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目的探讨早期肺癌患者术后疾病不确定感状态水平及相关因素。方法 2016年1-6月,便利抽样法选取收治于同济大学附属上海市肺科医院的早期肺癌患者80例为研究对象。采用疾病不确定量表(Mishel uncertainty in illness scale adult,MUIS-A)对患者进行测评。结果早期肺癌患者疾病不确定感平均得分为(90.82±12.32)分,属于中等水平。有并发症的患者其不可预测性评分、总分高于无并发症的患者,差异均有统计学意义(均P<0.05);不同家人支持度的患者其不一致性评分、总分的差异均有统计学意义(均P<0.05);吸烟患者的不明确性评分、复杂性评分及总分比非吸烟患者高,差异均有统计学意义(均P<0.05);不同吸烟量的患者其不明确性评分、复杂性评分及总分的差异均有统计学意义(均P<0.05);知道自己罹患癌症的患者其不一致性评分、不可预测性评分及总分高于不知道自己罹患癌症的患者,差异均有统计学意义(均P<0.05)。结论早期肺癌患者疾病不确定感属中等程度,在临床护理工作中,护理人员应重视患者的特征,有针对性地减轻患者疾病不确定感,提高其生活质量。
Objective To investigate the status and related factors of postoperative uncertainties in patients with lung cancer. Methods From January to June of 2016, 80 cases of early-stage lung cancer admitted to Shanghai Pulmonary Hospital affiliated to Tongji University were selected as the convenient sampling method. Patients were assessed using the Mishel uncertainty in illness scale adult (MUIS-A). Results The average score of disease uncertainty in patients with early stage lung cancer was (90.82 ± 12.32) points, which belonged to the middle level. The patients with complication had unpredictable scores with higher total score than those without complication (all P <0.05). The patients with different family support had different scores of incoherence and total scores (P <0.05). The patients with smoking had higher score of uncertainty, complexity and total score than those of non-smoking patients (all P <0.05). Patients with different smoking levels Uncertainty score, complexity score and total score were statistically significant (all P <0.05); aware of their cancer patients in its inconsistency score, unpredictability score and total score higher than they do not know their own cancer Of patients, the differences were statistically significant (P <0.05). Conclusions Early stage lung cancer patients have a moderate degree of uncertainty in the disease. In clinical nursing work, nurses should pay attention to the characteristics of patients and reduce the uncertainty of patients’ diseases so as to improve their quality of life.