中青年腹膜透析患者疾病不确定感与应对方式和情绪的相关性研究

Study on the correlations among uncertainty in illness, coping style and emotion in young and middleaged patients undergoing peritoneal dialysis

目的探讨中青年腹膜透析(Peritoneal Dialysis,PD)患者疾病不确定感与应对方式和情绪的相关关系。方法采用一般资料调查表、Mishel疾病不确定感量表(MUIS-A)、医学应对问卷(MCMQ)和简明心境量表(POMS-SF)对75例中青年PD患者进行问卷调查,分析疾病不确定感与应对方式和情绪的相关关系。结果中青年PD患者疾病不确定感属于中等程度,面对、回避、屈服应对会影响患者的疾病不确定感(R=0.461,P<0.01),情绪总分TMD及愤怒-敌意、迷惑-混乱、精力-活力维度会影响患者的疾病不确定感(R=0.939,P<0.01)。结论中青年PD患者疾病不确定感与应对方式和情绪具有相关关系,医务人员应注重制订个体化的护理措施,指导患者进行情绪管理以及采取积极的应对方式,以降低患者的疾病不确定感,改善和提高患者的生存质量。

Objective To explore the relationship between uncertainty in illness, coping style and emo- tion in young and middle-aged patients undergoing peritoneal dialysis （PD）. Methods Demographic ques- tionnaire, Mishel Uncertainty in Illness Scale-Adult （MUIS-A）, Medical Coping Modes Questionnaire （MC- MQ） and Profile Of Mood State-Short Form （POMS-SF） were used to analyze the correlations among illness uncertainty, coping style and emotion in 75 young and middle-aged PD patients. Results The mean score of uncertainty in illness of young and middle-aged PD patients was in the moderate level. The confrontation cop- ing, avoidance coping and resignation coping affected the illness uncertainty of the patients （R=-0.461, P〈 0.01）. The total mood, anger-hostility and confusion-bewilderment affected the illness uncertainty of the pa- tients （R=0.939, P〈0.01）. Conclusions There are significant correlations among uncertainty in illness, cop- ing style and emotion in young and middle-aged PD patients. Medical personnel should pay attention to de- sign care measures individually, instruct the patients to manage emotion and adopt effective coping style to de- crease their uncertainty in illness and improve their quality of life.