妇科恶性肿瘤化疗患者疾病不确定感与应对方式的相关性研究

发布时间：2018-06-21 13:58

本文选题：妇科恶性肿瘤 + 化疗　；参考：《吉林大学》2016年硕士论文

【摘要】：研究目的调查妇科恶性肿瘤化疗患者的疾病不确定感水平并分析其影响因素;了解妇科恶性肿瘤化疗患者的应对方式现状;探讨妇科恶性肿瘤化疗患者疾病不确定感与应对方式的相关性。为今后指导护士制定有效干预措施,降低患者疾病不确定感水平和帮助患者建立积极的应对方式提供参考依据。研究方法本研究采用便利抽样法,以长春市某三级甲等医院妇科为调查单位,选取2015年3月~12月住院化疗的116例妇科恶性肿瘤患者(宫颈癌、子宫内膜癌、卵巢癌患者)进行问卷调查。问卷由自拟的患者一般资料调查表、疾病不确定感量表(MUIS-A)和医学应对问卷(MCMQ)三个部分组成。调查所得数据应用SPSS 18.0软件包建立数据库进行统计学分析,描述性分析采用SX±、频数和构成比,组间比较采用t检验、方差分析,多重比较采用Duncan法,相关性分析采用Pearson相关系数。研究结果1.本次调查的妇科恶性肿瘤化疗患者疾病不确定感的总分为89.18±10.43,88.8%的患者处于中等程度。四个维度平均得分从大到小依次是:不明确维度、不可预测维度、复杂维度及信息缺乏维度。2.经单因素分析结果发现:患者的年龄、受教育程度、婚姻状况、居住地、职业、家庭人均月收入水平、医疗付费方式、支付医疗费用能力及化疗次数与妇科恶性肿瘤化疗患者疾病不确定感有关。3.妇科恶性肿瘤化疗患者在面对维度和回避维度得分上显著低于一般临床患者(P0.01),在屈服维度得分上显著高于一般临床患者(P0.01)。4.妇科恶性肿瘤化疗患者疾病不确定感总分及其四个维度得分与医学应对方式的面对维度得分、回避维度得分呈负相关,与屈服维度得分呈正相关。研究结论1.本次研究调查的妇科恶性肿瘤化疗患者普遍存在中等水平的疾病不确定感。2.妇科恶性肿瘤化疗患者疾病不确定感的影响因素有患者的年龄、受教育程度、婚姻状况、居住地、职业、家庭人均月收入水平、医疗付费方式、支付医疗费用能力及化疗次数。3.妇科恶性肿瘤化疗患者和一般临床患者相比,妇科恶性肿瘤化疗患者采用面对和回避的应对方式较少,而采用屈服的应对方式较多。4.采用面对和回避应对方式的妇科恶性肿瘤化疗患者有较低的疾病不确定感,而采用屈服应对方式的患者则有较高的疾病不确定感。
[Abstract]:Objective to investigate the level of disease uncertainty in patients with gynecological malignant tumor chemotherapy and analyze its influencing factors, and to understand the current situation of coping style in patients with gynecological malignant tumor chemotherapy. Objective: to investigate the correlation between uncertainty and coping style in patients with gynecological malignant tumor. To guide nurses to formulate effective intervention measures, reduce the level of disease uncertainty and help patients to establish positive coping style. Methods in this study, convenience sampling method was used to select 116 patients with gynecological malignancy (cervical cancer, endometrial carcinoma) who were hospitalized with chemotherapy from March to December 2015 in a Grade 3A hospital in Changchun. The patients with ovarian cancer were investigated by questionnaire. The questionnaire consists of three parts: the self-designed patient general information questionnaire, the disease uncertainty scale (MUIS-A-) and the medical coping questionnaire (MCMQ). SPSS 18.0 software package was used to establish a database for statistical analysis. SX 卤, frequency and composition ratio were used in descriptive analysis. T test, ANOVA and Duncan method were used to compare the data among groups. Pearson correlation coefficient was used in correlation analysis. Results 1. The total score of disease uncertainty in gynecological malignant tumor patients was 89.18 卤10.43 88.8%. The average scores of the four dimensions from big to small are: uncertain dimension, unpredictable dimension, complex dimension and lack of information dimension. 2. The results of univariate analysis showed that: age, education, marital status, residence, occupation, average monthly income of family, medical payment, The ability to pay medical expenses and the times of chemotherapy were related to the uncertainty of disease in patients with gynecological malignant tumor. The scores of face dimension and avoidance dimension in chemotherapy patients with gynecological malignant tumors were significantly lower than those in general clinical patients (P 0.01), and the scores in yield dimension were significantly higher than those in general clinical patients (P 0.01). 4. The total score of disease uncertainty and its four dimensions in patients with gynecological malignant tumor chemotherapy were negatively correlated with the scores of face dimension and avoidance dimension of medical coping style and positively correlated with the score of yield dimension. Conclusion 1. This study investigated gynecological malignancies chemotherapy patients generally have a moderate level of disease uncertainty. 2. 2. The factors influencing the uncertainty of disease in patients with gynecological malignancy were age, education, marital status, residence, occupation, average monthly income level of family, medical payment, ability to pay medical expenses and times of chemotherapy. Compared with the general clinical patients, the patients with gynecological malignant tumor chemotherapy adopted less coping styles of face and avoidance, but more coping styles of yield. 4. Patients with gynecological malignancy treated with face and avoidance coping style had lower sense of uncertainty in disease, while patients with subjugated coping style had higher sense of uncertainty.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.73

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