Longitudinal study on the relationship between illness uncertainty and nursing needs in patients with recurrent hepatocellular carcinoma
10.3760/cma.j.cn115682-20211228-05866
- VernacularTitle:复发性肝细胞癌患者疾病不确定感与护理需求关系的纵向研究
- Author:
Yuanyuan YUE
1
;
Huicong JI
;
Jianyuan WANG
;
Changying CHEN
Author Information
1. 郑州大学第一附属医院感染性疾病三病区，郑州 450052
- Keywords:
Liver neoplasms;
Illness uncertainty;
Nursing needs;
Longitudinal studies
- From:
Chinese Journal of Modern Nursing
2022;28(21):2897-2901
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore changes in the illness uncertainty before and after discharge in patients with recurrent hepatocellular carcinoma and its relationship with unmet nursing needs.Methods:From December 2020 to June 2021, 90 patients with recurrent hepatocellular carcinoma treated in the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling method as the research object.A questionnaire was used to collect data such as the supportive care needs, illness uncertainty, demographic sociology, and disease status of patients before discharge (T0, 90 cases) , one month after discharge (T1, 84 cases) , and two months after discharge (T2, 77 cases) . Generalized estimating equations were used to examine the factors influencing the illness uncertainty.Results:Patients' employment status, age, level of unmet nursing needs, and moderate and high uncertainty before discharge were the influencing factors for the change of patients' illness uncertainty at three time points.Conclusions:Changes in illness uncertainty links to unmet nursing needs. For young working patients with a high degree of illness uncertainty before discharge, a personalized discharge education should be developed to meet the patients' nursing needs and improve the patients' illness uncertainty after discharge.
