摘要
目的探讨卵巢交界性肿瘤患者疾病不确定感现状及其影响因素。方法本文为横断面研究,采用目的抽样方法选取2018年3月—2019年3月宁波市妇女儿童医院住院的165例卵巢交界性肿瘤患者为研究对象,采用一般情况调查表、疾病不确定感量表、医学应对方式量表对其进行调查。本研究共发放调查问卷165份,回收有效调查问卷150份,有效回收率为90.9%。结果150例卵巢交界性肿瘤患者疾病不确定感评分总分为48~107分,平均(91.32±11.47)分;应对方式总分为(45.27±5.32)分,其中面对维度得分最高(19.21±3.75)分。不同年龄、婚姻状况、文化程度、居住地点、家庭收入、医疗支付方式、是否熟悉自己的病情的卵巢交界性肿瘤患者疾病不确定感评分比较,差异均有统计学意义(P<0.05);多重线性回归分析显示,家庭收入、医疗支付方式、是否熟悉自己的病情,以及应对方式中面对、回避、屈服是患者不确定感的影响因素(P<0.05)。结论卵巢交界性肿瘤患者均存在不同程度的不确定感问题,且受到多种因素的影响。医护人员应针对患者具体情况进行干预以降低其不确定感。
Objective To explore the status quo of uncertainty in illness in patients with borderline ovarian tumors(BOT)and its influencing factors.Methods In this cross-sectional study,totally 165 patients with BOT hospitalized in Ningbo Women&Children's Hospital from March 2018 to March 2019 were selected using purposive sampling and investigated with the demographic information questionnaire,the Mishel Uncertainty in Illness Scale for Adult(MUIS-A)and Medical Coping Modes Questionnaire(MCMQ).Totally 165 questionnaires were distributed,and 150 valid ones were collected,with a recovery rate of 90.9%.Results The total uncertainty of illness score of the 150 patients with BOT ranged 48-107 and averaged(91.32±11.47).Their total score of coping modes was(45.27±5.32),among which the score of facing was(19.21±3.75),accounting for the highest score.There were statistically significant differences in uncertainty in illness scores between BOT patients with different age,marital status,educational background,place of residence,household income,medical payment and those who were familiar with their illness or not(P<0.05).Multiple linear regression analysis revealed that household income,medical payment,familiar with their own illness or not as well as facing,avoidance and submission were the factors affecting uncertainty in illness(P<0.05).Conclusions Patients with BOT show uncertainty of illness of different degrees,which is affected by multiple factors.Medical and nursing workers shall reduce patients'uncertainty in illness according to their actualities.
作者
朱兰芬
汪期明
范文静
Zhu Lanfen;Wang Qiming;Fan Wenjing(Department of Gynecology,Ningbo Women&Children's Hospital,Ningbo 315300,China)
出处
《中华现代护理杂志》
2019年第36期4782-4786,共5页
Chinese Journal of Modern Nursing
基金
浙江省医药卫生科技计划项目(2015KYB349)。
关键词
卵巢交界性肿瘤
疾病不确定感
应对方式
影响因素
Borderline ovarian neoplasm
Uncertainty in illness
Coping mode
Influencing factor
