摘要目的 探寻结直肠癌患者家属的疾病不确定感、心理弹性和应对方式的现状,明确三者的关系模型.方法 于2014年6月-2016年5月采用一般情况调查表、中文版疾病不确定感家属量表(MUIS-FM)、心理弹性量表(CD-RISC)及简易应对方式问卷(SCSQ)对哈尔滨市4所三级甲等医院的472名结直肠癌患者家属进行调查.结果 消极应对、心理弹性与结直肠癌患者家属的疾病不确定感具有相关性(均P<0.05);消极应对不仅能直接影响结直肠癌患者家属的疾病不确定感(β=0.37,P<0.05),而且能通过心理弹性的中介作用间接影响其疾病不确定感(β=0.25,P<0.05).结论 医护人员应该采取有效措施改变结直肠癌患者家属的应对方式,增强其心理弹性,以降低其疾病不确定感,最终促进患者及家属的身心健康.

abstractsObjective To explore the levels of resilience,coping style of family members of patients with colorectal carcinoma,as well as their uncertainty in illness,and explicit the relationships among the three variables.Methods The general questionnaire,Mishel Uncertainty In Illness Scale-Family Member Form,Connor-Davidson Resilience scale and the Simple Coping Style questionnaire were used to investigate 472 family members of patients with colorectal carcinoma from four tertiary hospitals in Harbin from June 2014 to May 2016.Results The negative coping style and resilience were significantly correlated to family members' uncertainty in illness (P<0.05 for both). Moreover,their uncertainty in illness can be predicted directly by negative coping style (β= 0.37,P<0.05),and predicted indirectly via resilience (β= 0.25,P<0.05). Conclusions Effective measures should be taken by medical workers to change the way family members deal with cancer and enhance their resilience so as to reduce their uncertainty in illness,to promote their physical and mental health.