消化系统肿瘤术后化疗患者疾病不确定感预测模型的构建  

Construction of a predicting model of uncertainty in illness for the postoperative patients with digestive system tumors undergoing chemotherapy

作　　者：潘庆[1] 王维利[1] 洪静芳[1] 

机构地区：[1]安徽医科大学护理学院,合肥230601

出　　处：《中国实用护理杂志》2013年第13期1-4,共4页Chinese Journal of Practical Nursing

基　　金：国家青年科学基金项目（81101750）;安徽省自然科学基金产学研项目（KJ2011A182）

摘　　要：目的在Mishel疾病不确定感理论基础上构建消化系统肿瘤术后化疗患者疾病不确定感的预测模型。方法采用便利抽样法，应用一般资料问卷、MUIS．A、MSAS、SSRS分别对484例消化系统肿瘤术后化疗期患者进行测评，用结构方程模型分析软件AMOS17．0进行分析。结果消化系统肿瘤术后化疗患者疾病不确定感处于中等水平（89．86±11．84）分。结构提供者（社会支持、经济收入）对疾病不确定感有直接降低作用，并通过刺激框架（症状模式、事件熟悉度）对疾病不确定感产生间接降低作用。结论结构方程模型可以运用于疾病不确定感模型的构建中，从而帮助医护人员有针对性的管理疾病不确定感。Objective Construction of a predicting model of uncertainty in illness based on Mishel＇s theories of uncertainty in illness in a sample of the postoperative patients with digestive system tu- mors undergoing chemotherapy. Methods By convenient sampling method, MUIS-A,MSAS,SSRS were used to evaluate 484 postoperative patients with digestive system cancer during chemotherapy period, and then AMOS 17.0 software was used to perform analysis. Results The score of uncertainty in illness of postoperative patients with the digestive system cancer undergoing chemotherapy was in the medium level （89.86＋11.84） points; Structure provider （social support, economic income） could not only reduce the un- certainty directly, but also had an indirect effect on the uncertainty by stimuli frame （symptoms pattern, event familiarity）. Conclusions Structure equation model can be applied to the uncertainty in illness model construction, so as to help medical staff manage uncertainty in illness pertinently.

关 键 词：肿瘤 消化系统 疾病不确定感 结构方程模型 

分 类 号：R473.73[医药卫生—护理学]