急诊内科留观患者疾病不确定感的现状及其与负性情绪的关系  

Current status of disease uncertainty and its relationship with negative emotions on patients in emergency room

作　　者：郑应红 李秋萍[1] 刘巧惠[1] ZHENG Yinghong;LI Qiuping;LIU Qiaohui(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属中山医院,厦门361000

出　　处：《国际精神病学杂志》2024年第3期917-919,934,共4页Journal Of International Psychiatry

摘　　要：目的 探讨急诊内科留观患者疾病不确定感现状及其与负性情绪的关系。方法 本研究观察对象为2020年3月~2023年1月80例急诊内科留观患者,进行疾病不确定感量表(MUIS)、医院焦虑抑郁量表(HAD)评估,调查患者年龄、性别等一般资料,并分析不同患者MUIS评分差异。采用多元逐步回归分析疾病不确定感现状及与负性情绪、一般资料的相关性。结果 80例急诊内科留观患者MUIS评分(74.81±8.66)分,其中不确定性评分(46.91±4.84)分、复杂性评分(27.90±3.47)分,HAD量表抑郁评分(14.37±3.42)分、焦虑评分(17.82±3.19)分;MUIS评分与HAD量表抑郁、焦虑评分呈正相关关系,(P<0.05);不同自觉医护态度、年龄、受教育程度、自觉病情严重程度、入院时间的患者MUIS评分差异具有统计学意义(P<0.05),不同性别、居住地的患者MUIS评分差异无统计学意义(P>0.05)。HAD量表抑郁、焦虑评分、年龄、受教育程度、入院时间、自觉医护态度是疾病不确定感的相关因素。结论 急诊内科留观患者的疾病不确定感处于中等水平,且与焦虑、抑郁情绪、年龄、受教育程度等具有相关性。Objective To explore the current state of disease uncertainty and its relationship with negative emotions in emergency medical observation patients.Methods Eighty emergency internal medicine observation patients from March 2020 to January 2023 were selected as the study subjects.The Disease Uncertainty Scale(MUIS)and Hospital Anxiety and Depression Scale(HAD)were assessed.The general information such as patient age and gender were investigated,The differences in MUIS scores among different patients were analyzed.The current state of disease uncertainty and its correlation with negative emotions and general data were analyzed using the multiple stepwise regression.Results The MUIS score of 80 emergency internal medicine observation patients was(74.81±8.66),including uncertainty score(46.91±4.84),complexity score(27.90±3.47),HAD depression score(14.37±3.42),and anxiety score(17.82±3.19).There is a positive correlation between MUIS score and HAD depression and anxiety scores(P<0.05).There was a statistically significant difference in MUIS scores among patients of different conscious medical attitude,ages,educational levels,perceived severity of the condition,and admission time(P<0.05).There was no statistically significant difference in MUIS scores among patients of different genders and places of residence(P>0.05).Depression,anxiety score,age,education level,admission time,and conscious medical attitude are related factors for disease uncertainty in the HAD scale.Conclusion The uncertainty of disease in emergency medical observation patients is at a moderate level and is correlated with anxiety,depression,age,education level,and other factors.

关 键 词：急诊 内科 疾病不确定感 负性情绪 

分 类 号：R749.99[医药卫生—神经病学与精神病学]