冠心病患者家庭支持与疾病不确定感的相关性分析

Correlation between uncertainty in illness and family support of patients with coronary heart disease

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。

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 .