青年急性心肌梗死患者疾病不确定感与应对模式的相关性分析

Investigation and correlation analyze on uncertainty in illness and coping styles among young patients with acute myocardial infarction

目的调查青年急性心肌梗死（AMI）患者的疾病不确定感和应对模式，并分析其相关性。方法采用疾病不确定感量表（MUIS）、医学应对方式问卷（MCMQ）对134例青年AMI行PCI治疗术后住院患者进行横断面调研，分析两者之问的相关性。结果134例青年AMI患者MUIS总分为（125．45±24．49）分；MCMQ问卷中面对维度平均分为（20．08±4．82）分，回避维度平均分为（15．18±2．83）分，屈服维度平均分为（7．14±2．69）分。相关分析显示，面对、回避维度评分与MUIS总分呈负相关（r值分别为-0．351，-0．267；P〈0．05），屈服维度评分与MUIS总分均呈正相关（r=0．344，P〈0．01）。结论青年AMI患者存在高度不确定感状态，积极地面对方式将有利于降低青年AMI患者的疾病不确定感。

Objective To investigate the uncertainty in illness and coping styles among young patients with acute myocardial infarction （AMI） and analyze their correlation. Methods We used Mishd Uncertainty in Illness Scale （MUIS） and the Medical Coping Modes Questionnaire （MCMQ） to assessed 134 young AMI patients cross section study, and analyzed the correlation among the results. Results Total score regarding young AMI patients＇ uncertainty in illness was （ 125.45 ± 24.49 ） ; the average facing score and the avoidance score and the yield score regarding MCMQ were （20.08 ±4.82）, （15.18 ±2.83） and （7.14 ±2.69） respectively. Analysis indicated that both the facing and the avoidance score were negatively correlated with the total score of MUIS （ r = -0.351, -0.267;P 〈 0.05） ; the yield score were positively correlated with the total score of MUIS （r = 0.344, P 〈 0.01 ）. Conclusions The uncertainty of illness is at high level among young AMI patients, coping it in a positive way is helpful with decreasing patients＇ uncertainty in illness.