脑外伤后综合征患者疾病不确定感与社会支持情况的调查及相关性分析

Investigation on uncertainty in illness and social support among patients with post-traumatic brain syndrome and their correlation analysis

目的 调查脑外伤后综合征（PTBS）患者疾病不确定感和社会支持状况,并分析其相关性.方法 采用便利抽样的方法选择114例PTBS患者,采用中文版疾病不确定感量表（MUIS）和社会支持评定量表（SSAS）进行评定,分析受调查者2个量表评分的相关性.结果 PTBS患者MUIS总分（135.23±19.29）分,中位数128.74分;SSAS总分（43.14±5.54）分,中位数42.00分.114例PTBS患者不明确性维度得分与客观支持、主观支持、对支持的利用度和SSAS总分呈负相关,r值分别为-0.301、-0.374、-0.521、-0.509;复杂性维度得分与客观支持、主观支持、SSAS总分及对支持的利用度呈负相关,r值分别为-0.367、-0.326、-0.355、-0.533;信息缺乏维度和不可预测性维度得分均与对支持的利用度呈负相关,r值分别为-0.376、-0.330,MUIS总分与主观支持、对支持的利用度和SSAS总分呈负相关,r值分别为-0.284、-0.424、-0.305.结论 PTBS患者存在高度不确定感状态;提升患者的社会支持水平将有利于降低此类患者疾病不确定感中的不明确性和复杂性;提升患者对支持的利用度将有利于降低患者的信息缺乏和不可预测性.

Objective To investigate the status of uncertainty in illness and social support among patients with post-traumatic brain syndrome （PTBS） and analyze their correlation.Methods One hundred and fourteen patients with PTBS were selected by convenience sampling and assessment.They were evaluated by Chinese disease Mishel Uncertainty in Illness Scale （MUIS） and Social Support Assessment Scale （SSAS） and the correlation of two scales was analyzed.Results MUIS total score was（135.23±19.29） scores with a median of 128.74 scores and SSAS total score was （43.14±5.54） scores with a median of 42.00 scores in patients with PTBS.Among 114 patients with PTBS,regarding ambiguity score was negatively correlated with objective support,subjective support,utilization degree of support and SSAS total score,r=-0.301,-0.374,-0.521,-0.509,complexity score was negatively correlated with objective support,sub-jective support,SSAS total score and utilization degree of support,r=-0.367,-0.326,-0.355,-0.533,both lack of information and regarding unpredictability score were negatively correlated with utilization degree of support,r=-0.376,-0.330,MUIS total score was negatively correlated with objective support,utilization degree of support and SSAS total score,r=-0.284,-0.424,-0.305.Conclusion There is high uncertainty of PTBS patients;increase of patients＇ social support will be good for decreasing the ambiguity and com-plexity among patients＇ uncertainty;promotion of patients＇utilization degree of support will help to reduce patients＇ lack of information and unpredictability.