深圳市宝安区社区结直肠癌患者的疾病不确定感水平和应对方式的情况调查分析

Investigation and Analysis on the Level of Disease Uncertainty and Coping Style of Colorectal Cancer and Rectal Cancer Patients in Baoan District of Shenzhen City

[目的]调查分析深圳市宝安区社区结直肠癌患者的疾病不确定感水平和应对方式的情况.[方法]选择2015年1月至2018年1月深圳市宝安区500例结直肠癌患者为调查对象,所有患者均经病理检查确诊并参与问卷调查.计算中文版Mishel疾病不确定感量表(MUIS)各条目平均值、不明确性得分、复杂性得分、整体不确定感总得分采用医学应对方式问卷(MCMQ)调查统计患者面对、回避、屈服的评分.对结直肠癌患者应对方式和不确定感进行相关性分析.[结果]493个有效问卷中不明确性得分为(54.33±9.06)分,复杂性得分(33.76±5.13)分,总分(89.29±13.75).其中低等程度不确定性为116例(23.53%),中等程度不确定性为211例(42.80%),高程度不确定性为166例(33.67%).直肠癌患者与结直肠癌患者的不明确性评分比较,差异无统计学意义(P>0.05);直肠癌患者复杂性评分、总分均明显高于结直肠癌患者,差异有统计学意义(P<0.05).直肠癌患者MCMQ量表面对评分低于结直肠癌,回避、屈服得分高于结直肠癌患者,差异均有统计学差异(P<0.05).Pearson相关性分析显示,对结直肠癌患者应对方式面对、回避、屈服与不明确性评分、复杂性评分、总分均无显著相关性(P>0.05).[结论]结直肠癌患者的疾病不确定感比较严重,其中直肠癌患者更为明显,应对方式出现屈服、回避的趋势,因此应对患者有针对性地进行引导,从而降低患者对疾病的不确定感,使患者更积极地面对疾病.

[Objective]To investigate and analyze the level of disease uncertainty and coping style of colorectal.cancer patients in Bao'an Distriet of Shenzhen.[Methods]From January 2015 to January 2018,500 patients with colorectal cancer in Baoan Districet of Shenzhen City were selected as the subjects.All patients were diagnosed by pathological examination and participated in the questionnaire survey.the chinese version of the Mishel disease uncertainty scale(MUIS)was calculated for each item average,uncertainty score,complexity score,overall uncertainty total score using the medical coping modes questionnaire(MCMQ)survey to count the patient face,avoid-ance,yield score.correlation analysis of coping style and uncertainty in colorectal cancer patients.[Results]Among the 493 valid questionnaires,the uncertainty score was(54.33±9.06),the complexity score was(33.76±5.13),and the total score was(89.29±13.75).Among them.116(23.53%)had low degree uncertainty,211(42.80%)had medium degree uncertainty and 166(33.67%)had high degree uncertainty.There was no significant difference in the unclear score between rectal cancer patients and colorectal cancer patients(P>0.05);the complexity score and total score of rectal cancer patients were significantly higher than those of colorectal cancer patients,and the difference was statistically significant(P<0.05).The MCMQ volume surface score of rectal cancer patients was lower than that of colorectal cancer,and the avoidance,yield score was higher than that of colorectal cancer pa tients,and the difference was statistically significant(P<0.05).Pearson correlation analysis showed that there was no significant correlation between coping style,avoidance,yield and uncertainty score,complexity score and total score(P>0.05).[Conclusion]The disease uncertainty of colorectal cancer patients is more serious,among which rectal cancer patients are more obvious.the coping style appears the tendency of yielding and avoiding.so the patients should be targeted to guide,so that patients can face the disease more actively.