梅尼埃病患者生存质量与疾病不确定感的相关性分析

Relationship between quality of life and uncertainty in illness among patients with Meniere′s disease

目的调查梅尼埃病患者的疾病不确定感与生存质量情况,并探讨两者的相关性。方法选取门诊及病房的140例梅尼埃病患者为研究对象,采用Mishel疾病不确定感量表(MUIS)和简明健康状况调查表(SF-36)进行横断面调查。结果1梅尼埃病患者MUIS平均得分为(118.52±15.15)分。2梅尼埃病患者SF-36量表各维度的评分均明显低于常模组(P<0.01)。3不明确性、复杂性、信息缺乏及不确定感总分与SF-36各维度评分均呈显著的负相关(P<0.05);不可预测维度与精力和社会功能呈低度正相关,与其他维度评分无显著的相关性。结论梅尼埃病患者存在中度不确定感,且生存质量明显降低,患者疾病不确定感状态与生存质量呈负相关。

Objective To investigate the uncertainty in illness and quality of life among patients with Menierels disease （MD） and analyze their correlation. Method A total of 140 MD patients were selected and given a cross-section survey using the Mishel Uncertainty in Illness Scale （MUIS） and Short Form 36 Health Survey Questionnaire （SF-36）. Results The average MUIS score of MD patients was 118.52±15.15. The average total score and that of all dimensions of SF- 36 were significantly lower than those of the normal standard. The average scores of all dimensions of SF-36 were significantly negatively correlated with ambiguity, complexity, lack of information and total uncertainty scores. The score of Being Unpredictable dimension had significantly low positive correlation with Energy and Social function, but no correlation with the score of other dimensions of SF-36. Conclusion There were moderate uncertainty among MD patients. And their quality of life was significantly lower than the normal person. There was significantly negative correlation between quality of life and uncertainty in illness among MD patients.