發(fā)布時(shí)間：2018-10-13 14:39

【摘要】：目的： 探明慢性病患者疾病不確定感的狀況及水平，發(fā)現(xiàn)影響患者疾病不確定感的因素,確認(rèn)慢性病患者應(yīng)對(duì)方式和社會(huì)支持的狀況,探討慢性病患者疾病不確定感與應(yīng)對(duì)方式、社會(huì)支持的相關(guān)性。 方法： 本研究便利選取2013年3月～8月在蚌埠醫(yī)學(xué)院第一附屬醫(yī)院、阜陽(yáng)市人民醫(yī)院住院治療的慢性病患者380例，進(jìn)行問(wèn)卷調(diào)查。問(wèn)卷由自擬的一般人口學(xué)及相關(guān)資料問(wèn)卷、中文版疾病不確定感量表(MUIS)、醫(yī)學(xué)應(yīng)對(duì)問(wèn)卷(MCMQ)和社會(huì)支持評(píng)定量表（SSRS）組成。應(yīng)用SPSS17.0統(tǒng)計(jì)軟件進(jìn)行數(shù)據(jù)分析,研究所采用的統(tǒng)計(jì)方法包括描述性分析、t檢驗(yàn)或方差分析、Pearson相關(guān)性分析和多重線性回歸分析。 結(jié)果： 1.慢性病患者疾病不確定感的得分為（91.87±11.008），處于中等水平，其中平均得分最高的為不可預(yù)測(cè)維度，，其次為不明確維度。 2.不同居住地、職業(yè)、文化程度、家庭月收入、性格類型、病程和自覺(jué)疾病嚴(yán)重程度組的疾病不確定感得分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)，而不同年齡、性別、婚姻狀況、民族、宗教信仰、支付方式組的疾病不確定感得分差異未發(fā)現(xiàn)有統(tǒng)計(jì)學(xué)意義(P0.05)。 3.回歸分析表明：文化程度、家庭月收入、病程、性格類型和自覺(jué)疾病嚴(yán)重程度這五個(gè)變量是影響患者疾病不確定感水平的主要因素,聯(lián)合解釋了18.4%的變異。 4.應(yīng)對(duì)方式中“屈服”維度的得分為（2.12±0.62）高于國(guó)內(nèi)常模,且差異有統(tǒng)計(jì)學(xué)意義(P0.01)。 5.慢性病患者疾病不確定感總分與應(yīng)對(duì)方式中的“面對(duì)”維度呈負(fù)相關(guān)(P0.05),與“屈服”維度呈正相關(guān)(P0.01)；不明確維度與“面對(duì)”維度呈負(fù)相關(guān)(P0.05),與“屈服”維度呈正相關(guān)(P0.05)；信息缺乏維度與“回避”維度、“屈服”維度呈正相關(guān)(P0.05),不可預(yù)測(cè)維度與“屈服”維度呈正相關(guān)(P0.01)。 6.患者社會(huì)支持總分為（37.68±6.30）高于一般人群社會(huì)支持平均分，且差異有統(tǒng)計(jì)學(xué)意義(P0.01)，疾病不確定感與社會(huì)支持呈負(fù)相關(guān)(r-0.155,P0.01)。 結(jié)論： 1.疾病不確定感在慢性病患者中普遍存在，且多數(shù)患者處于中等水平。 2.文化程度、家庭月收入、病程、性格類型和自覺(jué)疾病嚴(yán)重程度是慢性病患者疾病不確定感主要影響因素。 3.疾病不確定感水平與應(yīng)對(duì)方式密切相關(guān),指導(dǎo)其多采取有效的應(yīng)對(duì)方式，可以顯著的降低疾病不確定感。 4.與一般人群比較，慢性病患者有較高的社會(huì)支持，且社會(huì)支持高者，疾病不確定感的程度低，反之則高。
[Abstract]:Objective: to investigate the status and level of disease uncertainty in patients with chronic diseases, to find out the factors influencing the uncertainty of disease, and to confirm the coping style and social support of patients with chronic diseases. To explore the correlation between uncertainty and coping style and social support in patients with chronic diseases. Methods: from March to August 2013, 380 patients with chronic diseases who were hospitalized in the first affiliated Hospital of Bengbu Medical College and Fuyang people's Hospital were investigated by questionnaire. The questionnaire was composed of self-designed general demography and related data questionnaire, (MUIS), Medical coping questionnaire (MCMQ) and Social support rating scale (SSRS) in Chinese version. The statistical methods used in the study include descriptive analysis, t-test or variance analysis, Pearson correlation analysis and multiple linear regression analysis. Results: 1. The score of disease uncertainty in chronic disease patients was (91.87 鹵11.008), which was at the middle level, with the highest score being the unpredictable dimension, followed by the uncertain dimension (2.2). There were significant differences in the scores of uncertainty of disease among groups of different residence, occupation, education, family income, personality type, course of disease and severity of conscious disease (P0.05), but different age, sex, marital status, nationality, There was no significant difference in the scores of disease uncertainty in religious belief and payment group (P0.05). The regression analysis showed that the five variables, such as education level, family monthly income, course of disease, personality type and severity of conscious disease, were the main factors affecting the patients' disease uncertainty, and the variation was 18.4%. The score of "yield" dimension in coping style was (2.12 鹵0.62) higher than that in domestic norm, and the difference was statistically significant (P0.01). The total score of disease uncertainty was negatively correlated with "face" dimension in coping style (P0.05), positively with "yield" dimension (P0.01), negatively with "face" dimension (P0.05), and positively with "yield" dimension (P0.05). The information deficiency dimension was positively correlated with the "avoidance" dimension and the "yield" dimension (P0.05), while the unpredictable dimension was positively correlated with the "yield" dimension (P0.01). The total score of social support in patients was (37.68 鹵6.30) higher than that in the general population, and the difference was statistically significant (P0.01). There was a negative correlation between disease uncertainty and social support (r -0.155, P 0.01). Conclusion: 1. Disease uncertainty is common among people with chronic diseases, and most patients are at moderate levels. 2. 2. Education level, monthly income of family, course of disease, personality type and severity of conscious disease are the main influencing factors of disease uncertainty in patients with chronic diseases. The level of disease uncertainty is closely related to coping style. Guiding them to adopt effective coping styles can significantly reduce disease uncertainty. 4. Compared with the general population, the patients with chronic diseases have higher social support, and the degree of disease uncertainty is lower in the patients with higher social support, but higher on the contrary.
【學(xué)位授予單位】：蚌埠醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R473

