非小细胞肺癌患者疾病不确定感水平与感知控制能力的相关性

目的 探讨非小细胞肺癌患者住院化疗期间的疾病不确定感水平与感知控制能力的相关性.方法 采用自制的一般资料调查表、疾病不确定感量表以及癌症经验与效能量表对145例住院化疗的非小细胞肺癌患者进行调查.结果 (1)非小细胞肺癌患者的疾病不确定感总分平均为(98.56±9.99)分.(2)感知控制能力的患癌经验总分平均为(3.97±0.40)分,癌症效能总分平均为(3.13±0.52)分,该量表各维度得分由高到低依次是社会经济(4.25±0.59)分、情绪经验(3.89±0.50)分、个人经验(3.82±0.42)分、集体效能(3.30±0.83)分、医护效能(3.18±0.52)分和个人效能(2.93±0.76)分.(3)非小细胞肺癌患者化疗期间疾病不确定感总分与患癌经验总分呈正相关(r=0.291,P<0.01),与患癌控制效能总分呈负相关(r=-0.325,P<0.01).结论 非小细胞肺癌患者住院化疗期间,疾病不确定感水平与感知控制能力两者相互影响,提示护理人员要重视非小细胞肺癌化疗患者对疾病的认知评估能力,改善患者对疾病的控制效能,从而提高其生活质量.

Correlation between uncertainty in illnesses and perceived control in patients with non-small-cell lung cancer

Objective To analysis the correlation between uncertainty in illnesses and perceived control in patients with non-small-cell lung cancer (NSCLC) undergoing chemotherapy.Methods A consecutive sample of 145 patients with NSCLC were recruited and assessed with socio-demographic, medical data, the scales of the Michel′s Chinese version of uncertainty in illness and the cancer experience and efficacy scale (CEES).Results The total score of the uncertainty in illness in patients with NSCLC was (98.56±9.99) points, the total score of the cancer experience was (3.97±0.40) points, and the total score of the cancer efficacy was (3.13±0.52) points.In CEES, the scores of each dimension from the highest to the lowest were social economics [(4.25±0.59) points], emotional experience [(3.89±0.50) points], personal experience [(3.82±0.42) points], collective efficacy [(3.30±0.83) points], medical efficacy [(3.18±0.52) points], and personal efficacy [(2.93±0.76) points].The score of the uncertainty in illness was significantly positively correlated with experience subscales (r=0.291, P<0.001), and negatively correlated with efficacy subscale (r=-0.334, P<0.05).Conclusion Uncertainty in illnesses of the patients is correlated with perceived control.To raise the efficacy of patients and improve their quality of life, it is important for health-care workers to pay attention to the ability of cognition in patients.