社会支持干预对胃癌术后患者疾病不确定感的影响

Influence of Social Support Interventions on Cancer Patients' Illness Uncertainty after Stomach Cancer Surgery

目的:探讨胃癌术后患者的社会支持干预效果.方法:将116例胃癌术后患者随机分为观察组和对照组各58例,对观察组患者在实施常规护理的基础上采取社会支持干预措施,对照组仅实施常规护理,干预周期6个月,采用问卷调查的方式,应用MUIS量表及社会支持评定量表评价两组患者疾病不确定感各维度、社会支持各维度的差异.结果:干预后观察组患者MUIS各维度得分均较干预前降低(P<0.05),社会支持量表中主观支持和社会支持总分较干预前显著提高(P<0.05),对照组患者MUIS得分及社会支持各维度得分与干预前比较差异无统计学意义(P>0.05);组间比较,干预后两组间MUIS各维度及社会支持量表中主观支持和社会支持总分方面比较差异有统计学意义(P<0.05).结论:对胃癌术后患者进行有针对性的社会支持护理干预,可显著提高患者的社会支持水平,降低患者疾病不确定感水平,有利于患者树立正确的健康观念,从而积极、有效地应对疾病.

Objective： To investigate the effect of social support interventions on postoperative patients with gastric cancer. Methods： 116 postoperative patients with gastric cancer were randomly divided into observation group （58 cases）and control group（58 cases）. The control group was only received routine nursing care;the observation group, on the basis of routine nursing care,were treated with social support interventions,the intervention period was 6 months. Adopting questionnaire method,applying MUIS Scale and Social Support Rating Scale（SSRS）to evaluate and compare each dimension difference of illness uncertainty and social support of the two group patients. Results：In the observation group,each dimension score in MUIS after intervention was lower than before intervention（P〈0.05）;the total score of subjective support and social support in SSRS were significantly increased than before intervention （P 〈0.05）. In the control group,the dimension scores in MUIS and in SSRS showed no significant difference when compared with before intervention（P＆gt;0.05）. When compared between groups,each dimension score in MUIS and in SSRS after intervention showed significant difference（P〈0.05）. Conclusion：Targeted social support nursing interven-tion for postoperative patients with gastric cancer can significantly improve patients’social support level,reduce ill-ness uncertainty level,help patients establish a correct health concept,and actively and effectively respond to disease.