ICU急性肾功能衰竭患者家属疾病不确定感与应对方式的相关性研究

The correlation research between disease uncertainty and coping style among the families of acute renal failure patients

目的了解ICU急性肾功能衰竭患者家属疾病不确定感与应对方式现状,并探讨二者之间的关系。方法采用疾病不确定感家属量表和简易应对方式问卷对472名急性肾功能衰竭患者家属进行调查。结果 ICU急性肾功能衰竭患者家属疾病不确定感得分为(3.21±1.13)分;应对方式得分为(1.63±0.57)分;ICU急性肾功能衰竭患者家属疾病不确定感4个维度与积极应对方式呈负相关,与消极应对呈正相关;应对方式可独立解释ICU急性肾功能衰竭患者家属疾病不确定感变异的20.2%。结论 ICU急性肾功能衰竭患者家属的疾病不确定感总体处于较高水平,与应对方式具有相关性,护理人员应当鼓励其采取积极的应对方式,从而降低疾病不确定感水平,促进身心健康。

Objective To investigate the current situation of disease uncertainty and coping style among the families of acute renal failure patients, and an- alyze the relationship between them. Methods A total of 472 families of acute renal failure patients were investigated with Mishel uncertainty in illness scale - family member form and Simplified Coping Style Questionnaire. Results The average score of disease uncertainty was （ 3.21 ± 1.13 ） and coping styles was （ 1.63 ± 0.57 ） in acute renel failure patients. The 4 dimensions of disease uncertainty had positive correlation with positive coping style, and had negative corre- lation with negative coping style. The score of coping style could provide independent explanation for the 20.2% of variation of disease uncertainty in families of acute renal failure patients from ICU. Conclusion Disease uncertainty is at a high level among those families,which has relationship with coping style. Nurses should encourage the families to take positive coping style, so as to decrease the level of disease uncertainty, to promote physic.al and psychological health.