宫颈癌患者疾病信息需求及影响因素调查研究  

Study on information needs and related factors of cervical cancer patients

作　　者：秦湘鑫[1] 李渊婷[1] 晋婷[1] 陈学彬[2] 肖晓辉[3] 严祥[2] 

机构地区：[1]兰州大学第一临床学院,甘肃兰州730000 [2]兰州大学第一医院心理卫生科,甘肃兰州730000 [3]甘肃省人民医院,甘肃兰州730000

出　　处：《中国妇幼健康研究》2011年第5期598-600,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的 了解宫颈癌患者信息选择的需求状况及影响因素.方法 采用一般资料问卷、卡氏功能量表和癌症患者信息选择问卷对78例宫颈癌患者进行调查分析.结果 癌症患者信息选择问卷的总分、诊断、治疗、预后和其他维度均分分别为39.04±7.42、6.19±1.28、10.69±2.63、10.08±2.07和12.01±2.43.＂我很想知道＂信息内容排名前3位为条目4、8、13、12（8和13并列）,＂我不想知道＂信息内容排名前3位为条目14、16、10.卡氏评分在80分及以上（可进行正常活动）组的总分、诊断、治疗、预后和其它因子均分均低于卡氏评分在70分及以下（生活受到不同程度的影响）组（t值分别为3.431、2.125、2.047、3.571、2.319,均P〈0.05）.年轻妇女、文化程度较高及脑力工作的癌症患者信息选择问卷某些分值较高,希望获知的信息需求较多.结论 癌症患者信息选择问卷及各维度得分与年龄、受教育程度、职业和健康状态有关,医生在为癌症患者提供治疗时,应注意其需要的疾病相关医学信息和健康需求.Objective To study the information needs of cervical cancer patients and related influencing factors. Methods 78 cervical patients were investigated by using general information questionnaire, K function scale （KPS） and IPQCP. Results The total score of IPQCP, mean score of diagnosis, treatment, prognosis and other dimension were 39.04 ±7.42, 6.19 ±1.28, 10.69 ±2.63, 10.08 ± 2.07 and 12.01 ±2.43, respectively. The first three items which were selected most were item 4, 8 and 13, and 12 at ＂I want to know very well＂, and item 14, 16 and 10 were the first three at ＂I dont want to know＂. The total score and mean score of diagnosis, treatment, prognosis and other dimension of the patients whose K score was equal to or higher than 80 was lower than that of the patients whose K score was equal to or lower than 70 （ t value was 3. 431, 2. 125, 2. 047, 3：571 and 2. 319 respectively, all P 〈 0.05 ）. Young patients, white collar, well-educated and mental workers had higher scores at some items and greater information needs. Conclusion The scores of IPQCP and every dimension are related with patients＇ age, education degree, occupation and health status. When cure is given to cervical cancer patients, doctors should provide disease-related medical information and health needs for them.

关 键 词：信息需求 卡氏功能 宫颈癌 调查研究 

分 类 号：R737.33[医药卫生—肿瘤] R173[医药卫生—临床医学]