未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感的潜在类别分析及护理策略  

Potential Category Analysis and Nursing Strategies for Disease Uncertainty inPatients Undergoing Endovascular Interventional Embolization ofUnruptured Intracranial Aneurysms

作　　者：张云鹏 陈赛赛 刘永贵[1] 刘丹丹[3] ZHANG Yunpeng;CHEN Saisai;LIU Yonggui;LIU dandan(Emergency Intervention Operation Room,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Orthopedics Department,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;EICU,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院急诊介入手术室 [2]郑州大学第一附属医院外科 [3]郑州大学第一附属医院急诊重症,河南郑州450000

出　　处：《河南医学研究》2024年第24期4577-4581,共5页Henan Medical Research

摘　　要：目的 了解未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感的潜在类别,并探讨不同潜在类别患者疾病不确定感之间的特征差异,以为临床护理提供指导。方法 便利选取2021年4月至2023年4月于郑州大学第一附属医院住院的188例接受颅内动脉瘤血管内介入栓塞患者为研究对象,采用一般资料调查表和疾病不确定感量表对其进行调查。采用潜在类别分析将患者疾病不确定感进行分类,多元logistic回归分析探讨各影响因素对其不同分型的影响。结果 未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感得分为(81.9±11.51)分,未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感可分为高不确定感组(43.6%)、中等不确定感组(36.2%)、低不确定感组(20.2%)。性别、受教育程度、动脉瘤数量是未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感的影响因素(P<0.05)。结论 未破裂颅内动脉瘤血管内介入栓塞术患者疾病不确定感可分为3个潜在类别,护理人员应针对不同特征人群实施精准干预,以降低患者的疾病不确定感,从而提高治疗依从性和患者整体健康水平。Objective To investigate the potential types of uncertainty in illness in patients undergoing endovascular interventional embolization for unruptured intracranial aneurysms,and to explore the characteristics of different potential types of uncertainty in illness to provide guidance for clinical nursing.Methods A total of 188 patients hospitalized in the the First Affiliated Hospital of Zhengzhou University from April 2021 to April 2023 were selected as the study objects and investigated by general data questionnaire and Mishel uncertainty in illness scale for adult.Latent class analysis was used to classify patients’disease uncertainty,and multiple logistic regression analysis was used to explore the influence of various influencing factors on different types.Results The Mishel uncertainty in illness scale score of the patients with unruptured intr acranial aneurysm was(81.9±11.51).The patients with unruptured intracranial aneurysm could be divided into high uncertainty in illness group(43.6%),medium uncertainty in illness group(36.2%)and low uncertainty in illness group(20.2%).Gender,education level and number of aneurysms were the factors influencing the uncertainty of unruptured intracranial aneurysms(P<0.05).Conclusion The uncertainty in illness of patients with unruptured intracranial aneurysms undergoing endovascular interventional embolization can be classified into three potential categories.Nursing staff should implement precise interventions based on different characteristics to reduce patients’feelings of disease uncertainty and improve treatment compliance and overall health of patients.

关 键 词：颅内动脉瘤 血管内介入栓塞术 疾病不确定感 潜在类别分析 影响因素 

分 类 号：R473.6[医药卫生—护理学]