住院儿童、青少年恶性肿瘤患者疾病不确定感现状及其影响因素分析  

A survey of uncertainty in illness state and its influencing factors in hospitalized children and adolescents with cancer

作　　者：赵玉玲[1] 江锦芳[1] 韦荣泉[1] 李亭秀[1] 

机构地区：[1]广西医科大学附属肿瘤医院,南宁530021

出　　处：《中国实用护理杂志》2013年第20期5-9,共5页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生厅科研课题（Z2008239）

摘　　要：目的探讨未成年的儿童、青少年恶性肿瘤患者疾病不确定感现况，并分析其影响因素。方法采用中文版儿童、青少年疾病不确定感量表（the uncertainty scale for kids，USK）和基线资料调查问卷对112例7～18岁的恶性肿瘤患者进行横断面调查。结果112例未成年的儿童、青少年恶性肿瘤患者疾病不确定感的总分平均为（45．16±6．67）分；未成年儿童、青少年恶性肿瘤患者的疾病不确定感受其年龄、性格、病程、治疗方式、目前疾病状况、是否因病休学、住院次数、家庭月收入以及父母对疾病相关知识了解程度的影响；目前疾病状况、家庭月收入、是否因病休学以及父母对疾病相关知识了解程度是患者疾病不确定感的主要影响因素。结论未成年的儿童、青少年恶性肿瘤患者普遍存在疾病不确定感，日常医疗与护理中应加强该方面的工作，尤其在日常护理工作中，护士应重视疾病不确定感对儿童、青少年恶性肿瘤患者的影响，尽早采取积极、有效的干预措施，以降低患者疾病不确定感，减轻其心理压力，进一步提高生存质量。Objective To investigate illness uncertainty state and explore its influencing factors in hospitalized children and adolescents with cancer. Methods A cross-sectional survey was performed in 112 children and adolescents with cancer aged 7-18 years old from two hospitals with the Chinese version of Uncertainty Scale for Kids-20 and the self-designed demographic questionnaire. Results The mean total scores of illness uncertainty was （45.16±6.67） points. The results of single-factor analysis Showed that the factors influencing the uncertainty in illness of children and adolescents with cancer were as follows： age, personality characteristics, course of disease, the methods of treatment, current disease status, absence from school or not, the times of hospitalization, family monthly income, and the extent of parents＂ understanding about the disease-related knowledge. Multi-factor stepwise regression analysis showed that the main influencing factors of the uncertainty in illness were the current condition, family monthly income, absence from school or not and the extent of parents＇ understanding about the disease-related knowledge. Conclusions Illness uncertainty is common in children and adolescents with cancer. Nurses should attach importance to the impacts of illness uncertainty, and take effective interventions to decrease it, alleviate psychological pressure and improve quality of life in children and adolescents with cancer.

关 键 词：儿童 青少年 恶性肿瘤 疾病不确定感 影响因素 

分 类 号：R473.73[医药卫生—护理学]