宫颈癌患者医疗风险感知现状及影响因素分析  

Medical risk perception and influencing factors of cervical cancer patients

作　　者：陈钧卓 邢伟[2] 王瑞莹 郭依琳 毛洁 何珊珊 Chen Junzhuo;Xing Wei;Wang Ruiying;Guo Yilin;Mao Jie;He Shanshan(Department of Nursing,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China)

机构地区：[1]郑州大学第二附属医院护理部,河南郑州450014 [2]郑州大学第二附属医院妇产科,河南郑州450014

出　　处：《护理学杂志》2023年第22期24-27,共4页Journal of Nursing Science

基　　金：2022年河南省医学科技攻关联合共建项目(LHGJ20220476)。

摘　　要：目的 了解宫颈癌患者医疗风险感知现状并分析影响因素,为制定针对性干预方案提供参考。方法 便利抽取宫颈癌住院患者231例,采用一般资料调查表、慢性病病人风险感知问卷、维克森林医师信任量表、正负性情绪量表进行调查。结果 宫颈癌患者医疗风险感知总分为(42.94±6.19)分。医疗风险感知得分与医师信任及其仁爱维度、技术能力维度得分均呈负相关;与正性情绪呈负相关,与负性情绪呈正相关(均P<0.05)。多元线性回归分析显示,宫颈癌患者医疗风险感知的影响因素包括年龄、家庭人均月收入、医师仁爱、医师技术能力及负性情绪(均P<0.05)。结论 宫颈癌患者医疗风险感知处于较高水平,医护人员应注意评估患者医疗风险感知水平,多关注年轻、低收入患者,提升患者对医师的信任度,及时关注并改善患者负性情绪,从而降低医疗风险感知水平。Objective To explore the status and influencing factors of medical risk perception of cervical cancer patients,so as to provide a reference for the development of targeted nursing interventions.Methods A total of 231 patients with cervical cancer were selected by the convenience sampling method.Then they were investigated by using a general information questionnaire,the Medical Risk Perception Questionnaire,the Positive and Negative Affect Scale,and the Wake Forest Physician Trust Scale.Results The total medical risk perception score of cervical cancer patients was(42.94±6.19),which was negatively correlated with the doctor-patient trust score,benevolence score,medical technology score,and positive emotion,while which had a positive correlation with negative emotion(all P<0.05).Multiple linear regression analysis disclosed that age,monthly household income,benevolence,medical technology and negative emotion were all the influencing factors of medical risk perception of cervical cancer patients(all P<0.05).Conclusion The level of medical risk perception of cervical cancer patients is moderately high.Medical staff should focus on assessing the level of patients′medical risk perception,pay more attention to young and low-income patients,increase the trust between doctor and patient as well as keep a watchful eye on and alleviate patients′negative emotions to reduce the medical risk perception.

关 键 词：宫颈癌 医疗风险感知 医师信任 正性情绪 负性情绪 影响因素 

分 类 号：R473.71[医药卫生—护理学]