慢性非细菌性前列腺炎的疾病不确定感与焦虑情绪的相关性及护理对策

Correlation between illness uncertainty and anxiety emotion in patients with chronic abacterial prostatitis and its nursing strategy

目的探讨慢性非细菌性前列腺炎(CP)患者疾病不确定感与焦虑情绪的相关性,提出相应的护理对策。方法采用疾病不确定感量表、汉密尔顿焦虑量表对2014年3月至2015年10月在重庆市合川区人民医院泌尿外科收治的182例CP患者进行问卷调查。结果 CP患者疾病不确定感总体得分为(103.26±10.35)分,处于中等水平;4个维度得分由高到低分别是不确定性、信息缺乏、复杂性、不可预测性。无焦虑症状占39.56%(72/182),可能有焦虑占48.35%(88/182),肯定有焦虑占8.24%(15/182),肯定有明显焦虑占2.75%(5/182),可能为严重焦虑占1.10%(2/182)。不确定性与焦虑呈正相关(r=0.272,P=0.012),不确定感总分与焦虑呈正相关(r=0.356,P=0.007)。结论 CP患者疾病不确定感较高,患者易产生各种焦虑等负性情绪。因此,在临床护理工作中上应指导患者采取积极的应对方式,降低患者的疾病不确定感,缓解患者的负面情绪。

Objective To investigate the correlation between the illness uncertainty and anxiety emotion in the patients with chronic abacterial prostatitis（CP） and to put forward the corresponding nursing countermeasures. Methods The Mishel Un-certainty in Illness Scale （MUIS） and Hamilton Anxiety Scale （HAMA） were adopted to conduct the questionnaire survey on 182 CP patients in the Hechuan District People′s Hospital from March 2014 to October 2015. Results The total score of illness un-certainty in the CP patients was （103.26＆#177;10.35） points,which was at middle level;the 4 dimensional scores from high to low were uncertain,lack of information,complexity and unpredictability. The patients with non-anxiety symptom accounted for 39.56%（72/182）,those with possible anxiety accounted for 48.35%（88/182）,those with affirmative anxiety accounted for 8.24%（15/182）, those with affirmative obvious anxiety accounted for 2.75%（5/182） and those with possible severe anxiety accounted for 1.10%（2/182）. The uncertainty was positively correlated with anxiety（r=0.272,P=0.012）,the uncertainty total score was positively correlated with anxiety（r=0.356,P=0.007）. Conclusion CP patients have higher uncertainty sense in illness,can easily produce various negative moods of anxiety. Therefore the clinical nursing work should guide the patients to take positive coping style ,reduces the disease uncertainty and relieves the patients′negative emotions.