中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
4期
380-382
,共3页
食管肿瘤%围手术期护理%疾病不确定感%焦虑
食管腫瘤%圍手術期護理%疾病不確定感%焦慮
식관종류%위수술기호리%질병불학정감%초필
Esophageal cancer%Perioperative nursing%Uncertainty of illness%Anxiety
目的：探讨食管癌患者围术期疾病不确定感、焦虑状况以及疾病不确定感与焦虑两者之间的相关性。方法选取2012年3月—2013年9月行食管癌切除术的患者90例为研究对象,采用疾病不确定感量表和住院患者焦虑自评量表对其进行问卷调查。结果食管癌患者围术期对疾病的不确定感评分处于中等水平,术前、手术日及术后3 d疾病不确定感的总分分别为(108.43±13.51),(106.89±11.97),(98.57±12.48)分；患者的年龄、性别及文化水平对疾病不确定感总分差异有统计学意义(P<0.05)；焦虑得分为(70.48±16.92)分；其疾病不确定感中的不明确性(r=0.401,P<0.05)、复杂性(r=0.217,P<0.05)、不连贯性(r=0.634,P<0.05)、疾病不确定感总分为(r=0.352,P<0.05)与焦虑呈正相关,而不可预测性与焦虑不相关(r=0.142,P>0.05)。结论食管癌患者围术期存在较高程度的疾病不确定感和焦虑情绪,且两者之间存在正相关。护理人员采取有效措施干预患者疾病不确定感可改善患者焦虑的情绪状态,提高护理质量。
目的：探討食管癌患者圍術期疾病不確定感、焦慮狀況以及疾病不確定感與焦慮兩者之間的相關性。方法選取2012年3月—2013年9月行食管癌切除術的患者90例為研究對象,採用疾病不確定感量錶和住院患者焦慮自評量錶對其進行問捲調查。結果食管癌患者圍術期對疾病的不確定感評分處于中等水平,術前、手術日及術後3 d疾病不確定感的總分分彆為(108.43±13.51),(106.89±11.97),(98.57±12.48)分；患者的年齡、性彆及文化水平對疾病不確定感總分差異有統計學意義(P<0.05)；焦慮得分為(70.48±16.92)分；其疾病不確定感中的不明確性(r=0.401,P<0.05)、複雜性(r=0.217,P<0.05)、不連貫性(r=0.634,P<0.05)、疾病不確定感總分為(r=0.352,P<0.05)與焦慮呈正相關,而不可預測性與焦慮不相關(r=0.142,P>0.05)。結論食管癌患者圍術期存在較高程度的疾病不確定感和焦慮情緒,且兩者之間存在正相關。護理人員採取有效措施榦預患者疾病不確定感可改善患者焦慮的情緒狀態,提高護理質量。
목적：탐토식관암환자위술기질병불학정감、초필상황이급질병불학정감여초필량자지간적상관성。방법선취2012년3월—2013년9월행식관암절제술적환자90례위연구대상,채용질병불학정감량표화주원환자초필자평량표대기진행문권조사。결과식관암환자위술기대질병적불학정감평분처우중등수평,술전、수술일급술후3 d질병불학정감적총분분별위(108.43±13.51),(106.89±11.97),(98.57±12.48)분；환자적년령、성별급문화수평대질병불학정감총분차이유통계학의의(P<0.05)；초필득분위(70.48±16.92)분；기질병불학정감중적불명학성(r=0.401,P<0.05)、복잡성(r=0.217,P<0.05)、불련관성(r=0.634,P<0.05)、질병불학정감총분위(r=0.352,P<0.05)여초필정정상관,이불가예측성여초필불상관(r=0.142,P>0.05)。결론식관암환자위술기존재교고정도적질병불학정감화초필정서,차량자지간존재정상관。호리인원채취유효조시간예환자질병불학정감가개선환자초필적정서상태,제고호리질량。
Objective To investigate anxiety levels and illness uncertainty caused by esophageal cancer during perioperative period, and to analyze the correlation between them. Methods A total of 90 patients with esophageal carcinectomy were selected in our hospital from March 2012 to September 2013 as sample, and were investigated with Mishel′s uncertainty in illness scale ( MUIS ) and Zung′s self-rating anxiety scale ( SAS ) . Results The MUIS level of esophageal carcinoma patients was medium. Total score of MUIS in preoperative, operative and 3 days of postoperative were (108. 43 ± 13. 51), (106. 89 ± 11. 97) and (98. 57 ± 12. 48); patient′s age, gender and educational level had significant differences impacting on illness uncertainty (P<0. 05). The total score of anxiety was (70. 48 ± 16. 92). The score of SAS was positively correlated with the total score of unclarity in illness (r=0. 352,P<0. 05), with uncertain of illness (r=0. 401,P<0. 05), with complexity (r=0. 217,P<0. 05), with incoherence (r=0. 634,P<0. 05), and with unpredictability (r=0. 142,P>0. 05). Conclusions Esophageal cancer patients in perioperative period shows a high level uncertainty of illness and anxiety, and there is a positive correlation between the two. Nurses should take effective measures to improve the uncertainty of illness and anxiety states for patients, and to improve the quality of care.
