消化道早癌患者疾病不确定感与应对方式的相关性研究

目的 调查消化道早癌患者疾病不确定感及应对方式的现状,并探讨两者的相关性。 方法 使用疾病不确定感量表(mishel uncertainty in illness scale, MUIS-A)和医学应对方式问卷对2017年8月-2018年2月在我院接受初次治疗的48例消化道早癌患者进行问卷调查。 结果 消化道早癌患者的疾病不确定感总分平均得分为(89.12±10.41)分,89.6%的患者得分处于中等水平;疾病不确定感总分及不明确维度、信息缺乏维度与应对方式问卷中的屈服维度呈正相关(r=0.387,P<0.01;r=0.379,P<0.01; r=0.354,P<0.05)。信息缺乏维度与面对维度呈负相关(r=-0.345,P<0.05)。 结论 消化道早癌患者普遍存在疾病不确定感;消化道早癌患者疾病不确定感与屈服的应对方式呈正相关。临床医护工作者应采取有效的干预措施,增强患者对消化道早癌的正确认识,形成积极的应对方式,减少患者的疾病不确定感。

Correlation between the uncertainty in illness and coping style in patients with early gastrointestinal cancer

Objective To investigate the current status of the disease uncertainty and coping style of the patients with early digestive tract cancer and explore their correlation. Methods The 48 patients with early digestive tract cancer who received initial treatment in our hospital between August 2017 and February 2018 were investigated using the mishel uncertainty in illness scale (MUIS-A) and the medical coping style questionnaire. Results The total score of the disease uncertainty of the patients with early digestive tract cancer was (89.12±10.41), with 89.6% patients at the middle level. The total score, the score of the dimensions of ambiguity and lack of information were positively correlated with the score of the yield dimension in the medical coping style questionnaire (r=0.387, P<0.01; r=0.379, P<0.01; r=0.354, P<0.05). The score of the information lacking dimension was negatively correlated to that of the facing up (r=-0.345, P<0.05). Conclusion There is a general sense of uncertainty among the patients with early digestive tract cancer. Such feeling was positively correlated with the coping style of yielding. The clinical doctors and nurses should take effective interventive measures to help patients be aware of their condition and form a positive coping style to reduce their uncertainty of the disease.