乳腺癌患者的不确定感及其相关因素(1)
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【摘要】目的:探讨乳腺癌住院患者的不确定感状况及其主要影响因素。方法:采用问卷调查法,由实验者采用统一的调查语和调查问卷进行调查,所有问卷力求由患者亲自填写,若患者因体力或认知限制无法填写,则由本人在访谈后按患者的意愿代为填写,注意避免暗示患者。结果:在患者病情符合保乳手术指征的情况下开展保乳手术对稳定患者心态有重要的作用;乳腺癌住院患者的疾病不确定感与希望呈显著负相关;总体不确定感及两因子与“屈服”应对方式皆呈正相关,与“回避”应对方式皆呈负相关,说明“屈服”是乳腺癌患者的消极应对方式,会加重患者的不确定感,“回避”则是乳腺癌患者积极的应对方式,可减轻患者的不确定感。结论:乳腺癌住院患者普遍存在焦虑、抑郁情绪,不确定感与焦虑、抑郁呈显著正相关,护士应指导患者宣泄不良情绪,降低焦虑、抑郁水平,以降低患者的疾病不确定感
【关键词】乳腺癌患者;不确定感状况;相关因素
doi:10.3969/j.issn.1006-1959.2010.09.016文章编号:1006-1959(2010)-09-2315-02
Uncertain feeling of breast cancer patient and their relevance factorZHUANG Jun,LIN Jian-weiCheng Dou City Qing Bai Jiang District people hospital 610300
【Abstract】Objective:Investigation and discussion breast cancer is in hospital patient's indeterminacy feels status and their main influencing factor.Methods:Adopt a questionnaire to inquire into law ,adopt the unified investigation language and investigation questionnaire to make an investigation by the experimentalist,all questionnaires make every effort to be filled in in person by patient,are to filled in as an agent behind the interview according to patient's wish by self,pay attention to avoiding dropping a patient a hint if the patient has no way to fill in because physical power or cognition restricts.Results:The operation carrying out guarantor milk under the situation that patient state of illness accords with guarantor milk operation indication has the important effect to the psychology stabilizing a patient;Breast cancer is in hospital patient's uncertain feeling of disease and hope assume the negative notable relevance;Uncertain feeling of population and two factors answer way with “knuckling under” all presenting being related to,all present to shoulder a relevance with “avoiding answering way”,explain that “knuckling under” is that inactivity of breast cancer patient answers way,indeterminacy that can aggravate a patient feels“,the indeterminacy ”avoiding being that the breast cancer patient answers way,but lightens a patient actively then“ feels.Conclusions:The adenocarcinoma is in hospital common existence of patient is extremely anxious,depressed mood,uncertain feeling and the extremely anxious,depressed memorial are notable be being related to,should guide a patient to get the bad mood,lessening off the chest feeling anxious,depressed nurse level,to reduce uncertain feeling of patient's disease ......
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