大肠癌术后化疗患者疾病不确定感、应对方式和个人成长的相关性分析

Study on the relationship among uncertainty, coping styles and personal growth of the postoperative colorectal cancer patients undergoing chemotherapy

目的：探讨大肠癌术后化疗患者疾病不确定感、应对方式和个人成长的相关性。方法采取横断面调查的方法，应用一般资料问卷、Mishel疾病不确定感量表（ MUIS－A）、癌症应对问卷（ CCMQ）及不确定感成长量表（ GTUS）对185例大肠癌术后化疗患者进行问卷调查。对数据进行相关分析。结果共发放问卷218份，收回有效问卷185份，有效回收率为84．9％。大肠癌术后化疗患者疾病不确定感总分平均为（88．06±12．02）分，处于中等水平；大肠癌术后化疗患者最常采取的应对方式为面对，得分为（18．44±3．73）分，然后依次为回避／压抑、屈服、幻想、发泄；大肠癌术后化疗患者个人成长得分为（153．72±16．35）分；疾病不确定感总分与个人成长呈负相关（ r＝－0．164，P＜0．05）；应对方式中面对与个人成长呈正相关（r ＝0．347，P＜0．05），屈服、发泄、幻想与个人成长呈负相关（r 值分别为－0．229，－0．166，－0．058；P＜0．05）。结论医护人员应重视大肠癌术后化疗患者疾病不确定感的评估和管理，帮助患者采取积极的应对方式，促进个人成长。

Objective To explore the correlation of uncertainty , coping styles and personal growth in the postoperative colorectal cancer patients undergoing chemotherapy .Methods One hundred and eighty-five of the postoperative colorectal cancer patients undergoing chemotherapy were surveyed face -to-face. The demographic form , the Mishel Uncertainty in Illness Scale （ MUIS-A ） , Cancer Coping Modes Questionnaire （CCMQ）, and Growth Through Uncertainty Scale （GTUS） were used.Analysis of the correlation betwcen the data.Results Two hundred and eighteen questionnaires were sent out , and one hundred and eighty-five valid questionnaires were recovered , valid response rate was 84 .9%.The average score of uncertainty of postoperative colorectal cancer patients during chemotherapy was （88.06 ±12.02）;the level of uncertainty was middle .Face to the disease was the most often taken style of coping style of postoperative colorectal cancer chemotherapy patients, with a score of （18.44 ±3.73）, followed by avoidance/depressed, yield, fantasy, vent.Personal growth score was （153.72 ±16.35）.Personal growth score and uncertainty in illness was negatively correlated （r=-0.164,P〈0.05）.Face coping styles and personal growth score was positively correlated （r=0.347, P〈0.05）.Yield, vent, and fantasy had a negative correlation with personal growth （r=-0.229,-0.166,-0.058, respectively;P 〈0.05）.Conclusions Medical staff should pay attention to the assessment and management of uncertainty in the postoperative colorectal cancer patients undergoing chemotherapy , optimize their coping style and promote personal growth .