妊娠期高血压疾病住院患者疾病不确定感现状调查及影响因素分析

Uncertainty in illness and influencing factors of the patients with pregnancy-induced hypertension

目的调查妊娠期高血压疾病患者疾病不确定感现状并分析其影响因素。方法采用自行编制的一般资料调查表、中文版Mishel疾病不确定感量表和社会支持评定量表对150例妊娠期高血压疾病患者进行调查。结果妊娠期高血压疾病患者疾病不确定感总分为（66．79±11．02）分，76％（114／150）的患者疾病不确定感高于正常水平。自觉疾病严重程度、学历、妊娠次数及患者获得的主观支持是其疾病不确定感的主要影响因素。结论妊娠期高血压疾病患者存在较高水平的疾病不确定感。医护人员应重视疾病不确定感水平对患者的影响，针对学历低、自觉疾病严重、妊娠次数多及获得的主观支持少的患者采取针对性的措施，完善围生期疾病管理体系以降低其疾病不确定感。

Objective To research the illness uncertainty in people with pregnancy-induced hypertension and explore its influencing factors. Methods We investigated 150 cases of pregnancy - induced hypertension patients with Adaption of the General Information Questionaire, Mishel＇ s Uncertainty in illness Scale, Social Support Rating Scale. Results The score of illness uncertainty was （66.79 ±11.02） points. The illness uncertainty states for 76% of the patients was higher than normal. Muhiple linear regression analysis showed that the severity of disease , degree of education , the number of pregnancy, subject support were major influencing factors. Conclusions There are higher level of illness uncertainty in the patients with pregnancy-induced hypertension. Medical workers should pay attention to the influencing factors of the illness uncertainty, and take action to lower the level of the illness uncertainty.