治疗性沟通对鼻咽癌放疗患者疾病不确定感的影响  

The effects of therapeutic communication on the uncertainty of illness in patients with nasopharyngeal carcinoma

作　　者：李冉冉[1] 袁芳[1] 梁华玲[1] 

机构地区：[1]山东省肿瘤医院放六病区,山东济南250017

出　　处：《泰山医学院学报》2017年第10期1153-1156,共4页Journal of Taishan Medical College

摘　　要：目的探讨用治疗性沟通体系对鼻咽癌放疗患者疾病不确定感的影响。方法将72例鼻咽癌患者随机分组:实验组与对照组各36例。对照组给予常规的健康宣教,实验组给予治疗性沟通系统的干预。分别于入院当天与放疗结束后发放MUIS-A量表,评价两组患者干预前后的疾病不确定感。结果两组患者在干预前的疾病不确定感及各个维度分值无统计学差异(P>0.05)。干预后实验组的疾病不确定感分值低于对照组,其中信息缺乏、不明确性及复杂性三个维度分值低于对照组(P<0.05—P<0.01),不可预测维度分值两组明显差异。结论治疗性沟通系统可以有效地降低鼻咽癌放疗患者的疾病不确定感。Objective： To explore the effects of therapeutic communication system on the uncertainty of illness in patients with nasopharyngeal carcinoma（ NPC） receiving radiotherapy. Methods： 72 patients with nasopharyngeal carcinoma were randomly divided into experimental group and control group,with 36 in each. The control group received routine health education. The experimental group received intervention of therapeutic communication system. The MUIS-A scale was given out on the day of admission and after radiotherapy respectively,and the patients＇ uncertainty of illness prior to and after intervention was evaluated. Results： There was no significant difference in the two groups in the aspects of uncertainty of illness and dimension scores prior to the intervention（ P〈0. 05）. After intervention,the dimension scores of experimental group in the respects of uncertainty of illness,shortage of information and complexity were lower than those in control group（ P〈0. 05—P〈0. 01）. There was sharp difference in the aspect of unpredictable dimension scores between the two groups（ P〈0. 05）. Conclusion： The therapeutic communication system can dramatically reduce the uncertainty of illness in patients with nasopharyngeal carcinoma receiving radiotherapy.

关 键 词：鼻咽癌 放疗 治疗性沟通 疾病不确定感 

分 类 号：R473.73[医药卫生—护理学]