CAJ | 학술논문

目的：探讨喉癌手术患者围手术期疾病不确定感与护理干预措施的相关性。方法选择入住江西省肿瘤医院喉癌手术患者，按照择期手术先后顺序随机分为对照组和实验组（n=40），采用自制护理干预措施对实验组喉癌手术患者术前后2 d进行干预，对照组喉癌手术患者术前后2 d采用传统的护理方法护理，然后在术后第3天采用Mishel的疾病不确定感量表（MUIS）对2组患者进行测量，调查分析2组患者疾病不确定感的程度。结果对照组患者疾病不确定感（均值为69.95）处于一个较高水平（大于总分的50%），而实验组患者经采用自制护理干预措施后疾病不确定感（均值为59.35）处于我国常模水平，经检验有统计学差异（P<0.05）。结论证实自制护理干预措施能降低喉癌手术患者疾病不确定感的程度，从而为喉癌手术患者选择最佳的护理措施，提高患者的生存质量。
목적：탐토후암수술환자위수술기질병불학정감여호리간예조시적상관성。방법선택입주강서성종류의원후암수술환자，안조택기수술선후순서수궤분위대조조화실험조（n=40），채용자제호리간예조시대실험조후암수술환자술전후2 d진행간예，대조조후암수술환자술전후2 d채용전통적호리방법호리，연후재술후제3천채용Mishel적질병불학정감량표（MUIS）대2조환자진행측량，조사분석2조환자질병불학정감적정도。결과대조조환자질병불학정감（균치위69.95）처우일개교고수평（대우총분적50%），이실험조환자경채용자제호리간예조시후질병불학정감（균치위59.35）처우아국상모수평，경검험유통계학차이（P<0.05）。결론증실자제호리간예조시능강저후암수술환자질병불학정감적정도，종이위후암수술환자선택최가적호리조시，제고환자적생존질량。
Objective To investigate the operation patients in peri operation period of laryngeal carcinoma and the correlation between uncertainty in illness and nursing intervention measures.Methods By using self-made nursing intervention on the patients in experimental group, before and after the two dayintervention,the control group before and after operation in patients with laryngeal cancer two days using traditional nursingcare,then in the third postoperative day using Mishel Uncertainty in Illness Scale (MUIS) were measured for two groups of patients, two groups were analyzed survey the extent of uncertainty in illness.Results In the control group of patients illness uncertainty at a high level (greater than 50% of the total score), while the experimental group patients after using self care interventions after illness uncertainty in the level of the norm, there are significant differences by the test (P<0.05).Conclusion Self-made nursing intervention can reduce the degree of uncertainty of illness, so as to laryngectomy patients to choose the best care measures to improve the patient's quality of life.