关键词: 出院准备度, 食管癌, 放疗, 照顾者, 焦虑, 应对

Abstract: Objective: To explore the effect of discharge preparedness management program on the illness uncertainty, anxiety and coping style of caregivers of esophageal cancer patients undergoing radiotherapy.Methods: 106 patients with esophageal cancer who received radiotherapy from October 2018 to March 2019 were selected as the study subjects. According to the time of admission, the patients were divided into control group and observation group. The patients in control group(n=52) received routine discharge guidance, while the patients in observation group(n=54) implemented discharge preparedness management plan on the basis of routine guidance from one week before planned discharge to the day of discharge. All the patients were interviewed with preparedness for caregiving scale(PCS), Mishel uncertainty in illness scale-family member form (MUIS-FM), state anxiety inventory (SAI) and simplified coping style questionnaire(SCSQ) at the beginning of the study and the day of discharge. Results: There were significant differences between the two groups in scores of every item of PCS, total score and the lack of information dimension in MUIS-FM, positive and negative coping in SCSQ(P<0.05); there were not significant differences in scores of the dimensions of complexity, ambiguity, unpredictability in MUIS-FM and anxiety in SAI (P>0.05). Conclusion: The implementation of preparedness management program can effectively improve the discharge preparedness of caregivers of esophageal cancer patients undergoing radiotherapy, reduce their lack of information, improve positive response level and weaken negative response level.

Key words: Discharge readiness, Esophageal cancer, Radiotherapy, Caregiver, Anxiety, Coping style