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Song N, Zhang X, Su J, Chen L, Jin Q, Liu C, Dai Z. Nature and Determinants of Fear of Cancer Recurrence After Endoscopic Submucosal Dissection for Early Gastric Cancer: A Cross-Sectional Study. Gastroenterol Nurs 2024; 47:358-367. [PMID: 39356122 DOI: 10.1097/sga.0000000000000812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 02/08/2024] [Indexed: 10/03/2024] Open
Abstract
Gastric cancer is one of the most prevalent tumors in China and other countries, with high morbidity and mortality. Fear of cancer recurrence is common among cancer survivors. Fear of cancer recurrence experiences and psychological interventions have been investigated in breast and other cancers. However, this phenomenon and associated factors have not been evaluated in early gastric cancer survivors in China. The objective of this study was to investigate the nature of fear of cancer recurrence and influencing factors in Chinese patients with early gastric cancer treated with endoscopic submucosal dissection. This cross-sectional study in two centers included 312 early gastric cancer patients who answered self-report questionnaires and were treated with endoscopic submucosal dissection between June 2022 and May 2023 to assess fear of cancer recurrence. Gender, family history of gastrointestinal tumor, tumor recurrence, Helicobacter pylori infection, disease perception, and self-perceived burden were significant factors influencing fear of cancer recurrence (p < .05). More than half of early gastric cancer patients have fear of cancer recurrence, and how to deal with it has become a key issue in the postoperative care of patients. Medical professionals should address these factors to reduce fear of cancer recurrence in at-risk patients.
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Affiliation(s)
- Nian Song
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Xiaotao Zhang
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Jie Su
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Lu Chen
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Qianhong Jin
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Chengcheng Liu
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
| | - Zhengxiang Dai
- Nian Song, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Xiaotao Zhang, MD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Jie Su, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Lu Chen, BD, Department of Digestive Endoscopy, the Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China
- Qianhong Jin, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Chengcheng Liu, MD, School of Nursing, Nanjing University of Chinese Medicine, Jiangsu, China
- Zhengxiang Dai, MD, RN, Department of Hospital-Acquired Infection Control, the Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu, China
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