摘要
目的调查脊柱转移瘤介入治疗患者疾病不确定感水平,并分析其影响因素。方法采用Mishel疾病不确定感量表、社会支持评定量表、简易应对方式量表,对120例脊柱转移瘤介入治疗患者进行调查分析。结果脊柱转移瘤介入治疗患者疾病不确定感总分为(98.34±15.45)分。有无配偶、不同文化程度、家庭人均月收入、医疗费用支付方式、社会支持、应对方式、病情严重程度及介入治疗方式的疾病不确定感总分比较,差异均有统计学意义(P<0.05);不同年龄、性别、原发灶类型的疾病不确定感总分比较,差异无统计学意义(P>0.05)。结论脊柱转移瘤介入治疗患者存在中等偏高水平疾病不确定感,介入治疗方式、病情严重程度、社会支持、应对方式、文化程度、家庭人均月收入是其疾病不确定感的主要影响因素,医护工作者在临床诊疗中应重视疾病不确定感对患者的影响,采取有效措施降低其疾病不确定感,促进其身心健康。
Objective To investigate the level of the uncertainty in illness in patients with spinal metastases treated with interventional therapies and to discuss its influencing factors. Methods The general information questionnaire, Mishel uncertainty in illness scale-family member form（MUI）, social support rating scale（SSRS） and simplified coping style questionnaire（SCSQ） were used to investigate the uncertainty in illness in 120 patients with spinal metastases who were treated with interventional therapies. Results In patients with spinal metastases treated with interventional therapies, the total score of uncertainty in illness ranged from 43 to 101 with an average score of（98.34±15.45）. Statistically significant differences in the total score of uncertainty in illness existed between the differences of the following indexes ： single or having spouse, educational background, per capita monthly income of family, type of medical payment, social support, coping style, the severity of the disease, interventional therapy mode（P〈0.05）, while no significant differences in the total score of uncertainty in illness existed between the differences of the following indexes ：age, sex and primary lesion type（P〉0.05）. Conclusion The medium-to-high level of uncertainty in illness exists in patients with spinal metastases who are treated with interventional therapies. The interventional therapy mode, the severity of the disease, social support, coping style, degree of education and per capita monthly income of family are the main influencing factors of uncertainty in illness. Medical workers should pay attention to the influence of illness uncertainty on patients in clinical diagnosis and treatment and take effective measures to reduce the illness uncertainty degree so as to promote patients＇ physical and mental health.
作者
邵海燕
田庆华
王涛
吴春根
SHAO Haiyan;TIAN Qinghua;WANG Tao;WU Chungen(Department of Radiology,Affiliated Sixth People＇s Hospital East Campus,Shanghai Jiaotong University,Shanghai 201306,China)
出处
《介入放射学杂志》
CSCD
北大核心
2018年第8期755-759,共5页
Journal of Interventional Radiology
基金
上海健康医学院附属第六人民医院东院院级课题(2014031
2016010)
关键词
脊柱转移瘤
介入治疗
疾病不确定感
影响因素分析
spinal metastases
interventional therapy
uncertainty in illness
influence factor analysis
