乳腺癌化疗患者疾病不确定感与疾病知识认知水平的相关性研究

摘要

目的:探讨乳腺癌化疗患者疾病不确定感、乳腺癌知识及化疗相关知识的认知状况及二者之间的关系.方法:采用Mishel疾病不确定感量表、乳腺癌知识及化疗相关知识问卷对85例乳腺癌化疗患者进行问卷调查.结果:患者疾病不确定感总体得分48～97分,平均(73.72±13.90)分.17.65%的患者疾病不确定感得分处于高水平,63.53%的患者疾病不确定感得分处于中等水平.乳腺癌知识及化疗相关知识问卷得分4～23分,平均(15.34±4.01)分.疾病不确定感与乳腺癌知识及化疗相关知识认知水平呈负相关(r=-0.754,P＜0.05).结论:护士应充分重视疾病相关知识认知不足对疾病不确定感的影响,采取有效的干预措施提高患者的疾病相关知识认知,从而降低患者的疾病不确定感,减轻患者的心理压力,提高其生存质量.%Objective: To investigate the state of uncertainty in illness and cognitive level of hreast cancer and chemotherapy - related knowledge and their correlation in breast cancer patients undergoing chemotherapy. Methods: Eighty - five breast cancer patients were assessed with Mishel' s Uncertainty in Illness Scale ( MUIS ), hreast cancer and chemotherapy - related knowledge questionnaire. Results: The total scores on uncertainty in illness ranged from 48 to 97 with a mean score of( 73. 72 ± 13. 90 ). 17. 65 ％ of the patients showed high uncertainty in illness, 63.53％ of them showed moderate uncertainty in illness. The total scores on breast cancer and chemotherapy - related knowledge ranged from 4 - 23 with a mean score of( 15. 34 ± 4. 01 ). The uncertainty in illness was negatively related to the cognitive level of beast cancer and chemotherapy - related knowledge( r = - 0. 754, P ＜0. 05 ). Conclusion : Nurses should pay more attention to the effects of lack of disease - related knowledge on uncertainty in illness , take effective measures to increase the cognitive level of breast cancer and chemotherapy - related knowledge, lower the uncertainty level, so as to relieve the psychological stress and improve those patients 'quality of life who receiving chemotherapy.