乳腺癌手术患者经验性回避水平与疾病认知程度的相关性研究

目的探讨乳腺癌手术患者经验性回避水平和疾病认知程度的相关性。方法选取2016年2月至2019年2月就诊我院的乳腺癌手术患者76例作为观察对象,采用接纳与行为问卷(AAQ-Ⅱ)、自制知识认知问卷及疾病感知问卷简明版(BIPQ)对经验性回避水平及疾病认知程度进行调查,采用Spearson相关分析确定两者的相关性。结果乳腺癌患者术后AAQ-Ⅱ问卷总分22~46分,平均(38.88±1.67)分。知识认知总得分3~14分,平均(8.87±2.44)分;疾病感知总得分27~56分,平均(44.00±5.85)分。AAQ-Ⅱ问卷中第7个问题与知识认知及疾病感知均无显著相关性(P>0.05);1~6号问题及AAQ-Ⅱ问卷总分均与知识认知呈显著负相关(P<0.05),与疾病感知呈显著正相关(P<0.05)。结论乳腺癌术后患者经验性回避水平会随着知识认知水平升高而降低,伴随疾病感知程度加重而加重。在护理过程中,可通过提升疾病知识掌握程度,降低疾病感知程度,来达到改善经验性回避水平的目的。

Correlation study between empirical avoidance level and disease awareness degree in patients undergoing breast cancer operation

Objective To explore the correlation between empirical avoidance level and disease awareness degree in patients undergoing breast cancer operation.Methods To select 76 cases of patients with breast cancer who were treated in our hospital from February 2016 to February 2019 as the observation objects.The level of empirical avoidance and disease awareness degree were investigated by using acceptance and action questionnaire(AAQ-Ⅱ),self-made knowledge cognition questionnaire and brief illness perception questionnaire(BIPQ).Spearson correlation analysis was used to determine the correlation between the two.Results The total score of AAQ-Ⅱquestionnaire for breast cancer patients after operation was 22 to 46,with an average of(38.88±1.67)points,the total score of knowledge awareness was 3-14,with an average of(8.87±2.44)points,and the total score of disease perception was 27-56,with an average of(44.00±5.85)points.The seventh question in the AAQ-Ⅱquestionnaire had no significant correlation with knowledge awareness and disease perception(P>0.05).Questions 1 to 6 and the total score of the AAQ-Ⅱquestionnaire had a significant negative correlation with knowledge awareness(P<0.05),and a significant positive correlation with disease perception(P<0.05).Conclusion The level of empirical avoidance in patients with breast cancer after operation would decrease with the increase of knowledge awareness,and would increase with the increase of disease perception.In the nursing process,the purpose of improving the level of empirical avoidance could be achieved by improving the mastery degree of disease knowledge and reducing the degree of disease perception to achieve the goal of improving the level of empirical avoidance.