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肺癌患者疾病不确定感及其影响因素的研究
引用本文:梁敉宁,李乐之,李艳群,沈若玲,邓露.肺癌患者疾病不确定感及其影响因素的研究[J].中华现代护理杂志,2009,15(24):2353-2356.
作者姓名:梁敉宁  李乐之  李艳群  沈若玲  邓露
作者单位:1. 中南大学护理学院,长沙,410013
2. 中南大学湘雅二医院护理部
3. 中南大学老干部病区
4. 中南大学胸外科
5. 中南大学手术室
基金项目:湖南省科技厅计划项目 
摘    要:目的 探讨肺癌患者疾病不确定感的水平,并分析其影响因素.方法 选取住院确诊的280例肺癌患者,采用一般资料调查表和中文版Mishel疾病不确定感量表(MUIS)进行测评.结果 肺癌患者疾病不确定感的总分平均为(105.15±12.66)分;不同职业、吸烟状况、本人是否知晓身患肺癌、自觉疾病不适程度、治疗方式、家人及他人支持程度、宗教信仰的患者的疾病不确定感得分差异有统计学意义;宗教信仰对患者的疾病不确定感有影响.结论 肺癌患者疾病不确定感水平较高,护理人员应根据患者的特征,有针对性地降低患者的疾病不确定感.

关 键 词:肺肿瘤  疾病不确定感  影响因素  问卷调查

A survey of uncertainty in illness state and its influential factors in patients with lung cancer in Changsha
LIANG Mi-ning,LI Le-zhi,LI Yan-qun,SHEN Ruo-ling,DENG Lu.A survey of uncertainty in illness state and its influential factors in patients with lung cancer in Changsha[J].Chinese Journal of Modern Nursing,2009,15(24):2353-2356.
Authors:LIANG Mi-ning  LI Le-zhi  LI Yan-qun  SHEN Ruo-ling  DENG Lu
Abstract:Objective To investigate uncertainty in illness state and its influential factors in patients with lung cancer. Methods A total of 280 hospitalized patients with lung cancer were evaluated with the scales of the demographic data and the Mishel's Chinese version of uncertainty in illness. Results Totally 280 qualified questionnaires were obtained, and the rate for response was 93. 3%. The total score of the uncertainty in illness was (105.15?2. 66); There was a significant difference of the score of the uncertainty in illness among different occupation groups, smoking status, self-uncomfortable level of disease groups, self-knowing of suffering from lung cancer groups, different treatment groups, different degree of social support groups, different religious belief groups; Religious beliefs influent the sense of uncertainty in illness in Patients with Lung Cancer. Conclusions There is a high degree of uncertainty in illness in patients with lung cancer; Lung cancer patients with different features have different levels of uncertainty in illness; Religious beliefs influent the sense of uncertainty in illness in Patients with Lung Cancer.
Keywords:Lung neoplasms  Uncertainty in illness  Influencing factors  Questionnaires
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