脑出血患者术后无法忍受不确定性现状及影响因素  

Current Situation and Influencing Factors of Unbearable Uncertainty in Postoperative Patients with Cerebral Hemorrhage

作　　者：杜娟[1] DU Juan(Neurosurgery Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院神经外科,河南郑州450000

出　　处：《河南医学研究》2025年第5期829-833,共5页Henan Medical Research

摘　　要：目的探讨脑出血患者术后无法忍受不确定性现状及影响因素。方法采用一般资料调查表、无法忍受不确定性量表简版、个人掌控感量表、家庭亲密度和适应性量表对308例脑出血患者术后进行问卷调查。结果308例脑出血患者术后无法忍受不确定性总分为(35.01±7.31)分,其中预期性焦虑维度得分(21.05±5.27)分,抑制性焦虑维度得分(13.96±3.84)分,个人掌控感得分为(25.13±3.27)分,家庭亲密度和适应性量表总分为(100.26±9.08)分。多重线性回归分析结果显示,患者年龄、家庭人均月收入、出血量、是否偏瘫、个人掌控感及家庭亲密度和适应性量表得分是脑出血术后患者无法忍受不确定性的主要影响因素(P<0.05)。结论脑出血患者术后无法忍受不确定性水平较高,其水平受年龄、家庭人均月收入、出血量、是否偏瘫、个人掌控感及家庭亲密度和适应性的影响,提示护士应当关注相关危险因素,及早采取措施,缓解其负性情绪,提高患者个人掌控感,提升家庭功能,降低患者的无法忍受不确定性水平。Objective To explore the current situation and influencing factors of unbearable uncertainty in postoperative patients with cerebral hemorrhage.Methods A questionnaire survey was conducted on 308 postoperative patients with cerebral hemorrhage using a general information questionnaire,intolerance of uncertainty scale-12,personal mastery scale,and family adaptation and cohesion evaluation scale.Results The total score of 308 postoperative patients with intracerebral hemorrhage who were intolerance of uncertainty scale-12 was(35.01±7.31)points,including expected anxiety score(21.05±5.27)points and inhibitory anxiety score(13.96±3.84)points.The personal mastery scale score is(25.13±3.27)points.The total score of the family adaptation and cohesion evaluation scale is(100.26±9.08)points.The results of multiple linear regression analysis showed that patient age,per capita monthly income of the family,bleeding volume,hemiplegia,personal mastery scale,and scores on family adaptation and cohesion evaluation scale were the main influencing factors for patients’unbearable uncertainty after cerebral hemorrhage surgery(P<0.05).Conclusion Patients with cerebral hemorrhage after surgery cannot tolerate a high level of uncertainty,which is influenced by age,per capita monthly income of the family,bleeding volume,hemiplegia,personal sense of control,family intimacy,and adaptability.Medical staff should pay attention to relevant risk factors,take early measures to alleviate their negative emotions,improve their personal sense of control,enhance family function,and reduce their unbearable level of uncertainty.

关 键 词：脑出血 无法忍受不确定性 个人掌控感 家庭亲密度和适应性 

分 类 号：R473.5[医药卫生—护理学]