梅毒患者疾病不确定感与社会支持的相关性分析

Uncertainty in illness of syphilis patients and its correlation with social support

目的探讨梅毒患者疾病不确定感水平、所获得的社会支持及两者之间的相关性。方法以便利抽样样的方法选取60例梅毒患者，男45例，女15例，年龄71．3（55—74）岁，有配偶者42例，丧偶或离异16例，单身2例，高中及以上文化程度者29例，小学及初中28例，文盲3例。应用“Michel氏疾病不确定感量表”和肖水源“社会支持评定量表”进行问卷调查。结果梅毒患者的总疾病不确定感总得分为87．3±13．22（61-106），88．3％处于低水平，8．3％处于中等程度，3．4％处于高水平。社会支持处于总得分为（24．08±7．46），显著低于常模[（34．56±3．72），P〈0．011。客观支持得分为（7．08±2．35），主观支持得分（10．67±2．58），支持利用得分为（6．33±3．20）。疾病不确定感与社会支持之间存在显著的负相关。结论梅毒患者的疾病不确定感低，社会支持差。

Objective To investigate the uncertainty in illness of syphilis patients and its correlation with social support. Methods 60 syphilis patients treated in （how many） Beijing upper third-class hospitals, 45 males and 15 females, aged 71.3 （55-74）, 42 with spouses, 16 bereft of spouses or divorced, and 2 single, 29 with the educational level of senior middle school or over, 28 with the educational levels of junior middle school or primary school, and 3 illiterate, selected by convenience sampling underwent questionnaire survey with Michel Uncertainty in Illness Scale and Xiao Shuiyuan＇ s ＂Social Support Rating Scale＂. Results The total score of uncertainty in illness of the 60 patients was （87.3± 13.22） （61 - 106）, 88.3% being at the low level, 8.3% at the middle level, and 3.4% at high level. The total social support score was （24.08±7.46）, significantly lower than that of the norm [（34.56±3.72）, P〈0.01], the objective support score was （7.08±2.35）, subjective support score was （10.67＋2.58）, and the support utilization score was （6.33 ±3.20）. The uncertainty of illness was significantly negatively correlated with the total social support score, objective support score, subjective support score, and support utilization score （all P〈0.01） Conclusion The uncertain feeling level of syphilis patients is low and the social support thereto is poor.