鼻咽癌住院患者放疗期间疾病不确定感与症状困扰的相关性研究

Study on the relationship between uncertainty in illness and symptom distress in patients with nasopharyngeal carcinoma undergoing radiotherapy

目的探讨鼻咽癌住院患者放疗期间疾病不确定感与症状困扰的相关性。方法采用描述性相关研究,分别用Mishel疾病不确定感量表和MD Anderson症状调查量表-头部和颈部测量(MDASI-H&N),调查了121例鼻咽癌住院患者放疗期间的疾病不确定感和症状困扰。结果鼻咽癌住院患者放疗期间疾病不确定感处于中等水平,症状困扰发生率为100%,94.2%的患者认为症状对其生活有一定妨碍,疾病不确定感与症状困扰和症状对生活的妨碍呈正相关(r=0.22-0.40,P<0.05)。结论症状困扰会影响鼻咽癌住院患者放疗期间的疾病不确定感,护理人员应指导患者进行症状管理,减轻症状对患者生活的妨碍,从而降低患者的疾病不确定感。

Objective To investigate the relationship between uncertainty in illness and symptom distress in patients with nasopharyngeal carcinoma（NPC） undergoing radiotherapy.Methods A cross-sectional study was conducted.The Mishel Uncertainty in Illness Scale（MUIS） and MD Anderson symptom inventory-Head Neck（MDASI-HN） were used to assess uncertainty in illness and symptom distress of 121 patients with NPC undergoing radiotherapy.Results The uncertainty in illness of patients with NPC was at middle level.All the patients suffered from symptom distress,and 94.2% patients＇ daily lives were interfered by different symptoms.Uncertainty in illness was positively correlated with symptom distress and symptom interference with life（r=0.22-0.40,P0.05）.Conclusion Uncertainty in illness of NPC patients is related to symptom distress.Nurses should instruct NPC patients to manage symptoms to decrease uncertainty in illness.