主观性耳鸣患者疾病不确定感及其影响因素分析  

Illness Uncertainty in Subjective Tinnitus Patients and the Analysis of its Influencing Factors

作　　者：黄嘉健 廖媚 龙建[3] Huang Jiajian;Liao Mei;Long Jian(Department of Science and Technology,Guangzhou Health Science College,Guangzhou,Guangdong,510450,China)

机构地区：[1]广州卫生职业技术学院科技部,广东广州510450 [2]江门市第三人民医院心理科,广东江门529000 [3]广州医科大学卫生管理学院,广东广州511436

出　　处：《黑龙江医学》2025年第7期850-853,共4页Heilongjiang Medical Journal

基　　金：2021年度广东省普通高校科研项目青年创新人才类项目(2021WQNCX206)。

摘　　要：目的:探讨主观性耳鸣患者疾病不确定感,并分析其相关影响因素。方法:选取2022年2—10月广州市某三级甲等医院采用便利抽样法抽取101名主观性耳鸣患者作为研究对象,使用自编的一般资料调查表、中文版疾病不确定感量表(MUIS-A)、耳鸣残疾量表(THI)、焦虑自评量表(SAS)及抑郁自评量表(SDS)对其进行调查。分析主观性耳鸣患者疾病不确定感情况,采用多元线性回归分析主观性耳鸣患者疾病不确定感的影响因素。结果:101例主观性耳鸣患者疾病不确定感的平均分为(96.18±10.50)分,其中98例(98.02%)患者处于中等水平。患者的疾病不确定感总分及其不明确性、信息缺乏性两个维度均与耳鸣严重程度、焦虑、抑郁呈正相关(P<0.001)。多元线性回归分析结果显示,耳鸣严重程度、焦虑水平是主观性耳鸣患者疾病不确定感的主要影响因素(P<0.05)。结论:主观性耳鸣患者的疾病不确定感处于中等水平,患者的耳鸣严重程度、焦虑及抑郁对其疾病不确定感的影响较大,医务工作者应针对其影响因素采取个性化治疗措施,以降低其疾病不确定感,促进患者康复。Objective:To investigate the illness uncertainty in subjective tinnitus patients and analyze its influencing factors.Methods:Using the convenience sampling method,selecting 101 subjective tinnitus patients from a third class hospital in Guangzhou from Febuary to October 2022.Self-made general information questionnaire,Chinese Version of Mishel’s Uncertainty in Illness Scale,Tinnitus Handicap Inventory,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were employed to them.The illness uncertainty in subjective tinnitus patients,the correlation between each factor and the illness uncertainty in subjective tinnitus patients were analyzed by multiple regression analysis.Results:The average score of illness uncertainty in the 101 subjective tinnitus patients was(96.18±10.50),98(98.02%)patients were at a median level.The score of uncertainty in illness,including the two dimensionalities of uncertainty and lack of information,was positively correlated with tinnitus severity,anxiety and depression(P<0.001).Multiple linear regression analysis showed that the severity of tinnitus and the level of anxiety were influencing factors(P<0.05).Conclusion:Uncertainty in illness is in the medium range among subjective tinnitus patients.The level of tinnitus severity,depression and anxiety greatly affect illness uncertainty in subjective tinnitus patients.Medical workers should use personal therapies accroding to the influential factors to reduce their uncertainty and promote rehabilitation.

关 键 词：主观性耳鸣 疾病不确定感 耳鸣严重程度 焦虑 抑郁 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]