全髋关节置换术患者术前疾病不确定感及影响因素分析

Uncertainty in Illness Among Preoperative Patients with Total Hip Arthroplasty

目的:调查全髋关节置换术(THA)患者术前疾病不确定感水平,分析相关影响因素。方法:采用自编一般资料问卷、疾病不确定感量表、社会支持评定量表和心理弹性量表对100例THA患者在术前1天进行调查。结果:患者的疾病不确定感得分为(102.01±14.35)分,处于中等水平,其中不可预测性维度条目均分最高,复杂性维度条目均分最低。多元逐步回归分析显示:文化程度、家庭经济负担、社会支持、心理韧性是患者疾病不确定感的影响因素。结论:受多种个体因素差异的影响,THA患者术前疾病不确定感为中等水平,护理人员应通过干预来降低其疾病不确定感。

Objective：To investigate the level and influencing factors of uncertainty in illness among preoperative patients with total hip arthroplasty（THA）.Method：Totally 100 patients with THA were investigated by a self-designed demographic questionnaire,Mishel uncertainty in illness scale（MUIS）,social support scale rating scale and Connor-Davidson resilience scale in the preoperative 1 day.Result：The total score of MUIS was（102.01±14.35）and it is at the middle level,the average score of item in unpredictability dimension was the highest,and the score in complexity dimension was the lowest. Multiple stepwise regression showed the influencing factors of uncertainty in illness were educational level,family economic burden,social support and resilience.Conclusion：Uncertainty in illness is at a middle level of preoperative patients with THA,which is influenced by individual factors,nurses should give nursing intervention to reduce their uncertainty in illness.