肺癌晚期化疗患者疾病不确定感对情绪影响的研究  

Influence of disease uncertainty to emotion among advanced lung cancer chemotherapy patients

作　　者：常永红[1] 叶磊光[1] 孙贤 

机构地区：[1]哈尔滨医科大学附属肿瘤医院内一科,150040

出　　处：《中国实用护理杂志》2018年第1期47-51,共5页Chinese Journal of Practical Nursing

基　　金：黑龙江省自然科学基金委员会（青年基金）（QC2014C092）

摘　　要：目的了解肺癌晚期化疗患者的疾病不确定感对情绪的影响，以指导临床护理工作。方法采用一般资料问卷、疾病不确定感量表以及简明心境量表，对146例入住哈尔滨医科大学附属肿瘤医院的肺癌晚期化疗患者进行问卷调查。结果肺癌晚期化疗患者的疾病不确定感得分为（77．91±16．87）分，情绪评分为（39．37±18．72）分；两者呈正相关（r=0．363，P〈0．01）；患者的一般资料（家庭人均月收入、文化程度）及疾病不确定感的2个维度（不明确性、信息缺乏）为情绪的主要影响因素（t=4．947～4．603，P〈0．01）。结论肺癌晚期化疗患者的疾病不确定感较高，与情绪有相关性，患者的家庭人均月收入水平、文化程度和疾病不确定感均会影响到患者的情绪，应采取针对性干预措施降低患者的疾病不确定感，改善患者的情绪。Objective In order to understand the influence of disease uncertainty to emotion among advanced lung cancer chemotherapy patients, in order to guide the clinical nursing work. Methods A total of 146 advanced lung cancer chemotherapy patients were selected as the research object, using the general information, Disease Uncertainty Scale and Brief Profile of Mood States Scale for investigation. Results The disease uncertainty scores of advanced lung cancer chemotherapy patients were 77.91 ± 16.87; scores of emotion was 39.37±18.72; they were positively correlated （r=0.363, P〈0.01）. Patients＇ family per capita income, cultural degree, two dimensions of disease uncertainty （uncertainty, poor information） were the main influencing factors of emotion （t=- 4.947- 4.603, P〈0.05）. Conclusions Advanced lung cancer chemotherapy patients with the higher level of disease uncertainty have more bad emotion. The patient＇s family per capita income level, cultural level and disease uncertainty will affect the mood of patients. Targeted intervention measures should be taken to reduce the patient＇s disease uncertainty, and improve the patient＇s emotion, improve the quality of life.

关 键 词：肺肿瘤 疾病不确定感 情绪 

分 类 号：R473.73[医药卫生—护理学]