颅内动脉瘤介入性血管内栓塞术患者疾病不确定感的影响因素  

Influencing factors of uncertainty in illness in patients with intracranial aneurysm undergoing interventional endovascular embolization

作　　者：夏莎莎 XIA Shasha(Neurosurgery Department of Jiujiang First People’s Hospital,Jiujiang 332000 Jiangxi,China)

机构地区：[1]九江市第一人民医院神经外科,江西九江332000

出　　处：《中国民康医学》2024年第11期8-10,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:分析颅内动脉瘤(ICA)介入性血管内栓塞术患者疾病不确定感的影响因素。方法:选取2020年1月至2023年1月该院收治的102例ICA患者进行横断面研究,收集患者临床资料,采用中文版疾病不确定感量表(MUIS-A)评估疾病不确定感,采用多元线性回归分析ICA介入性血管内栓塞术患者疾病不确定感的影响因素。结果:102例ICA介入性血管内栓塞术患者MUIS-A评分为(85.69±6.25)分;不同性别、年龄、体质量指数、文化程度、动脉瘤直径、术后并发症患者的MUIS-A评分比较,差异均无统计学意义(P>0.05);家庭人均月收入<5000元、疾病了解情况为不全面、疾病应对方式为消极应对、社会支持水平低下、家庭功能中度或严重障碍均为ICA介入性血管内栓塞术患者疾病不确定感的影响因素(P<0.05);多元线性回归分析结果显示,家庭人均月收入<5000元、疾病了解情况为不全面、疾病应对方式为消极应对、社会支持水平低下、家庭功能中度或严重障碍均为ICA介入性血管内栓塞术患者疾病不确定感的危险因素(P<0.05)。结论:家庭人均月收入<5000元、疾病了解情况为不全面、疾病应对方式为消极应对、社会支持水平低下、家庭功能中度或严重障碍均为ICA介入性血管内栓塞术患者疾病不确定感的危险因素。Objective:To analyze influencing factors of uncertainty in illness in patients with intracranial aneurysm(ICA)undergoing interventional endovascular embolization.Methods:A cross-sectional study was conducted on 102 patients with ICA admitted to the hospital from January 2020 to January 2023.The clinical data of these patients were collected.The Mishel uncertainty in illness scale-adult(MUIS-A)was used to evaluate the uncertainty in illness.Multiple linear regression was used to analyze the influencing factors of uncertainty in illness in the patients with ICA undergoing interventional endovascular embolization.Results:The MUIS-A score of 102 patients with ICA undergoing interventional endovascular embolization was(85.69±6.25).There was no significant difference in the MUIS-A score among the patients with different gender,age,body mass index,education level,aneurysm diameter and postoperative complications(P>0.05).Family per capita monthly income<5000 yuan,incomplete understanding of disease,negative coping style of disease,low level of social support,moderate or severe family dysfunction were all influencing factors of uncertainty in illness in the patients with ICA undergoing interventional endovascular embolization(P<0.05).The multiple linear regression analysis showed that the risk factors of uncertainty in illness in the patients with ICA undergoing interventional endovascular embolization were family per capita monthly income<5000 yuan,incomplete understanding of disease,negative coping style of disease,low level of social support,moderate or severe family dysfunction(P<0.05).Conclusions:Family per capita monthly income<5000 yuan,incomplete disease understanding,negative disease coping style,low social support level,moderate or severe family dysfunction are the risk factors for disease uncertainty in the patients with ICA undergoing interventional endovascular embolization.

关 键 词：颅内动脉瘤 介入性血管内栓塞术 疾病不确定感 影响因素 

分 类 号：R473[医药卫生—护理学]