摘要
目的探讨老年脑卒中患者疾病不确定感与应对方式之间的相关性。方法选取2012年9—11月在我院神内科住院的老年脑卒中患者106例作为研究对象。采用一般资料问卷、Mishel疾病不确定感量表、医学应对方式问卷(MCMQ)对患者进行调查,分析影响疾病不确定感的因素及疾病不确定感与应对方式的相关性。结果老年脑卒中患者疾病不确定感总分平均为(98.32±12.54)分,其中不明确性维度得分为(37.14±7.51)分,复杂性维度得分为(18.75±3.86)分,信息缺乏性维度得分为(22.39±2.14)分,不可预测性维度得分为(20.04±3.45)分。不同性别、文化程度、医疗费用支付方式的患者,疾病不确定感总分间差异有统计学意义(P<0.05)。MCMQ中面对维度与不明确性维度、复杂性维度、信息缺乏性维度得分及疾病不确定感总分均呈负相关(P<0.05);屈服维度得分与疾病不确定感的4个维度得分及总分均呈正相关(P<0.05)。结论老年脑卒中患者疾病不确定感与应对方式存在相关性。医务人员应指导患者采取有效的应对方式,以降低疾病的不确定感,从而提高患者的生活质量。
Objective To investigate the correlation between illness uncertainty and coping style of elder patients with stroke. Methods A total of 106 elder inpatients with stroke in our hospital from September to November,2012 were recruited in this study. The General Information Questionnaire,Mishel Uncertainty in Illness Scale and MCMQ were used to investigate the patients and analyze the correlation between illness uncertainty and its influencing factors and the corresponding coping styles. Results The average total score of illness uncertainty was（98. 32 ± 12. 54）and the scores of four dimensions：uncertainty,complexity,inconsistency and unpredictability were（37. 14 ± 7. 51）,（18. 75 ± 3. 86）,（22. 39 ± 2. 14）and（20. 04 ± 3. 45）respectively. There was significantly different in elder patients with stroke in total uncertainty on sex,degree of education,payment mode of fee expense（P﹤0. 05）. MCMQ showed that the total score of uncertainty illness and the four dimension scores were negatively correlated with confrontation score（except unpredictability,P﹤0. 05）and positively correlated with resignation score（P﹤0. 05）. Conclusion There is a correlation between illness uncertainty and coping style of elder patients with stroke. The medical staff should instruct patients to adopt effective coping styles to reduce the uncertainty in illness so as to improve the quality of life.
出处
《中国全科医学》
CAS
CSCD
北大核心
2014年第19期2239-2242,共4页
Chinese General Practice
