Relative Study On Uncertainty And Coping Style Ofgynecological Malignant Oncology Patients With Chemotherapy

Research purposes:The purpose of this study was to investigate the level of uncertainty in illness and coping style of gynecological malignant oncology patients with chemotherapy,and analysis the related factors of illness uncertainty,as well as to explore the correlation between illness uncertainty and coping style. Establish effective intervention measures for future nursing, patients reduce the level of uncertainty in illness and help patients develop a positive coping style to provide reference. Research Methods:By convenient sampling,116 gynecological malignant oncology patients with chemotherapy were selected from March 2015 to December 2015 period in a third grade class-A hospital of Changchun. Research tool for patients general information questionnaire,the Mishel Uncertainty in Illness Scale for Adult(MUIS-A),the Medical Coping Modes Questionnaire(MCMQ). Data collected using SPSS 18.0 software package to establish a database for statistical analysis, descriptive analysis with SX ±, Frequency,composition ratio, the group compared with t test, variance analysis, multiple were compared using the Duncan method, correlation analysis using Pearson correlation coefficients. The results:1.For gynecological malignant oncology patients with chemotherapy, the uncertainty in illness score was89.18±10.43, the patients with moderate uncertainty accounted for 88.8%.In four dimension, the average scores from high to low: ambiguity, unpredictablity, complexity and Absent information.2. Illness uncertainty associated with Patients with age, degree of education, marital status,domicile,profession,family income per capita, medical treatment, payment of medical expenses and the number of chemotherapy by single factor analysis.3. Confrontation and avoidance coping style was significantly lower than that of the general clinical patients(P < 0.01), and the resignation coping style of the patients was significantly more than that of the general patients(P < 0.01).4. The score of illness uncertainty was negatively correlated with confrontation and avoidance, and it was positively correlated with resignation. Conclusions:1. The level of illness uncertainty of the most gynecological malignant oncology patients was middle.2. There was difference in patients with gynecological malignant oncology in illness uncertainty under different groups, such as Patient’s age, educational level, marital status,domicile,profession,family income level, medical payment method, the ability to pay the medical expenses and the number of chemotherapy.3. Compared the patients of gynecological malignant tumor chemotherapy with clinical patients, gynecological malignant oncology patients in the face and avoidance coping style is less, and the more yielding.4. The patients with gynecological malignant tumor chemotherapy with the Confrontation or avoidance coping style were lower in the disease uncertainty, and the disease uncertainty was higher in the resignation coping style.