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uncertainty in illness and coping styles:Moderating and mediating effects of resilience in stroke patients

World Journal of Clinical Cases 2021年第30期9卷 8999-9010页

作者： Zi-Ting Han Hui-Min Zhang Yi-Ming Wang Shan-Shan Zhu Dong-Yang Wang School of Nursing Xinxiang Medical UniversityXinxiang 453000Henan ProvinceChina School of International Education Xinxiang Medical UniversityXinxiang 453000Henan ProvinceChina Department of Nursing School of PharmacyChangzhou UniversityChangzhou 213000Jiangsu ProvinceChina Faculty of Nursing Mahidol UniversityNakhon Pathom 73170Thailand

BACKGROUND Stroke has a great influence on the patient’s mental health,and reasonable psychological adjustment and disease perception can promote the recovery of mental *** To explore the relationships among resilience,coping style,and uncertainty in illness of stroke *** A retrospective study was used to investigate 154 stroke patients who were diagnosed and treated at eight medical institutes in Henan province,China from October to December *** used the Mishel uncertainty in illness Scale,the Connor-Davidson Resilience Scale,and the Medical Coping Modes Questionnaire to test the uncertainty in illness,resilience,and coping style,*** Resilience had a significant moderating role in the correlation between coping style and unpredictability and information deficiency for uncertainty in illness(Puncertainty in illness(Puncertainty in illness,indicating that it is vital to improve resilience and consider positive coping styles for stroke patients in the prevention and control of uncertainty in illness.

关键词： Stroke Resilience,Psychological Coping styles uncertainty in illness

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Relationship between uncertainty in illness,mood state and coping style in patients with temporomandibular disorders

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International Journal of Nursing Sciences 2015年第4期2卷 361-365页

作者： Dong-ye Yang Jing-jing Ye Feng Zhou Jue-jun Li Qiu-yu Huang Li-hong Wan Guanghua School of Stomatology Hospital of StomatologySun Yat-sen UniversityGuangzhouChina Center for ADR monitoring of Chengdu SichuanChina School of Nursing Sun Yat-sen UniversityGuangzhouChina

Objective:To investigate the relationship between uncertainty in illness,mood state and coping style in patients with temporomandibular disorders(TMD)in the hospital,in order to identify nursing ***:Chinese versions of the Mishel uncertainty in illness Scale(MUIS),Brief Profile Of Mood States(BPOMS)and Medical Coping Modes Questionnaire(MCMQ)were used to assess uncertainty in illness,mood state and coping style,respectively,in 126 patients with ***:The total score of uncertainty in illness of the patients was 91.33±16.38,which was at middle *** total score of mood state was 37.93±*** order of coping style rated from high to low was confrontation(18.81±3.65),avoidance(15.44±4.26)and acceptance(10.41±5.04).Acceptance was positively correlated with uncertainty in illness(r=0.463,puncertainty in illness and mood state(r=0.286,puncertainty in illness and mood state were related to coping *** data suggest that nurses should be trained to offer appropriate guidance to help decrease patients'uncertainty in illness and relieve their negative emotions.

关键词： Coping style Mood state Temporomandibular disorders uncertainty in illness

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The Relationship Between uncertainty in illness,State Anxiety,and the Life Satisfaction of College Students During the COVID-19 Epidemic

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Psychosomatic Medicine Research 2021年第1期3卷 8-15页

作者： Lin Cai Tian-Liang Fan Zhi-Han Mei Qing-Jun Li Yu Yao Deng-Hui Lu Ideological and Political Theory Teaching Department Sichuan Institute of Industrial TechnologySichuanChina Health Culture Research Center of Shaanxi Key Research Base of Philosophy and Social Sciences in Shaanxi ProvinceShaanxiChina

Objective:This study aimed to explore the relationship between uncertainty in illness,state anxiety,and the life satisfaction of college students during the COVID-19 ***:A cluster random sampling method was employed to select a total of 1522 college students from seven universities in *** uncertainty in illness scale,state anxiety scale,and life satisfaction scale were ***:uncertainty in illness had a negative effect on life *** in illness had a positive effect on state *** anxiety had a negative effect on life *** anxiety played an important mediating role in the relationship between uncertainty in illness and life satisfaction-its mediating effect accounted for 17.43%of the total ***:A simple mediation model revealed that uncertainty in illness exerts influence both directly on life satisfaction and indirectly via state *** upon these elucidated examples,several countermeasures and suggestions for life satisfaction are proposed.

