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 without 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.

Citation： HAO Yingchun, XIA Yiwen, LI Fengyuan, XU Hao, HOU Hui. 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, 2025, 32(3): 325-331. doi: 10.7507/1007-9424.202409031 Copy

1.	侯英勇, 袁偉, 徐晨. 胃腸間質瘤良惡性認識的歷史階段. 臨床與實驗病理學雜志, 2024, 40(2): 113-117.
2.	李承秋, 王明達. 醫學應對方式在宮頸癌術后放療患者希望水平和心理彈性中的中介效應. 解放軍預防醫學雜志, 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.	汪靖園, 李瑞華, 張昊, 等. 領悟社會支持在胃癌患者家庭功能和創傷后成長間的中介效應. 中國醫學倫理學, 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.	吳奇云, 葉志霞, 李麗, 等. 癌癥患者恐懼疾病進展簡化量表的漢化及信效度分析. 中華護理雜志, 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, 楊婭娟, 等. 中文版疾病感知問卷簡化版在女性乳腺癌患者中的信效度檢驗. 護理學報, 2015, 22(24): 11-14.
10.	肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
11.	郎穎. 寧夏地區胃癌患者社會支持現狀及影響因素分析. 中國初級衛生保健, 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.	沈曉紅, 姜乾金. 醫學應對方式問卷中文版701例測試報告. 中國行為醫學科學, 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.	吳春曉, 顧凱, 龐怡, 等. 2002—2016年上海市胃腸間質瘤發病和生存分析. 腫瘤, 2022, 42(7): 489-498.
17.	洪伊榮, 何朝珠, 胡婷婷, 等. 胃癌患者術后生活體驗質性研究的系統評價和Meta整合. 南昌大學學報(醫學版), 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, 張進蘭, 等. 消化道腫瘤患者社會支持、應對方式與自我管理效能感的現狀調查及相關性分析. 湖北醫藥學院學報, 2024, 43(1): 96-99.
20.	李曉芳, 王雪萍. 晚期消化道腫瘤患者家庭主要照顧者對緩和醫療認知及態度的調查分析. 中國臨床護理, 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. doi: 10.3390/medsci11030054.
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. doi: 10.1177/23821205231219394.
23.	謝松洪, 徐瀅佳, 馮寸, 等. 基于CiteSpace我國癌癥恐懼疾病進展研究熱點與趨勢的可視化分析. 全科護理, 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. doi: 10.1016/j.socscimed.2024.117364.
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. doi: 10.3389/fpsyg.2024.1411647.
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, 袁偉, 徐晨. 胃腸間質瘤良惡性認識的歷史階段. 臨床與實驗病理學雜志, 2024, 40(2): 113-117.
2. 李承秋, 王明達. 醫學應對方式在宮頸癌術后放療患者希望水平和心理彈性中的中介效應. 解放軍預防醫學雜志, 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. 汪靖園, 李瑞華, 張昊, 等. 領悟社會支持在胃癌患者家庭功能和創傷后成長間的中介效應. 中國醫學倫理學, 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. 吳奇云, 葉志霞, 李麗, 等. 癌癥患者恐懼疾病進展簡化量表的漢化及信效度分析. 中華護理雜志, 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, 楊婭娟, 等. 中文版疾病感知問卷簡化版在女性乳腺癌患者中的信效度檢驗. 護理學報, 2015, 22(24): 11-14.
10. 肖水源, 楊德森. 社會支持對身心健康的影響. 中國心理衛生雜志, 1987(4): 183-187.
11. 郎穎. 寧夏地區胃癌患者社會支持現狀及影響因素分析. 中國初級衛生保健, 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. 沈曉紅, 姜乾金. 醫學應對方式問卷中文版701例測試報告. 中國行為醫學科學, 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. 吳春曉, 顧凱, 龐怡, 等. 2002—2016年上海市胃腸間質瘤發病和生存分析. 腫瘤, 2022, 42(7): 489-498.
17. 洪伊榮, 何朝珠, 胡婷婷, 等. 胃癌患者術后生活體驗質性研究的系統評價和Meta整合. 南昌大學學報(醫學版), 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, 張進蘭, 等. 消化道腫瘤患者社會支持、應對方式與自我管理效能感的現狀調查及相關性分析. 湖北醫藥學院學報, 2024, 43(1): 96-99.
20. 李曉芳, 王雪萍. 晚期消化道腫瘤患者家庭主要照顧者對緩和醫療認知及態度的調查分析. 中國臨床護理, 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. doi: 10.3390/medsci11030054.
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. doi: 10.1177/23821205231219394.
23. 謝松洪, 徐瀅佳, 馮寸, 等. 基于CiteSpace我國癌癥恐懼疾病進展研究熱點與趨勢的可視化分析. 全科護理, 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. doi: 10.1016/j.socscimed.2024.117364.
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. doi: 10.3389/fpsyg.2024.1411647.
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.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Study on the current status and influencing factors of medical coping strategies in patients with gastrointestinal stromal tumors

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