ICU恶性肿瘤患者家属疾病不确定感现状及影响因素分析

Influence Factors of Uncertainty in Illness among Family Members of Cancer Patients in ICU

目的调查ICU恶性肿瘤患者家属的疾病不确定感现状,并探讨其影响因素。方法采用一般资料问卷、中文版疾病不确定感家属量表、简易应对方式问卷对92例ICU恶性肿瘤患者家属进行问卷调查,采用多重线性回归分析家属疾病不确定感的影响因素。结果家属疾病不确定感总分为(88.76±12.22)分;患者入ICU的原因、家属性别、急性生理与慢性健康评分和积极应对方式是影响ICU恶性肿瘤患者家属疾病不确定感的主要影响因素(P<0.05)。结论 ICU恶性肿瘤患者家属的疾病不确定感水平较高;ICU的医护人员应关注他科转入、性别为女性及病情较重的恶性肿瘤患者家属,为家属提供更多的信息和心理支持,鼓励家属采取积极的应对方式,以降低疾病不确定感对家属的影响。

Objective To describe the uncertainty in illness among family members of cancer patients in ICU,and to explore its influence factors.Methods The measurement instruments included the Inventory of demographic characteristics of family members,Mishel Uncertainty in Illness Scale-family Member Form（MUIS-FM,Chinese version） and Simplified Coping Style Questionnaire（SCSQ） and the conditions of patients were obtained from medical records.The multi-variate stepwise regression was used to analyze the influence factors of uncertainty in illness in family members.Results The score of uncertainty in illness among family members was 88.76±12.22.The reasons for patients admitted to ICU,the gender of family members,the acute physiology and chronic health evaluation score and the positive coping style entered the regression equation of uncertainty in illness（P〈0.05）.Conclusion The uncertainty in illness among family members of cancer patients in ICU is relatively high.Medical staff should pay more attention to family members of patients transferred from other wards,those of female patients and cancer patients.In order to reduce the impact of uncertainty in illness,it＇s important to provide more information and psychological support for family members,also to encourage family members to take more positive coping styles.