CAJ | 학술논문

目的调查脑外伤后综合征(PTBS)患者疾病不确定感和社会支持状况,并分析其相关性.方法采用便利抽样的方法选择114例PTBS患者,采用中文版疾病不确定感量表(MUIS)和社会支持评定量表(SSAS)进行评定,分析受调查者2个量表评分的相关性.结果 PTBS患者MUIS总分(135.23±19.29)分,中位数128.74分;SSAS总分(43.14±5.54)分,中位数42.00分.114例PTBS患者不明确性维度得分与客观支持、主观支持、对支持的利用度和SSAS总分呈负相关,r值分别为-0.301、-0.374、-0.521、-0.509;复杂性维度得分与客观支持、主观支持、SSAS总分及对支持的利用度呈负相关,r值分别为-0.367、-0.326、-0.355、-0.533;信息缺乏维度和不可预测性维度得分均与对支持的利用度呈负相关,r值分别为-0.376、-0.330,MUIS总分与主观支持、对支持的利用度和SSAS总分呈负相关,r值分别为-0.284、-0.424、-0.305.结论 PTBS患者存在高度不确定感状态;提升患者的社会支持水平将有利于降低此类患者疾病不确定感中的不明确性和复杂性;提升患者对支持的利用度将有利于降低患者的信息缺乏和不可预测性.
목적 조사뇌외상후종합정(PTBS)환자질병불학정감화사회지지상황,병분석기상관성.방법 채용편리추양적방법선택114례PTBS환자,채용중문판질병불학정감량표(MUIS)화사회지지평정량표(SSAS)진행평정,분석수조사자2개량표평분적상관성.결과 PTBS환자MUIS총분(135.23±19.29)분,중위수128.74분;SSAS총분(43.14±5.54)분,중위수42.00분.114례PTBS환자불명학성유도득분여객관지지、주관지지、대지지적이용도화SSAS총분정부상관,r치분별위-0.301、-0.374、-0.521、-0.509;복잡성유도득분여객관지지、주관지지、SSAS총분급대지지적이용도정부상관,r치분별위-0.367、-0.326、-0.355、-0.533;신식결핍유도화불가예측성유도득분균여대지지적이용도정부상관,r치분별위-0.376、-0.330,MUIS총분여주관지지、대지지적이용도화SSAS총분정부상관,r치분별위-0.284、-0.424、-0.305.결론 PTBS환자존재고도불학정감상태;제승환자적사회지지수평장유리우강저차류환자질병불학정감중적불명학성화복잡성;제승환자대지지적이용도장유리우강저환자적신식결핍화불가예측성.
Objective To investigate the status of uncertainty in illness and social support among patients with post-traumatic brain syndrome (PTBS) and analyze their correlation.Methods One hundred and fourteen patients with PTBS were selected by convenience sampling and assessment.They were evaluated by Chinese disease Mishel Uncertainty in Illness Scale (MUIS) and Social Support Assessment Scale (SSAS) and the correlation of two scales was analyzed.Results MUIS total score was(135.23±19.29) scores with a median of 128.74 scores and SSAS total score was (43.14±5.54) scores with a median of 42.00 scores in patients with PTBS.Among 114 patients with PTBS,regarding ambiguity score was negatively correlated with objective support,subjective support,utilization degree of support and SSAS total score,r=-0.301,-0.374,-0.521,-0.509,complexity score was negatively correlated with objective support,sub-jective support,SSAS total score and utilization degree of support,r=-0.367,-0.326,-0.355,-0.533,both lack of information and regarding unpredictability score were negatively correlated with utilization degree of support,r=-0.376,-0.330,MUIS total score was negatively correlated with objective support,utilization degree of support and SSAS total score,r=-0.284,-0.424,-0.305.Conclusion There is high uncertainty of PTBS patients;increase of patients' social support will be good for decreasing the ambiguity and com-plexity among patients' uncertainty;promotion of patients' utilization degree of support will help to reduce patients' lack of information and unpredictability.