关键词： COVID-19 Mental health State anxiety Life satisfaction uncertainty in illness Psychopathology College students

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长沙市肺癌患者疾病不确定感的研究 ——影响因素及其与生活质量和焦虑、抑郁的关系

长沙市肺癌患者疾病不确定感的研究 ——影响因素及其与生活质量...

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作者：邓露中南大学

学位级别：硕士

目的：调查长沙市肺癌患者的疾病不确定感、生活质量和焦虑、抑郁状况，探讨疾病不确定感的影响因素及其与生活质量和焦虑、抑郁水平之间的关系，为提高肺癌患者的身心健康水平提供科学依据。方法：在湖南省长沙市的五所综合性三级甲等... 详细信息

目的：调查长沙市肺癌患者的疾病不确定感、生活质量和焦虑、抑郁状况，探讨疾病不确定感的影响因素及其与生活质量和焦虑、抑郁水平之间的关系，为提高肺癌患者的身心健康水平提供科学依据。方法：在湖南省长沙市的五所综合性三级甲等医院和一所肿瘤专科性三级甲等医院中随机抽取3所医院，从这3所医院中随机抽取符合调查要求的肺癌患者300例，并对其进行问卷调查。调查问卷包括自编肺癌患者一般情况及相关因素调查表、中文版Mishel的疾病不确定感量表(Mishel uncertainty in illness Scale，MUIS)、中文版肺癌患者生活质量量表(Quality of Life Questionnaire-Lung Cancer 43，QLQ-LC43)及住院患者焦虑抑郁量表(The Hospital Anxiety and Depression Scale，HAD)。所有资料均采用SPSS12.0统计软件处理。统计方法包括描述性的统计分析、t检验、单因素方差分析、多元线性逐步回归分析、Pearson相关分析。结果：1．肺癌患者的疾病不确定感各维度得分及总得分均大于其总分最大值的50％，处于高水平。2．肺癌患者在职业、家人关心支持程度、他人关心支持程度、宗教信仰、本人知晓身患肺癌、治疗方式、自觉疾病不适程度、吸烟状况方面的疾病不确定感总得分或其维度得分差异具有统计学意义(P＜0.05)。3．影响肺癌患者疾病不确定感总得分的主要因素是患者的宗教信仰(b’=-0.182)。4．肺癌患者生活质量各维度得分从高至低依次为：认知功能、情绪功能、躯体功能、社会功能、总体健康感觉、角色功能。5．疾病不确定感觉总得分与生活质量-情绪功能维度得分呈正相关(P＜0.01);不明确维度得分与生活质量一躯体、情绪、认知、社会功能各维度得分呈正相关(P＜0.05);不可预测维度得分与生活质量—认知功能维度得分呈负相关(P＜0.05)。6．本研究的肺癌患者中，50.71％的肺癌患者有焦虑情绪，39.29％的有抑郁情绪，33.57％的合并有焦虑和抑郁情绪。7．不明确维度、不连贯维度得分与焦虑总得分呈正相关(P＜0.05)，复杂性维度、不可预测维度得分与焦虑总得分呈负相关(P＜0.01);肺癌患者疾病不确定感总得分、不明确维度、不连贯维度得分与抑郁总得分呈正相关，复杂性维度得分、不可预测维度得分与抑郁总得分呈负相关(P＜0.01)。结论：1．肺癌患者的疾病不确定感受宗教信仰、职业、家人与他人关心支持程度、本人知晓身患肺癌、治疗方式、自觉疾病不适程度、吸烟状况的影响;其中宗教信仰为疾病不确定感的主要影响因素。2．肺癌患者的疾病不确定感水平与其生活质量和焦虑、抑郁水平相关：疾病不确定感越高，生活质量越差;疾病不确定感中不明确、不连贯性越高，患者的焦虑、抑郁水平越高。3．降低肺癌患者的疾病不确定感水平有利于降低其焦虑、抑郁水平和提高其生活质量。

关键词： Lung Cancer uncertainty in illness Quality of Life Anxiety Depression

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