CAJ | 학술논문

目的：描述放疗期间宫颈癌患者疾病不确定感水平及焦虑抑郁状况；探讨疾病不确定感与焦虑、抑郁之间的关系。方法应用医院焦虑抑郁量表（ HADS）、疾病不确定感量表（ MUIS）对68例放疗期宫颈癌患者进行调查。结果放疗期间宫颈癌患者疾病不确定感总得分为（93．06±7．91）；焦虑得分为（6．90±3．50）分，抑郁得分为（6．26±4．06）分；焦虑（HADS-A≥8）27人（39．7％），抑郁（HADS-A≥8）24人（35．3％），焦虑合并抑郁18人（26．47％）；疾病不确定感总分、不明确性与焦虑呈正相关（r＝0．374，P＝0．002；r＝0．526，P＝0．000）；疾病不确定感总分、不明确性、信息缺乏性与抑郁呈正相关（ r＝0．381，P＝0．001；r＝0．397，P＝0．001；r＝0．318，P＝0．009）；不可预测与焦虑、抑郁均呈负相关（r＝-0．355，P＝0．003；r＝-0．272，P＝0．026）。结论放疗期宫颈癌患者疾病不确定感与焦虑抑郁密切相关，医护人员应关注并了解患者的疾病不确定感，通过针对性地提供相关信息，降低患者的疾病不确定感，以降低患者的焦虑抑郁水平。
목적：묘술방료기간궁경암환자질병불학정감수평급초필억욱상황；탐토질병불학정감여초필、억욱지간적관계。방법응용의원초필억욱량표（ HADS）、질병불학정감량표（ MUIS）대68례방료기궁경암환자진행조사。결과방료기간궁경암환자질병불학정감총득분위（93．06±7．91）；초필득분위（6．90±3．50）분，억욱득분위（6．26±4．06）분；초필（HADS-A≥8）27인（39．7％），억욱（HADS-A≥8）24인（35．3％），초필합병억욱18인（26．47％）；질병불학정감총분、불명학성여초필정정상관（r＝0．374，P＝0．002；r＝0．526，P＝0．000）；질병불학정감총분、불명학성、신식결핍성여억욱정정상관（ r＝0．381，P＝0．001；r＝0．397，P＝0．001；r＝0．318，P＝0．009）；불가예측여초필、억욱균정부상관（r＝-0．355，P＝0．003；r＝-0．272，P＝0．026）。결론방료기궁경암환자질병불학정감여초필억욱밀절상관，의호인원응관주병료해환자적질병불학정감，통과침대성지제공상관신식，강저환자적질병불학정감，이강저환자적초필억욱수평。
Objective To explore the relationship between illness uncertainty and anxiety as well as depression in cervical cancer patients undergoing radiotherapy .Methods Hospital Anxiety and Depression Scale ( HADS) and Mishel Uncertainty in Illness Scale ( MUIS) were used to investigate 68 cervical cancer patients .Results The total score of MUIS was 93.06 ±7.91.The average score of HADS-A was 6.90 ±3.50 and HADS-D was 6.26 ±4.06.The prevalence of depressive disorders , anxiety disorders, and comorbidity of both disorders was 39.7% (27), 35.3% (24) and 26.47% (18), respectively.HADS-A was positively correlated with total score of illness uncertainty and ambiguity (r=0.374,P=0.002;r=0.526,P=0.000).HADS-D was positively correlated with total score of illness uncertainty, ambiguity and inconsistency (r=0.381,P=0.001;r=0.397,P=0.001;r =0.318,P=0.009).Unpredictability was negatively correlated with HADS-A and HADS-D (r=-0.355,P=0.003;r=-0.272,P=0.026).Conclusion Illness uncertainty is closely related with the feeling of anxiety and depression in cervical cancer patients undergoing radiotherapy .Doctors and nurses should attach concerns to the uncertainty of the patients , and reduce illness uncertainty , anxiety and depression by providing more relevant information .