本文選題：疾病不確定感　切入點(diǎn)：宮頸癌　出處：《廣西醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的探討宮頸癌患者疾病不確定感水平及與社會(huì)支持和應(yīng)對(duì)方式的關(guān)系；個(gè)性化信息支持干預(yù)措施對(duì)宮頸癌患者疾病不確定感水平的影響。 方法選取2012年9月至2013年9月在廣西醫(yī)科大學(xué)附屬腫瘤醫(yī)院婦瘤科住院治療的160例宮頸癌患者應(yīng)用一般情況調(diào)查表、疾病不確定感量表(MUIS-A)、社會(huì)支持量表（SSRS）與醫(yī)學(xué)應(yīng)對(duì)問卷（MCMQ）進(jìn)行問卷調(diào)查。采用隨機(jī)數(shù)字表法將研究對(duì)象隨機(jī)分成對(duì)照組78例和干預(yù)組82例。對(duì)照組給予常規(guī)健康教育，干預(yù)組在常規(guī)健康教育基礎(chǔ)上給予患者針對(duì)性的個(gè)性化信息支持，兩組在出院前1天進(jìn)行疾病不確定感量表問卷調(diào)查，比較兩組疾病不確定感水平。通過SPSS16.0軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。 結(jié)果宮頸癌患者疾病不確定感得分均值為（78.91±9.342）分，不明確性分值為（47.69±7.461）分，復(fù)雜性分值為（31.22±3.231）分；社會(huì)支持分值為（37.12±7.516）分，主觀支持分值為（21.47±6.112）分，客觀支持分值為（9.41±1.717）分，對(duì)支持利用度分值為（6.23±1.994）分；社會(huì)支持與疾病不確定感呈負(fù)相關(guān)（P0.05）。應(yīng)對(duì)方式得分分別為：面對(duì)（19.28±2.614）分，回避（17.56±2.124）分，，屈服（12.9±1.433）分；宮頸癌患者疾病不確定感與屈服呈正相關(guān)(P0.01),與面對(duì)呈負(fù)相關(guān)（P0.05)，與回避呈負(fù)相關(guān)(P0.05)。干預(yù)組和對(duì)照組患者出院時(shí)疾病不確定感得分分別為（71.71±7.830）分和（78.05±11.352）分，經(jīng)T檢驗(yàn)，兩組患者得分差異有統(tǒng)計(jì)學(xué)意義（P0.05）。 結(jié)論宮頸癌患者存在中等程度的疾病不確定感，獲得社會(huì)支持較多的患者，疾病不確定感較低；采用屈服方式的患者疾病不確定感較高，采用面對(duì)和回避方式的患者疾病不確定感水平較低。個(gè)性化的信息支持干預(yù)措施有助于降低宮頸癌患者的疾病不確定感水平。
[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 鹵9.342, 47.69 鹵7.461, 31.22 鹵3.231, 37.12 鹵7.516, 21.47 鹵6.112 and 9.41 鹵1.717, respectively. The score of utilization of social support was 6.23 鹵1.994, the scores of social support and disease uncertainty were negatively correlated (P0.05). The scores of coping style were 19.28 鹵2.614, 17.56 鹵2.124 and 12.9 鹵1.433, respectively, and the scores of coping style were 19.28 鹵2.614, 17.56 鹵2.124 and 12.9 鹵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 鹵7.830 and 78.05 鹵11.352, respectively. The scores of disease uncertainty in intervention group and control group were 71.71 鹵7.830 and 78.05 鹵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.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R737.33

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