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Critical review: is watchful waiting a viable management option for older men with prostate cancer?文献综述：对于老年前列腺癌患者，静观等待是一种可行的治疗选择吗？
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Am J Mens Health. 2008 Jun;2(2):133-42. doi: 10.1177/1557988307300467. Epub 2007 May 23.
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Uncertainty, symptoms, and quality of life in persons with chronic hepatitis C.慢性丙型肝炎患者的不确定性、症状与生活质量
Psychosomatics. 2009 Mar-Apr;50(2):138-46. doi: 10.1176/appi.psy.50.2.138.
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Watching, waiting and uncertainty in prostate cancer.前列腺癌中的观察、等待与不确定性
J Clin Nurs. 2007 Apr;16(4):734-41. doi: 10.1111/j.1365-2702.2005.01545.x.
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Benefits of the uncertainty management intervention for African American and White older breast cancer survivors: 20-month outcomes.不确定性管理干预对非裔美国和白人老年乳腺癌幸存者的益处：20个月的结果。
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Uncertainty of illness relationships with mental health and coping processes in fibromyalgia patients.纤维肌痛患者疾病与心理健康及应对过程的关系的不确定性
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The changing face of prostate cancer.前列腺癌不断变化的面貌。
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A qualitative analysis of interviews of men with early stage prostate cancer: the Prostate Cancer Lifestyle Trial.对早期前列腺癌男性患者访谈的定性分析：前列腺癌生活方式试验
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Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors.针对非裔美国人和白人老年乳腺癌长期幸存者的不确定性管理干预措施的益处。
Psychooncology. 2005 Nov;14(11):962-78. doi: 10.1002/pon.909.

测量正在接受前列腺癌主动监测的男性的疾病不确定性。

Measuring illness uncertainty in men undergoing active surveillance for prostate cancer.

机构信息

Duke University School of Nursing, Durham, NC 27710, USA.

出版信息

Appl Nurs Res. 2011 Nov;24(4):193-9. doi: 10.1016/j.apnr.2009.08.001. Epub 2009 Sep 18.

DOI:10.1016/j.apnr.2009.08.001
PMID:20974073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3070758/
Abstract

BACKGROUND AND PURPOSE

Uncertainty is an aversive experience and plays an important role in the lives of men undergoing active surveillance (AS; earlier referred to as watchful waiting) for early-stage prostate cancer. Yet reliable and valid measures of uncertainty have not been fully tested in this population. This secondary analysis therefore tested the reliability of the Mishel Uncertainty in Illness Scale Community Form (MUIS-C; M.H. Mishel, 1997b) for use with men undergoing AS for prostate cancer.

METHODS

Item-Total correlations were conducted on the 23 items of the MUIS-C with four samples of men undergoing AS.

RESULTS

Cronbach's alpha for the full MUIS-C was .908; 22 of 23 items showed significant positive correlations with the total score. Removing the item without a significant correlation from the reliability analysis increased Cronbach's alpha to .913.

CONCLUSIONS

The Mishel Uncertainty in Illness Scale-Community Form for Active Surveillance is a reliable and valid tool for measuring uncertainty with men undergoing AS for prostate cancer.

摘要

背景与目的

不确定性是一种令人厌恶的体验，在接受主动监测（AS；以前称为观察等待）早期前列腺癌的男性生活中起着重要作用。然而，在这一人群中，尚未充分测试可靠且有效的不确定性测量方法。因此，这项二次分析测试了米舍尔疾病不确定感量表社区版（MUIS-C；M.H. Mishel，1997b）在接受前列腺癌 AS 男性中的可靠性。

方法

对四个接受 AS 的男性样本进行了 MUIS-C 的 23 个项目的项目-总分相关性分析。

结果

MUIS-C 的克朗巴赫系数为.908；23 个项目中的 22 个与总分呈显著正相关。从可靠性分析中删除无显著相关性的项目后，克朗巴赫系数增加到.913。

结论

米舍尔疾病不确定感量表-社区版用于主动监测是一种可靠有效的工具，可用于衡量接受前列腺癌 AS 男性的不确定性。