CAJ | 학술논문

目的：对主动脉夹层患者术前疾病不确定感和信息需求的相关性进行分析，为临床研究提供可参考依据。方法2012年1月—2014年1月连续收集100例诊断为主动脉夹层需行手术治疗的患者作为研究对象，采用疾病不确定感量表( MUIS)、汉密尔顿焦虑量表( HAMA)及自行设计的信息需求量表在患者术前进行相关信息的收集，对其相关性进行分析。结果98例患者MUIS总分为(112.32±9.66)分，得分为中水平者90例(91.8%)；不明确性得分为(42.32±4.54)分，得分中水平者85例(86．7%)；复杂性得分为(22.43±3.63)分，得分中水平者68例(69.4%)；信息缺乏得分为(19.32±2.75)分，得分中水平者65例(66.3%)；不可预测性得分为(15.43±2.78)分，得分中水平者60例(61.2%)。患者HAMA得分为(13.65±11.64)分，得分中水平者60例(61.2%)；信息需求得分为(141.34±14.56)分，得分中水平者65例(66.3%)；疾病与治疗得分为(62.32±4.54)分，得分高水平者65例(66.3%)；身体健康得分为(32.43±3.63)分，得分高水平者68例(69.4%)；心理健康得分为(17.43±2.78)分，得分中水平者60例(61.2%)；家庭健康得分为(9.64±2.65)分，得分低水平者65例(66.3%)；社会健康得分为(7.34±2.56)分，得分低水平者60例(61.2%)。疾病不确定感各个维度与焦虑情绪、疾病与治疗、身体健康、心理健康、家庭健康、社会健康信息需求均呈正相关(P<0.05)。结论主动脉夹层患者术前存在中等水平的疾病不确定感，且受到焦虑情绪影响，同时其对疾病与治疗信息、身体健康信息存在高水平的需求，且信息需求明显影响患者的疾病不确定感。
목적：대주동맥협층환자술전질병불학정감화신식수구적상관성진행분석，위림상연구제공가삼고의거。방법2012년1월—2014년1월련속수집100례진단위주동맥협층수행수술치료적환자작위연구대상，채용질병불학정감량표( MUIS)、한밀이돈초필량표( HAMA)급자행설계적신식수구량표재환자술전진행상관신식적수집，대기상관성진행분석。결과98례환자MUIS총분위(112.32±9.66)분，득분위중수평자90례(91.8%)；불명학성득분위(42.32±4.54)분，득분중수평자85례(86．7%)；복잡성득분위(22.43±3.63)분，득분중수평자68례(69.4%)；신식결핍득분위(19.32±2.75)분，득분중수평자65례(66.3%)；불가예측성득분위(15.43±2.78)분，득분중수평자60례(61.2%)。환자HAMA득분위(13.65±11.64)분，득분중수평자60례(61.2%)；신식수구득분위(141.34±14.56)분，득분중수평자65례(66.3%)；질병여치료득분위(62.32±4.54)분，득분고수평자65례(66.3%)；신체건강득분위(32.43±3.63)분，득분고수평자68례(69.4%)；심리건강득분위(17.43±2.78)분，득분중수평자60례(61.2%)；가정건강득분위(9.64±2.65)분，득분저수평자65례(66.3%)；사회건강득분위(7.34±2.56)분，득분저수평자60례(61.2%)。질병불학정감각개유도여초필정서、질병여치료、신체건강、심리건강、가정건강、사회건강신식수구균정정상관(P<0.05)。결론주동맥협층환자술전존재중등수평적질병불학정감，차수도초필정서영향，동시기대질병여치료신식、신체건강신식존재고수평적수구，차신식수구명현영향환자적질병불학정감。
Objective To explore the relationship between the disease uncertainty and information demand in preoperative patients with aortic dissection. Methods A total of 100 preoperative patients with aortic dissection were investigated from January 2012 to January 2014 with Mishel′s uncertainty in illness scale ( MUIS) , Hamilton anxiety scale ( HAMA) and self-designed information collection table, and the correlations were analysed. Results The total score of MUIS was (112. 32 ± 9. 66), and the number of patients in middle level was 90 (91. 8%). The score of ambiguity was (42. 32 ± 4. 54), and the number of patients in middle level was 85 (86. 7%). The score of complexity was (22. 43 ± 3. 63), and the number of patients in middle level was 68 (69. 4%). The score of lack of information was (19. 32 ± 2. 75), and the number of patients in middle level was 65 (66. 3%). The score of unpredictability was (15. 43 ± 2. 78), and the number of patients in middle level was 60 (61. 2%). The total score of HAMA was (13. 65 ± 11. 64), and the number of patients in middle level was 60 (61. 2%). The score of information requirements was (141. 34 ± 14. 56), and the number of patients in middle level was 65 (66. 3%). The score of disease and treatment was (62. 32 ± 4. 54), and the number of patients in middle level was 65 (66. 3%). The score of health was (32. 43 ± 3. 63), and the number of patients in middle level was 68 (69. 4%). The score of mental health was (17. 43 ± 2. 78), and the number of patients in middle level was 60 (61. 2%). The score of family health was (9. 64 ± 2. 65), and the number of patients in middle level was 65 (66. 3%). The score of social health was (7. 34 ± 2. 56), and the number of patients in middle level was 60 (61. 2%). The different dimensions of disease uncertainty were positively correlated to anxiety, treatment of disease, physical health, mental health, family health, social health and information demand (P<0. 05). Conclusions Preoperative patients with aortic dissection have the medium level of disease uncertainty and are affected by anxiety. They have a high level of demand for the disease and treatment information, and health information. The information demands significantly affect the patient′s disease uncertainty.