中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
19期
2239-2242
,共4页
卒中%老年人%疾病不确定感%应对方式
卒中%老年人%疾病不確定感%應對方式
졸중%노년인%질병불학정감%응대방식
Stroke%Aged%Illness uncertainty%Coping style
目的：探讨老年脑卒中患者疾病不确定感与应对方式之间的相关性。方法选取2012年9-11月在我院神内科住院的老年脑卒中患者106例作为研究对象。采用一般资料问卷、Mishel疾病不确定感量表、医学应对方式问卷（ MCMQ）对患者进行调查，分析影响疾病不确定感的因素及疾病不确定感与应对方式的相关性。结果老年脑卒中患者疾病不确定感总分平均为（98.32±12.54）分，其中不明确性维度得分为（37.14±7.51）分，复杂性维度得分为（18.75±3.86）分，信息缺乏性维度得分为（22.39±2.14）分，不可预测性维度得分为（20.04±3.45）分。不同性别、文化程度、医疗费用支付方式的患者，疾病不确定感总分间差异有统计学意义（ P﹤0.05）。MCMQ中面对维度与不明确性维度、复杂性维度、信息缺乏性维度得分及疾病不确定感总分均呈负相关（ P﹤0.05）；屈服维度得分与疾病不确定感的4个维度得分及总分均呈正相关（ P﹤0.05）。结论老年脑卒中患者疾病不确定感与应对方式存在相关性。医务人员应指导患者采取有效的应对方式，以降低疾病的不确定感，从而提高患者的生活质量。
目的：探討老年腦卒中患者疾病不確定感與應對方式之間的相關性。方法選取2012年9-11月在我院神內科住院的老年腦卒中患者106例作為研究對象。採用一般資料問捲、Mishel疾病不確定感量錶、醫學應對方式問捲（ MCMQ）對患者進行調查，分析影響疾病不確定感的因素及疾病不確定感與應對方式的相關性。結果老年腦卒中患者疾病不確定感總分平均為（98.32±12.54）分，其中不明確性維度得分為（37.14±7.51）分，複雜性維度得分為（18.75±3.86）分，信息缺乏性維度得分為（22.39±2.14）分，不可預測性維度得分為（20.04±3.45）分。不同性彆、文化程度、醫療費用支付方式的患者，疾病不確定感總分間差異有統計學意義（ P﹤0.05）。MCMQ中麵對維度與不明確性維度、複雜性維度、信息缺乏性維度得分及疾病不確定感總分均呈負相關（ P﹤0.05）；屈服維度得分與疾病不確定感的4箇維度得分及總分均呈正相關（ P﹤0.05）。結論老年腦卒中患者疾病不確定感與應對方式存在相關性。醫務人員應指導患者採取有效的應對方式，以降低疾病的不確定感，從而提高患者的生活質量。
목적：탐토노년뇌졸중환자질병불학정감여응대방식지간적상관성。방법선취2012년9-11월재아원신내과주원적노년뇌졸중환자106례작위연구대상。채용일반자료문권、Mishel질병불학정감량표、의학응대방식문권（ MCMQ）대환자진행조사，분석영향질병불학정감적인소급질병불학정감여응대방식적상관성。결과노년뇌졸중환자질병불학정감총분평균위（98.32±12.54）분，기중불명학성유도득분위（37.14±7.51）분，복잡성유도득분위（18.75±3.86）분，신식결핍성유도득분위（22.39±2.14）분，불가예측성유도득분위（20.04±3.45）분。불동성별、문화정도、의료비용지부방식적환자，질병불학정감총분간차이유통계학의의（ P﹤0.05）。MCMQ중면대유도여불명학성유도、복잡성유도、신식결핍성유도득분급질병불학정감총분균정부상관（ P﹤0.05）；굴복유도득분여질병불학정감적4개유도득분급총분균정정상관（ P﹤0.05）。결론노년뇌졸중환자질병불학정감여응대방식존재상관성。의무인원응지도환자채취유효적응대방식，이강저질병적불학정감，종이제고환자적생활질량。
Objective To investigate the correlation between illness uncertainty and coping style of elder patients with stroke. Methods A total of 106 elder inpatients with stroke in our hospital from September to November,2012 were recruited in this study. The General Information Questionnaire,Mishel Uncertainty in Illness Scale and MCMQ were used to investigate the pa-tients and analyze the correlation between illness uncertainty and its influencing factors and the corresponding coping styles. Results The average total score of illness uncertainty was(98. 32 ± 12. 54)and the scores of four dimensions:uncer-tainty,complexity,inconsistency and unpredictability were(37. 14 ± 7. 51),(18. 75 ± 3. 86),(22. 39 ± 2. 14)and(20. 04 ± 3. 45)respectively. There was significantly different in elder patients with stroke in total uncertainty on sex,degree of educa-tion,payment mode of fee expense(P﹤0. 05). MCMQ showed that the total score of uncertainty illness and the four dimension scores were negatively correlated with confrontation score(except unpredictability,P﹤0. 05)and positively correlated with res-ignation score(P﹤0. 05). Conclusion There is a correlation between illness uncertainty and coping style of elder patients with stroke. The medical staff should instruct patients to adopt effective coping styles to reduce the uncertainty in illness so as to improve the quality of life.
