摘要
目的探讨非黑色素瘤皮肤癌(NMSC)患者的术前疾病不确定感现状及影响因素。方法采用便利抽样方法随机抽取2020年10月至2021年3月在上海市皮肤病医院行皮肤恶性肿瘤切除手术的150例患者作为调查对象进行问卷调查,分析NMSC患者术前疾病不确定感的影响因素。结果NMSC患者术前疾病不确定感(MUIS-A)总分为(89.89±7.41)分,焦虑总分为(56.66±9.12)分,术前MUIS-A评分与焦虑成正相关(r=0.375,P<0.01)。单因素分析结果显示,不同性别、年龄、文化程度、肿瘤发生部位、既往皮肤癌手术史、有无焦虑患者的术前MUIS-A评分比较,差异有统计学意义(P<0.05)。多因素分析结果显示,男性(β=-3.253,OR=0.039,95%CI=-5.045~-1.460)、既往皮肤癌手术史(β=-4.896,OR=0.007,95%CI=-8.023~-1.769)是患者术前疾病不确定感的保护因素(P<0.05),文化程度低(β=6.532,OR=6.842,95%CI=3.459~9.605)、焦虑(β=0.113,OR=1.120,95%CI=0.010~0.216)是术前疾病不确定感的独立危险因素(P<0.05)。结论NMSC患者术前疾病不确定感总体处于中等水平。因此,在临床护理工作中应实施针对性的术前健康教育,缓解患者的焦虑情绪,降低术前疾病不确定感。
Objective To investigate the current status and influencing factors of preoperative illness uncertainty of patients with non-melanoma skin cancer(NMSC).Methods A total of 150 patients who underwent excision of skin malignant tumor surgery in Shanghai Dermatology Hospital from October 2020 to March 2021 were randomly selected by convenience sampling method to conduct a questionnaire survey,and the influencing factors of preoperative disease uncertainty in NMSC patients were analyzed.Results The total score of preoperative disease uncertainty scale(MUIS-A)and anxiety score of NMSC patients were(89.89±7.41)and(56.66±9.12)respectively.Preoperative MUIS-A score was positively correlated with anxiety(r=0.375,P<0.01).Univariate analysis showed that there were statistically significant differences in preoperative MUIS-A scores among patients with different gender,age,education level,tumor site,previous skin cancer operation history and anxiety(P<0.05).Multivariate analysis showed that male(β=-3.253,OR=0.039,95%CI=-5.045 to-1.460)and previous history of skin cancer surgery(β=-4.896,OR=0.007,95%CI=-8.023 to-1.769)were protective factors for preoperative uncertainty of disease(P<0.05).Low educational level(β=6.532,OR=6.842,95%CI=3.459-9.605)and anxiety(β=0.113,OR=1.120,95%CI=0.010-0.216)were independent risk factors for preoperative uncertainty of disease(P<0.05).Conclusion Preoperative disease uncertainty of NMSC patients was generally at a moderate level.Therefore,in clinical nursing work,we should implement targeted preoperative health education to relieve patients′anxiety and reduce preoperative disease uncertainty.
作者
甘蕾萌
谭修竹
骆沁
唐玺
姚可茹
尹心红
GAN Leimeng;TAN Xiuzhu;LUO Qin;TANG Xi;YAO Keru;YIN Xinhong(School of Nursing,Hengyang Medical College,University of South China,Hunan Province,Hengyang 421001,China)
出处
《中国当代医药》
CAS
2022年第7期130-133,共4页
China Modern Medicine
基金
湖南省研究生教学平台项目(湘教通〔2019〕370号第248项)
湖南省社会科学成果评审委员会课题(XSP20ZDI007)。
关键词
非黑色素瘤皮肤癌
术前
疾病不确定感
焦虑
Non-melanoma skin cancer
Preoperative
Illness uncertainty
Anxiety
