主动脉夹层患者术前疾病不确定感和信息需求的相关性分析

Correlation of the disease uncertainty and information demand in preoperative patients with aortic dissection

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。

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.