摘要
目的 了解老年结肠造口患者家属疾病不确定感现状,探讨其与社会支持的相关性.方法 选取2013年9月至2014年9月于辽宁医学院附属第一医院与辽宁医学院附属第三医院大肠外科接受结肠造口的老年直肠癌患者家属138名作为研究对象.采用一般资料调查表、Mishel疾病不确定感家属量表（MUIS-FM）、社会支持评定量表（SSRS）对患者家属进行问卷调查,分析影响家属疾病不确定感的因素及与社会支持的相关性.结果 老年结肠造口患者家属疾病不确定感总分为（72.17±9.44）分.不同文化程度、与患者的关系、造口性质、家庭人均月收入的家属,疾病不确定感总分间的差异有统计学意义（P＜0.05）.老年结肠造口患者家属的社会支持总分为（37.14±5.25）分.疾病不确定感与社会支持呈负相关（r=-0.526,P＜0.01）.结论 老年结肠造口患者家属的疾病不确定感处于较高水平,与社会支持呈负相关.临床工作中应通过提高社会支持系统来减轻患者家属的疾病不确定感,从而为患者提供更好的家庭护理服务,促进其身心康复.
Objective To investigate the illness uncertainty state of the family members of elder patients with colostomy,explore their correlation with social support.Methods A total of 138 family members of elder patients with colostomy in two hospitals from September 2013 to November 2014 were recruited in this study.The General Information Questionnaire,Mishel Uncertainty in Illness Scale-Family Member Form （MUIS-FM） and Social Support Rating Scale （SSRS） were used to investigate the family members of elder patients with colostomy and analyse the correlation between illness uncertainty of family members and its influencing factors and social support.Results The average total score of illness uncertainty was （72.17±9.44） scores.There was significantly different of the family members of elder patients with colostomy in total uncertainty on degree of education,the relationship with patient,stoma nature and economic conditions （P〈0.05）.The average total score of social support was （37.14±5.25） scores.The level of illness uncertainty was negatively associated with social support （r=-0.526,P〈0.01）.Conclusions The illness uncertainty was mostly in higher levels in the family members of elder patients with colostomy and was negatively correlated with social support.Clinical practice should improve social support of family members to relieve illness uncertainty,so as to provide better services of family and promote physical and psychological rehabilitation of patients.
出处
《中国实用护理杂志》
2015年第18期1337-1341,共5页
Chinese Journal of Practical Nursing
基金
辽宁省社会科学规划基金重点项目（L13ASH003）
