突发性聋患者疾病不确定感的影响因素分析  

Analysis of Influencing Factors on Uncertainty of Disease in Sudden Deafness Patients

作　　者：杨巧燕[1] 韩梅[2] 安莹[1] Yang Qiaoyan;Han Mei;An Ying(Emergency Department,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;不详)

机构地区：[1]首都医科大学附属北京同仁医院急诊科,北京市100730 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京市100730

出　　处：《中国病案》2020年第10期78-81,共4页Chinese Medical Record

摘　　要：目的了解突发性聋患者的疾病不确定感的情况,分析其影响因素,旨在为患者实施更加精准的护理干预而提供可靠的参考依据。方法选择2019年2月1日-2019年6月31日就诊于某院耳鼻喉科并接受输液治疗的患者共134例。采用问卷调查,问卷共分为两个部分,第一部分为自行设计的一般资料调查表;第二部分为Mishel疾病不确定感量表。采用IBM SPSS20.0统计软件,计数资料采用率表示,计量资料为非正态分布,采用[中位数(P25,P75)]表示;应用非参数秩和检验进行单因素分析并进一步多重线性回归分析,P<0.05为差异有统计学意义。结果134例患者中位疾病不确定感得分为95(87,102)分,以疾病不确定感为因变量进行多元线性回归分析,所得回归模型具有统计学意义,F=9.922,P=0.000,R方=0.446。纳入模型的睡眠状况、是否合并疾病、对疾病接受程度这3个因素对患者疾病不确定感的影响均具有统计学意义(P<0.05)。结论因突发性聋患者对疾病未来的发展情况不明确,因此会产生较高的不确定感。应协助患者获取疾病相关知识,改善其睡眠状况,积极治疗其他基础疾病,降低患者的疾病不确定感水平,促进患者的疾病恢复程度。Objective To understand the situation of uncertainty in patients with sudden deafness and analyze their influencing factors,aiming at providing reliable reference basis for patients to carry out more accurate nursing intervention.Methods 134 patients were selected from February 1 st 2019 to June 31 st 2019 who received medical therapy and ENT department.Questionnaire survey is divided into two parts:part one is self-designed general information questionnaire;second part is Mishel disease uncertainty scale.Using IBM SPSS20.0 statistics software,counting data rate indicates that measurement data is non-normal distribution,using[median(P25,P75)];Univariate analysis was performed to analyze univariate analysis and multiple linear regression analysis.There was significant difference between them with P<0.05.Results Among 134 patients,there were 95(87,102)scores of median disease uncertainty.Multivariate linear regression analysis was performed with uncertainty as dependent variables.Regression models were statistically significant(F=9.922,P=0.000,R2=0.446).Sleep condition,whether combined disease and disease acceptance degree were statistically significant factors influencing patient uncertainty(P<0.05).Conclusion Due to sudden deafness patients’future development situation is unclear thus producing higher uncertainty.Patients should be assisted to acquire more disease related knowledge improve sleep condition actively treat other basic diseases reduce patient’s uncertainty level of disease and promote patient recovery degree.

关 键 词：突发性耳聋 疾病不确定感 影响因素 

分 类 号：R764.437[医药卫生—耳鼻咽喉科]