ICU脓毒症患者家属疾病不确定感与应对方式的相关性研究

Associations between uncertainty in illness and coping style about family members of patients with severe sepsis of in intensive care unit

目的 调查重症监护室收治的脓毒症患者家属对患者疾病不确定感与应对方式状况,探讨两者之间的相关性.方法 采用便利抽样,选择浙江医院重症医学科收治的117例脓毒症患者家属为调查对象,采用Mishel疾病不确定感家属量表（中文版）和简易应对方式卷为调查工具进行问卷调查.结果 患者家属疾病不确定感量表得分56- 139（102.16±14.73）分,处于较高水平,积极应对方式得分6 ～38（22.68±3.73）分,消极应对方式得分4～22（13.08±4.12）分,疾病不确定感与积极应对方式呈负相关（r=-0.153,P＜0.05）,疾病不确定感与消极应对方式呈正相关（r =0.130,P＜0.05）.结论 患者家属的疾病不确定感水平与应对方式相互影响,医护人员应采取针对性的措施降低患者家属的疾病不确定感水平,帮助其采取积极的应对方式.

Objective To investigate status quo of illness uncertainty and coping style in family members of patients with severe sepsis of in intensive care unit （ICU）,to explore their relationships.Methods A total of 117 family members of patients with severe sepsis of in ICU was chosen by convenient sampling.They were surveyed by the Mishel Uncertainty in Illness Scale-Family version and Simplified Coping Style Questionnaire.Results The uncertainty in illness of family members scored 56 - 139 （102.16 ± 14.73）.Positive coping style scored 6 -38 （22.68 ±3.73）.Negative coping style scored 4 -22 （13.08 ±4.12）.The total score of uncertainty in illness of family members was negatively correlated with the score of positive coping style,and was positively correlated with the score of negative coping style.Conclusions Illness uncertainty level of patients＇ families interacts with coping styles.Nurse should take corresponding measures to reduce the patient＇s family illness uncertainty levels,and help them to take positive coping styles.