昊, 等. 领悟社会支持在胃癌患者家庭功能和创伤后成长间的中介效应. 中国医学伦理学, 2019, 32(11): 1481-1486.
6. Mehnert A, Herschbach P, Berg P, et al. Fear of progression in breast cancer patients–validation of the short form of the Fear of Progression Questionnaire (FoP-Q-SF). Z Psychosom Med Psychother, 2006, 52(3): 274-288.
7. 吴奇云, 叶志霞, 李丽, 等. 癌症患者恐惧疾病进展简化量表的汉化及信效度分析. 中华护理杂志, 2015, 50(12): 1515-1519.
8. Broadbent E, Petrie KJ, Main J, et al. The brief illness perception questionnaire. J Psychosom Res, 2006, 60(6): 631-637.
9. 梅雅琪, 李惠萍, 杨娅娟, 等. 中文版疾病感知问卷简化版在女性乳腺癌患者中的信效度检验. 护理学报, 2015, 22(24): 11-14.
10. 肖水源, 杨德森. 社会支持对身心健康的影响. 中国心理卫生杂志, 1987(4): 183-187.
11. 郎颖. 宁夏地区胃癌患者社会支持现状及影响因素分析. 中国初级卫生保健, 2014, 28(4): 73-76.
12. Feifel H, Strack S, Nagy VT. Coping strategies and associated features of medically ill patients. Psychosom Med, 1987, 49(6): 616-625.
13. 沈晓红, 姜乾金. 医学应对方式问卷中文版701例测试报告. 中国行为医学科学, 2000(1): 22-24.
14. Macdonald N, Shapiro A, Bender C, et al. Experiences and perspectives on the GIST patient journey. Patient Prefer Adherence, 2012, 6: 253-262.
15. van de Wal D, Venkatesan S, Benson C, et al. A patient’s perspective on the side effects of tyrosine kinase inhibitors in the treatment of advanced and metastatic gastrointestinal stromal tumors. Future Oncol, 2023, 19(4): 299-314.
16. 吴春晓, 顾凯, 庞怡, 等. 2002—2016年上海市胃肠间质瘤发病和生存分析. 肿瘤, 2022, 42(7): 489-498.
17. 洪伊荣, 何朝珠, 胡婷婷, 等. 胃癌患者术后生活体验质性研究的系统评价和Meta整合. 南昌大学学报(医学版), 2020, 60(1): 41-47,68.
18. Zhang YN, Wang CJ, Xu Y, et al. Sensitivity, specificity and accuracy of ultrasound in diagnosis of breast cancer metastasis to the axillary lymph nodes in chinese patients. Ultrasound Med Biol, 2015, 41(7): 1835-1841.
19. 石琳琳, 朱雅麟, 张进兰, 等. 消化道肿瘤患者社会支持、应对方式与自我管理效能感的现状调查及相关性分析. 湖北医药学院学报, 2024, 43(1): 96-99.
20. 李晓芳, 王雪萍. 晚期消化道肿瘤患者家庭主要照顾者对缓和医疗认知及态度的调查分析. 中国临床护理, 2020, 12(4): 293-296.
21. Bangolo A, Fwelo P, Al-Qatish T, et al. Outcomes of patients with gastrointestinal stromal tumors in the past decade. Med Sci (Basel), 2023, 11(3): 54.
22. Dutt H, Dean A, Kamal RS, et al. Importance of incorporating the perspectives of people with cancer into oncology education: a scoping review. J Med Educ Curric Dev, 2023, 10: 23821205231219394.
23. 谢松洪, 徐滢佳, 冯寸, 等. 基于CiteSpace我国癌症恐惧疾病进展研究热点与趋势的可视化分析. 全科护理, 2023, 21(25): 3479-3483.
24. Wang J, Chen T, Li W, et al. The fear of cancer recurrence in elderly patients after endoscopic submucosal dissection for early esophageal cancer: a cross-sectional study. J Thorac Dis, 2024, 16(10): 7063-7071.
25. Marzouk M, Hamze M, Debel J, et al. Accessing breast cancer care in a protracted conflict: qualitative exploration of the perspectives of women with breast cancer in northwest Syria. Soc Sci Med, 2024, 361: 117364.
26. Yao H, Xiong M, Cheng Y, et al. The relationship among body image, psychological distress, and quality of life in young breast cancer patients: a cross-sectional study. Front Psychol, 2024, 15: 1411647.
27. Faviana P, Boldrini L, Gronchi L, et al. Steroid hormones as modulators of emotional regulation in male urogenital cancers. Int J Behav Med, 2023, 30(6): 836-848.

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