宫颈癌患者疾病不确定感与应对方式的相关性研究

Correlation between uncertainty in illness and coping style among patients with cervical cancer

目的：探讨宫颈癌患者疾病不确定感与应对方式的相关性。方法采用疾病不确定感量表（ MUIS-A）、应对方式量表（ MCMQ）对180例宫颈癌患者进行问卷调查。应用Pearson相关分析法分析疾病不确定感与应对方式的相关性。结果宫颈癌患者MUIS-A总分为（78．91±177;9．34）分，MCMQ面对、回避、屈服得分分别为（19．28±177;2．61），（17．56±177;2．12），（12．90±177;1．43）分。宫颈癌患者MUIS-A总分与屈服呈正相关（P＜0．01），与面对、回避呈负相关（P＜0．05）。结论宫颈癌患者疾病不确定感与应对方式具有相关性，护士应指导患者采取有效的应对方式，以降低疾病不确定感，提高其生活质量。

Objective To investigate the correlation between the uncertainty in illness and coping style among cervical cancer patients .Methods A total of 180 patients with cervical cancer were selected and investigated with Mishel ’ s uncertainty in illness scale-adult form （ MUIS-A ） and medical coping modes questionnaire （ MCMQ） .Pearson correlation analysis was used to analyze the correlation between uncertainty in illness and coping style.Results The MUIS-A total score of patients with cervical cancer was （78.91 ±177;9.34）. The score of MCMQ facing factor, avoiding factor and yielding factor was （19.28 ±177;2.61）, （17.56 ±177;2.12） and （12.90 ±177;1.43）, respectively.The MUIS-A total score of patients with cervical cancer was positively correlated with the yielding factor （P＆lt;0.01）, and negatively correlated with the facing and avoiding factors （P＆lt;0.05）.Conclusions Correlation has been found between uncertainty in illness and coping style in patients with cervical cancer .Nurses should guide patients to adopt effective coping styles , in order to decrease their uncertainty in illness and improve their quality of life .