乳腺癌化疗患者疾病不确定感与疾病知识认知水平的相关性研究

Study on the correlation between uncertainty in illness and cognitive level of breast cancer and chemotherapy-related knowledge in breast cancer patients undergoing chemotherapy

目的:探讨乳腺癌化疗患者疾病不确定感、乳腺癌知识及化疗相关知识的认知状况及二者之间的关系。方法:采用M ishel疾病不确定感量表、乳腺癌知识及化疗相关知识问卷对85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48～97分,平均(73.72±13.90)分。17.65%的患者疾病不确定感得分处于高水平,63.53%的患者疾病不确定感得分处于中等水平。乳腺癌知识及化疗相关知识问卷得分4～23分,平均(15.34±4.01)分。疾病不确定感与乳腺癌知识及化疗相关知识认知水平呈负相关(r=-0.754,P<0.05)。结论:护士应充分重视疾病相关知识认知不足对疾病不确定感的影响,采取有效的干预措施提高患者的疾病相关知识认知,从而降低患者的疾病不确定感,减轻患者的心理压力,提高其生存质量。

Objective： To investigate the state of uncertainty in illness and cognitive level of breast cancer and chemotherapy-related knowledge and their correlation in breast cancer patients undergoing chemotherapy.Methods： Eighty-five breast cancer patients were assessed with Mishel＇s Uncertainty in Illness Scale（MUIS）,breast cancer and chemotherapy-related knowledge questionnaire.Results： The total scores on uncertainty in illness ranged from 48 to 97 with a mean score of（73.72±13.90）.17.65% of the patients showed high uncertainty in illness,63.53% of them showed moderate uncertainty in illness.The total scores on breast cancer and chemotherapy-related knowledge ranged from 4-23 with a mean score of（15.34±4.01）.The uncertainty in illness was negatively related to the cognitive level of breast cancer and chemotherapy-related knowledge（r=-0.754,P0.05）.Conclusion： Nurses should pay more attention to the effects of lack of disease-related knowledge on uncertainty in illness,take effective measures to increase the cognitive level of breast cancer and chemotherapy-related knowledge,lower the uncertainty level,so as to relieve the psychological stress and improve those patients＇ quality of life who receiving chemotherapy.