CAJ | 학술논문

目的：描述突发性耳聋患者的疾病不确定感和自护依从性情况，探讨突发性耳聋患者疾病不确定感与自护依从性之间的相关性。方法：采取便利抽样法抽取符合标准的90例突发性耳聋患者，应用中文版Mishel疾病不确定感量表（ MIUS）进行评估，自制住院日志观察患者住院期间的自护依从行为指标。结果：突发性耳聋患者疾病不确定感处于中等水平，与自护依从性存在显著负相关（r＝0．255，P＜0．05）。结论：突发性耳聋患者疾病不确定感影响患者自护依从性，医护人员应加强对患者疾病知识及不确定感的评估，采取针对性措施降低不确定感，提高依从性，促进康复。
목적：묘술돌발성이롱환자적질병불학정감화자호의종성정황，탐토돌발성이롱환자질병불학정감여자호의종성지간적상관성。방법：채취편리추양법추취부합표준적90례돌발성이롱환자，응용중문판Mishel질병불학정감량표（ MIUS）진행평고，자제주원일지관찰환자주원기간적자호의종행위지표。결과：돌발성이롱환자질병불학정감처우중등수평，여자호의종성존재현저부상관（r＝0．255，P＜0．05）。결론：돌발성이롱환자질병불학정감영향환자자호의종성，의호인원응가강대환자질병지식급불학정감적평고，채취침대성조시강저불학정감，제고의종성，촉진강복。
Objective:The purpose of this study was to describe Uncertainty in illness and self -care compliance , and to evaluate the existing relation between these variables in individuals with sudden hearing loss ( SHL ) .Methods: this study examined 90 inpatients which fits the criteria by convenience sampling method with the Mishel disease uncertainty scale ( MIUS) .Then evaluated the related inde-xes of self-care behavior of inpatients by using self -made hospitalized dairy .Results:Average disease uncertainty of patients with SHL was presented at moderate level .It was significantly negatively related to the self -care compliance .Conclusion:Correlation between ill-ness uncertainty and self -care compliance existed in SHL patients .Nurses should take more attention to investigate the level of illness un-certainty in SHL patients , as well as the knowledge of disease .Then make specific interventions to reduce or cope with uncertainty , en-hance self-care compliance and promote the rehabilitation .