恶性肿瘤住院患者家属疾病不确定感的现状及影响因素

 目的　调查恶性肿瘤患者家属的疾病不确定感现状, 探讨影响肿瘤患者家属疾病不确定感的因素,为临床医护人员对患者家属实施有效的干预措施提供临床依据。方法　采用中文版疾病不确定感家属量表（MUIS-FM）和自制的家属一般情况调查表、患者疾病资料问卷调查恶性肿瘤住院患者家属的疾病不确定感水平,分析其相关因素。结果　恶性肿瘤患者家属疾病不确定感得分为（82.71±9.93）分,大于总分最高分（75分）的50 %,在家属的受教育程度、家庭收入、居住地以及患者的入院次数方面不同组别的恶性肿瘤患者家属疾病不确定感总分差异有统计学意义（F值分别为8.06、3.14、3.99、4.85,均P＜0.05）。结论　恶性肿瘤患者家属疾病不确定感水平较高,文化程度、家庭收入、居住地以及患者的入院次数对恶性肿瘤患者家属的疾病不确定感水平有一定影响。

Current situation and influencing factors of uncertainty in illness of family members of patients with malignant tumor

Objective　To investigate uncertainty in illness of family members of patients with malignant tumor, to explore the factors that affect uncertainty in illness of family members of patients with malignant tumor, and to provide clinical basis for clinical doctors and nurses implementing effective interventions for their patients. Methodｓ　Questionnaires were conduted to investigate uncertainty in illness of family members of patients with malignant tumor and explore the related factors. The measurements included three parts, Chinese version of Mishel uncertainty in illness scale for family member , self-designed questionnaire about family general condition, patients' disease information. Results　The total score of uncertainty in illness was 82.71±9.93, more than 50 % (75 score) of the highest PPUS-FM score. There were statistical significances of uncertainty in illness in education (F = 8.06, P < 0.05), family income (F = 3.14, P < 0.05), residence place (F = 3.99, P < 0.05) and frequency of hospitalization (F = 4.85, P < 0.05). Conclusion　Family members of patients with malignant tumor have a higher level of uncertainty in illness. Education, family income, residence place and frequency of hospitalization have a certain effect on uncertainty in illness of family members of patients with malignant tumor.