疾病不确定感理论在宫颈癌患者的应用研究

发布时间：2018-03-18 06:14

本文选题：疾病不确定感　切入点：宫颈癌　出处：《广西医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的探讨宫颈癌患者疾病不确定感水平及与社会支持和应对方式的关系；个性化信息支持干预措施对宫颈癌患者疾病不确定感水平的影响。方法选取2012年9月至2013年9月在广西医科大学附属肿瘤医院妇瘤科住院治疗的160例宫颈癌患者应用一般情况调查表、疾病不确定感量表(MUIS-A)、社会支持量表（SSRS）与医学应对问卷（MCMQ）进行问卷调查。采用随机数字表法将研究对象随机分成对照组78例和干预组82例。对照组给予常规健康教育，干预组在常规健康教育基础上给予患者针对性的个性化信息支持，两组在出院前1天进行疾病不确定感量表问卷调查，比较两组疾病不确定感水平。通过SPSS16.0软件对数据进行统计分析。结果宫颈癌患者疾病不确定感得分均值为（78.91±9.342）分，不明确性分值为（47.69±7.461）分，复杂性分值为（31.22±3.231）分；社会支持分值为（37.12±7.516）分，主观支持分值为（21.47±6.112）分，客观支持分值为（9.41±1.717）分，对支持利用度分值为（6.23±1.994）分；社会支持与疾病不确定感呈负相关（P0.05）。应对方式得分分别为：面对（19.28±2.614）分，回避（17.56±2.124）分，，屈服（12.9±1.433）分；宫颈癌患者疾病不确定感与屈服呈正相关(P0.01),与面对呈负相关（P0.05)，与回避呈负相关(P0.05)。干预组和对照组患者出院时疾病不确定感得分分别为（71.71±7.830）分和（78.05±11.352）分，经T检验，两组患者得分差异有统计学意义（P0.05）。结论宫颈癌患者存在中等程度的疾病不确定感，获得社会支持较多的患者，疾病不确定感较低；采用屈服方式的患者疾病不确定感较高，采用面对和回避方式的患者疾病不确定感水平较低。个性化的信息支持干预措施有助于降低宫颈癌患者的疾病不确定感水平。
[Abstract]:Objective to explore the relationship between uncertainty and social support and coping style in patients with cervical cancer, and the effect of individualized information support intervention on the level of uncertainty in cervical cancer patients. Methods from September 2012 to September 2013, 160 patients with cervical cancer who were hospitalized in the Department of Gynecology, affiliated Cancer Hospital of Guangxi Medical University were investigated. The patients were randomly divided into control group (78 cases) and intervention group (82 cases) by random digital table. Routine health education was given to the control group. On the basis of routine health education, the intervention group provided the patients with individualized information support, and the two groups were investigated with the disease uncertainty scale one day before discharge. The level of disease uncertainty was compared between the two groups. The data were statistically analyzed by SPSS16.0 software. Results the mean scores of uncertainty, uncertainty, complexity, social support, subjective support and objective support were 78.91 卤9.342, 47.69 卤7.461, 31.22 卤3.231, 37.12 卤7.516, 21.47 卤6.112 and 9.41 卤1.717, respectively. The score of utilization of social support was 6.23 卤1.994, the scores of social support and disease uncertainty were negatively correlated (P0.05). The scores of coping style were 19.28 卤2.614, 17.56 卤2.124 and 12.9 卤1.433, respectively, and the scores of coping style were 19.28 卤2.614, 17.56 卤2.124 and 12.9 卤1.433, respectively. There was a positive correlation between disease uncertainty and yield in cervical cancer patients (P 0.01), a negative correlation between uncertainty and avoidance (P 0.05). The scores of disease uncertainty in intervention group and control group were 71.71 卤7.830 and 78.05 卤11.352, respectively. The scores of disease uncertainty in intervention group and control group were 71.71 卤7.830 and 78.05 卤11.352, respectively. There was significant difference in scores between the two groups (P 0.05). Conclusion patients with cervical cancer have a moderate sense of disease uncertainty, while those who receive more social support have a lower sense of disease uncertainty, and patients who adopt a yield mode have a higher sense of disease uncertainty. The level of disease uncertainty is low in patients with face and avoidance. Individualized information support intervention can help to reduce the level of disease uncertainty in patients with cervical cancer.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R737.33

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