CAJ | 학술논문

目的：探讨冠心病患者家庭支持与疾病不确定感的相关性，为采取有效的个体化护理干预、促进患者康复提供依据。方法运用Mishel疾病不确定感量表和家庭支持量表（ PSS-Fa ）对132例冠心病患者进行问卷调查。结果冠心病患者疾病不确定感总分为（69．11±9．398）分，家庭支持与疾病不确定感呈负相关（ r＝-0．359，P＜0．05）；不同文化程度、职业、不舒服程度、既往有无支架史冠心病患者疾病不确定感得分比较差异有统计学意义（F/t值分别为5．047，3．131，4．229，-3．972；P＜0．05）。结论冠心病患者家庭支持与疾病不确定感呈负相关，临床护理人员应关注患者的家庭支持情况，降低其疾病不确定感，从而提高患者生存质量。
목적：탐토관심병환자가정지지여질병불학정감적상관성，위채취유효적개체화호리간예、촉진환자강복제공의거。방법운용Mishel질병불학정감량표화가정지지량표（ PSS-Fa ）대132례관심병환자진행문권조사。결과관심병환자질병불학정감총분위（69．11±9．398）분，가정지지여질병불학정감정부상관（ r＝-0．359，P＜0．05）；불동문화정도、직업、불서복정도、기왕유무지가사관심병환자질병불학정감득분비교차이유통계학의의（F/t치분별위5．047，3．131，4．229，-3．972；P＜0．05）。결론관심병환자가정지지여질병불학정감정부상관，림상호리인원응관주환자적가정지지정황，강저기질병불학정감，종이제고환자생존질량。
Objective To explore the correlation between uncertainty in illness and family support of patients with coronary heart disease (CHD) in order to provide the basis for taking effective individual nursing intervention and promoting the rehabilitation of patients .Methods One hundred and thirty-two CHD patients were surveyed by Mishel uncertainty in illness scale and perceived social support from family scale (PSS-Fa). Results The total score of uncertainty in illness was (69.11 ±9.398) in the patients with CHD, and the family support was negatively correlated with uncertainty in illness (r=-0.359,P<0.05).The differences were found in the score of uncertainty in illness in CHD patients with different education background , occupation, degree of discomfort, and history of coronary artery stent (F/t=5.047,3.131,4.229,-3.972, respectively;P <0.05 ).Conclusions The family support of CHD patients is negatively correlated with uncertainty in illness , and the clinical nurses should pay attention to the family support situation , so as to reduce the uncertainty in illness and improve their quality of life .