中青年急性冠脉综合征患者疾病不确定感与应对方式的研究  

A study on the disease uncertainty and coping style of young and middle-aged patients with acute coronary syndrome

作　　者：张青云[1] 孙丹丹 康杰[1] 周洁 王全良[1] 胡同秀 ZHANG Qing-yun;SUN Dan-dan;KANG Jie;ZHOU Jie;WANG Quan-liang;HU Tong-xiu(Affiliated Hospital of Jining Medical College,Shandong Jining 272009,China)

机构地区：[1]济宁医学院附属医院,山东济宁272009

出　　处：《中西医结合心血管病电子杂志》2020年第5期7-9,32,共4页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

基　　金：济宁医学院苗圃课题项目,MP-2018-002

摘　　要：目的描述中青年ACS患者的疾病不确定感与应对方式现状,并明确二者间的相关性。方法便利抽取于2018年7月~2018年11月入住心内科的急性冠脉综合征患者125例,使用一般资料调查表、Mishel疾病不确定感量表(MishelUncertaintyinIllnessScale,MUIS-A)、应对方式问卷(MedicalCoping ModesQuestionnaire,MCMQ)对患者进行调查。使用Epidata3.1双人双录入数据,SPSS22.0进行数据统计分析,使用Pearson相关分析描述疾病不确定感与应对方式的相关性。结果共回收有效问卷112例,有效回收率为89.6%。患者疾病不确定感总分为(85.01±12.03)分,处于中等偏高水平,且所有患者得分全部为中、高水平。应对方式的三个维度中,面对维度标准得分最高,屈服维度得分最低。面对维度分别与疾病不确定感的不确定性维度(r=-0.336)、复杂性维度(r=-0.273)以及总分(r=-0.302)呈负相关,差异有统计学意义(P<0.05);回避维度分别与不确定性维度(r=-0.221)、复杂性维度(r=-0.140)以及总分(r=-0.423)呈正相关,差异有统计学意义(P<0.05)。结论医护人员应为患者提供个体化的健康教育指导,引导患者正确认识应激源,增加患者对于疾病状态、诊断、预后、治疗与护理措施的理解程度,鼓励患者正视疾病,改善患者预后。Objective To describe the present situation of disease uncertainty and coping style in young and middle-aged ACS patients,and to clarify the correlation between the two.Methods 125 patients with acute coronary syndrome who were admitted to the department of cardiology from July 2018 to November 2018 were conveniently selected.The patients were investigated using the general information Questionnaire,the Mishel Uncertainty in Illness Scale(MUIS-A)and the Medical Coping Modes Questionnaire(MCMQ).Epidata3.1 double-entry data was used and SPSS22.0 was used for data statistical analysis.Pearson correlation analysis was used to describe the correlation between disease uncertainty and coping style.Results 112 effective questionnaires were recovered,and the effective recovery rate was 89.6%.The patients’total score of disease uncertainty was(85.01+12.03),which was in the medium and high level.Among the three dimensions of coping style,the one with the highest standard score is the confront dimension,and the one with the lowest score is the yield dimension.There was a negative correlation between the confront dimension and uncertainty dimensions of disease uncertainty(r=-0.336),complexity dimensions(r=-0.273)and total score(r=-0.302)(P<0.01).The avoidance dimension was positively correlated with the uncertainty dimension(r=-0.221),complexity dimension(r=-0.140)and total score(r=-0.423),respectively(P<0.05).Conclusion Medical staff should provide individualized health education guidance to patients,guide them to correctly understand the stress source,increase their understanding of the disease state,diagnosis,prognosis,treatment and nursing measures,encourage them to face up to the disease and improve their prognosis.

关 键 词：急性冠脉综合征 疾病不确定感 应对方式 

分 类 号：R543[医药卫生—心血管疾病]