放疗期间宫颈癌患者疾病不确定感与应对方式的研究

摘要

Objective:To explore the relationship between illness uncertainty and coping styles in cervical cancer patients undergoing radiotherapy. Methods:All 68 cervical cancer patients were assessed by convenient sampling and investigated with Mishel Uncertainty in Illness Scale(MUIS)and Jalowiec coping scale(JCS-60). Results:The total score of MUIS was(93. 06 ± 7. 91). Optimistic coping scored was highest with score of(2. 11 ± 0. 45),which was the style most often applied by cervical cancer patients . Emotive coping scored was lowest with score of(0. 97 ± 0. 62). Among 60 coping items,〞Hoped that things would get better〞 was the most often used coping strategy,〞Took a drink to make yourself feel better〞 was the least used coping strategy. MUIS was positively correlated with evasive coping,fatalistic coping and emotive coping(r=0. 285,P=0. 02;r=0. 369,P=0. 002;r=0. 248,P=0. 045). Self-reliant coping was negatively related to unpredictability(r= -0. 265,P=0. 031). Conclusion:Illness uncertainty and the coping styles in cervical cancer patients undergoing radiotherapy are closely related. Health care workers should provide the patients more relevant information to reduce illness uncertainty and establish effective coping styles.%目的：探讨放疗期间宫颈癌患者疾病不确定感与应对方式之间的关系。方法：应用疾病不确定感量表（MUIS）和Jalowiec的应对量表（JCS-60）对68例放疗期宫颈癌患者进行调查。结果：放疗期间宫颈癌患者疾病不确定感总得分为（93.06±7.91）。乐观是患者应用最多的应对方式，得分为（2.11±0.45）。情感宣泄应用最少，得分为（0.97±0.62）。疾病不确定感与逃避、宿命、情感宣泄应对方式呈正相关（ r＝0.285，P＝0.02；r＝0.369，P＝0.002；r＝0.248，P＝0.045）。不可预测与自我依赖呈负相关（ r＝-0.265，P＝0.031）。结论：放疗期间宫颈癌患者疾病不确定感与应对方式存在相关性，医护人员应关注并了解患者的疾病不确定感，通过针对性地提供相关信息，降低患者的疾病不确定感，帮助病人建立有效的应对方式。