乳腺癌化疗患者的疾病不确定感对希望及应对方式的影响

The influence of uncertainly in illness on hope and coping styles of breast cancer patients during chemo-therapy

目的探讨乳腺癌化疗患者的疾病不确定感状况、希望水平、应对方式及三者之间的关系。方法采用Mishel的疾病不确定感量表（MUIS）、Herth的希望量表（HII）、医学应对问卷（MCMQ）对33例乳腺癌化疗患者进行问卷调查。结果患者疾病不确定感总体得分范围45-67分，平均（56．42±6．63）分，其中不明确性因素得分范围28-42分，平均（35．58±4．05）分，复杂性因素得分范围13-26分，平均（20．76±3．11）分。面对的应对方式使用最多，屈服的应对方式使用最少；27．27％的患者处于低希望水平，66．67％的患者处于中等希望水平，6．06％的患者处于高希望水平。疾病不确定感与面对应对方式、希望水平呈负相关（P〈0.01），与屈服应对方式存在显著正相关（P〈0．01），与回避应对方式无统计学意义。结论护理人员应采取有效的护理干预措施降低乳腺癌化疗患者的疾病不确定感，提高患者的希望水平并促使患者积极的应对疾病及化疗所带来的痛苦。

Objective To investigate the level of uncertainty,hope,coping styles and the influence of un- certainty on hope and coping styles in breast cancer patients during chemical therapy, Methods 33 patients were assessed with MUIS ,HHI and simplified coping strategies questionnaire（MCMQ）. Results The total uncertainty score ranged from 45 to 67, mean standard （56.42±6.63 ）. The ambiguity factor ranged from 28 to 42, mean stand-ard （35.58±4.05 ）. The complexity factor ranged from 13 to 26, mean standard （20.76±3.11 ）. There＇ s nega- tive relationship between uncertainty and hope, facing coping styles （ P 〈 0.01 ）. Conclusion Nurses should take interventions to decrease the uncertainty of breast cancer patients during chemical therapy in order to increase the level of hope and face the disease positively.