维持性血液透析患者疾病不确定感与社会支持的相关性研究

Correlation between Uncertainty in Illness and Social Support in Patients Undergoing Maintenance Hemodialysis

目的了解维持性血液透析患者的疾病不确定感水平,探讨其与患者的社会支持之间的相关性。方法采用便利抽样方法,分别应用中文版Mishel疾病不确定感量表(MUIS)和社会支持评定量表(SSRS)对113例维持性血液透析患者进行测评。结果在维持性血液透析患者疾病不确定感中,不明确性维度得分为(46.80±15.12)分,复杂性维度得分为(25.82±5.44)分,不一致性维度得分为(19.10±6.55)分,不可预测性维度得分为(14.84±4.87)分,疾病不确定感总分为(106.20±19.19)分;社会支持总分为(37.56±10.39)分,其中客观支持得分为(11.06±5.33)分,主观支持得分为(18.90±7.72)分,对支持的利用度得分为(7.56±1.85)分;疾病不确定感与社会支持呈负相关(r=-0.455,P<0.01)。结论维持性血液透析患者不确定感大多处于中等水平,与社会支持呈负相关。临床工作中应充分调动维持性血液透析患者的有效社会支持,帮助患者降低疾病不确定感。

Objective To investigate the level of uncertainty in patients undergoing maintenance hemodialysis and explore the correlation between medical uncertainty and social support. Methods Totally 113 patients undergoing maintenance hemodialysis were recruited by convenience sampling method.A descriptive cross-sectional study was conducted by using Mishel Uncertainty in Illness Scale（MUIS） and Social Support Rating Scale（SSRS）. Results In terms of uncertainty,the scores of ambiguity,complexity,inconsistency and unpredictability were（46.80±15.12）,（25.82±5.44）,（19.10±6.55） and（14.84±4.87） respectively.The total score of uncertainty was（106.20±19.19）.The total score of social support was（37.56±10.39）,among which the subscales were（11.06±5.33） for objective support,（18.90±7.72） for subjective support and（7.56±1.85） for degree of social support utilization respectively.The level of uncertainty was negatively associated with social support in subjects undergoing maintenance hemodialysis（r=-0.455,P0.01）. Conclusion The uncertainty in illness is mostly in moderate degree in patients undergoing maintenance hemodialysis,and it is negatively correlated with social support.In clinical practice effective social support should be maximized in terms of decreasing uncertainty.