Supriati Lilik, Sudiana I Ketut, Nihayati Hanik Endang, Rodli Muhammad, Kapti Rinik Eko
Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
Nursing Department, Faculty of Health Science, Brawijaya University, Malang, Indonesia.
SAGE Open Nurs. 2022 Sep 7;8:23779608221124294. doi: 10.1177/23779608221124294. eCollection 2022 Jan-Dec.
Breast cancer is a chronic disease that has implications for many aspects of the patient's life. Contracting the COVID-19 virus places cancer patients at a higher risk of infection. This condition triggers uncertainty which causes emotional responses.
The aim of this study was to measure the relationship between the uncertainty perspective of breast cancer patients and emotional responses during the COVID-19 pandemic.
This study used an observational study with a cross-sectional design. Data was collected from May to December 2021. The total sample of this study was 110 breast cancer patients undergoing chemotherapy at the Army Hospital of Dr. Soepraeon Malang, Indonesia. We used purposive sampling. The questionnaire used was a modified questionnaire from the Mishel Uncertainty in Illness Scale, a modified questionnaire from the Concerns about Recurrence Questionnaire, a modified questionnaire from the Zung Self Rating Anxiety Scale, and a modified questionnaire from the Depression, Anxiety, and Stress Scale. Data was analyzed using SPSS with a Spearman correlation test.
The mean uncertainty of the respondents was 75.98 or in the moderate category, emotional response was moderate fear with a mean score of 18.40, the average anxiety score was 41.05 or normal, and the mean depression score was 15.96 or low depression. In addition, there was a significant relationship between uncertainty and the emotional response among breast cancer patients in the era of the COVID-19 pandemic ( < .05).
This study showed that there was a relationship between uncertainty and emotional response among breast cancer patients. It is important for nurses to provide good information about the disease among patients by using therapeutic communication and paying attention to the negative emotional responses of breast cancer patients.
乳腺癌是一种慢性病，会对患者生活的许多方面产生影响。感染新冠病毒使癌症患者面临更高的感染风险。这种情况引发了不确定性，进而导致情绪反应。
本研究旨在衡量新冠疫情期间乳腺癌患者的不确定性认知与情绪反应之间的关系。
本研究采用横断面设计的观察性研究。数据收集于2021年5月至12月。本研究的总样本为110名在印度尼西亚玛琅苏普拉翁陆军医院接受化疗的乳腺癌患者。我们采用目的抽样法。所使用的问卷是对疾病不确定感量表（Mishel Uncertainty in Illness Scale）、复发担忧问卷（Concerns about Recurrence Questionnaire）、zung自评焦虑量表（Zung Self Rating Anxiety Scale）以及抑郁、焦虑和压力量表（Depression, Anxiety, and Stress Scale）进行修改后的问卷。数据使用SPSS进行分析，并采用Spearman相关性检验。
受访者的平均不确定感为75.98，属于中等水平，情绪反应为中等程度的恐惧，平均得分为18.40，平均焦虑得分为41.05，属于正常范围，平均抑郁得分为15.96，属于低抑郁水平。此外，在新冠疫情时代，乳腺癌患者的不确定感与情绪反应之间存在显著关系（<0.05）。
本研究表明，乳腺癌患者的不确定感与情绪反应之间存在关联。护士通过治疗性沟通向患者提供有关疾病的良好信息，并关注乳腺癌患者的负面情绪反应非常重要。