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 胡菊華;沈桂蘭;;健康教育流程表對(duì)類風(fēng)濕關(guān)節(jié)炎患者疾病不確定感的影響[J];當(dāng)代護(hù)士(學(xué)術(shù)版);2010年09期

2 趙淑軍;彭江榮;蔡恒;;慢性病流行現(xiàn)狀與基層防治對(duì)策[J];公共衛(wèi)生與預(yù)防醫(yī)學(xué);2013年01期

3 洪震;蔣明;許勤;;乳腺癌化療患者疾病不確定感狀況及影響因素的研究[J];護(hù)理實(shí)踐與研究;2008年21期

4 徐瑩;王世平;;肝移植受者出院疾病不確定感與應(yīng)對(duì)方式的相關(guān)性研究[J];護(hù)理學(xué)雜志;2009年08期

5 王贊麗;趙岳;;腦卒中患者疾病不確定感與社會(huì)支持的縱向研究[J];護(hù)理學(xué)雜志;2012年07期

6 張暉;王瑞霞;王愛(ài)田;師靜;張慧賢;;肝硬化患者疾病不確定感狀況及其影響因素[J];解放軍護(hù)理雜志;2010年15期

7 徐瑩;;肝移植受者出院疾病不確定感與社會(huì)支持的相關(guān)性研究[J];山東醫(yī)學(xué)高等�？茖W(xué)校學(xué)報(bào);2011年05期

8 單美娟;黃惠根;楊滿青;楊旭希;;疾病不確定感對(duì)初診高血壓患者降壓療效及服藥依從性的影響[J];護(hù)理學(xué)報(bào);2009年24期

9 汪春玲;魯謹(jǐn);;慢性阻塞性肺疾病患者疾病不確定感狀況及影響因素調(diào)查[J];農(nóng)墾醫(yī)學(xué);2011年05期

10 徐麗麗;;全髖關(guān)節(jié)置換患者疾病不確定感與焦慮水平的相關(guān)性研究[J];吉林醫(yī)學(xué);2012年29期

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