多发伤合并失血性休克患者家属疾病不确定感水平评价

Evaluation on level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock

目的分析多发伤合并失血性休克患者家属的疾病不确定感水平。方法前瞻性选取2019年10月至2020年12月江苏省人民医院收治的118名多发伤合并失血性休克患者的家属作为研究对象,分别在患者家属中随机抽取1名入组研究,全部患者家属均于患者入院当天接受疾病不确定感量表(MUIS)评估,并设计基线资料填写表,记录患者家属相关基线资料情况,比较不同资料特征患者家属的MUIS评分,分析可能影响多发伤合并失血性休克患者家属疾病不确定感水平的相关因素。结果118例多发伤合并失血性休克患者家属疾病不确定感处于中等水平,平均MUIS得分为(91.53±10.71)分;初中及以下学历、社会支持低、家庭月收入<3000元、抑郁的多发伤合并失血性休克患者家属MUIS得分高于中专或高中学历、大专及以上学历,中高等社会支持,家庭月收入≥3000元、无抑郁的多发伤合并失血性休克患者家属,差异有统计学意义(P<0.05);经多元线性回归分析结果显示,初中及以下学历(X1)、社会支持低(X2)、家庭月收入<3000元(X3)、抑郁(X4)均是导致多发伤合并失血性休克患者家属疾病不确定感水平高的影响因素(P<0.05),得到方程:Y=116.043+1.036X1+0.540X2+0.560X3+0.957X4。结论多发伤合并失血性休克患者家属存在一定程度的疾病不确定感,可能与患者家属抑郁、受教育程度低、家庭月收入<3000元及社会支持低等因素有关,临床应重点关注上述因素,并给予相应干预。

Objective To analyze the level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock.Methods A total of 118 family members of patients with multiple trauma combined with hemorrhagic shock admitted to Jiangsu Province Hospital from October 2019 to December 2020 were selected as the research subjects,one case was randomly selected into groups from the family members of the patients,all the family members of patients were assessed with mishel uncertainty in illness scale(MUIS)on the day of admission,designed the filling form of baseline data,the related baseline data of family members of patients were recorded,the MUIS scores of family members of patients with different data characteristics were compared,the related factors that might affect the level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock were analyzed.Results The family members of 118 patients with multiple trauma combined with hemorrhagic shock had a moderate level of uncertainty in illness,with an average MUIS score of(91.53±10.71)points;the MUIS score of the family members of patients with multiple trauma combined with hemorrhagic shock who had junior high school education or below,low social support,family monthly income<3000 yuan and depression was higher than those of the family members of patients with multiple trauma combined with hemorrhagic shock who had technical secondary school or high school education,college education or above,medium or higher social support,family monthly income≥3000 yuan and no depression,there was a statistical significant difference(P<0.05);by multiple linear regression analysis,the results showed that junior high school education or below(X1),low social support(X2),family monthly income<3000 yuan(X3)and depression(X4)were the influencing factors for the high level of uncertain in illness of family members of patients with multiple trauma combined with hemorrhagic shock(P<0.05),obtained the equation Y=116.043+1.036X1+0.540X2+0.560X3+0.957X4.Conclusion The family members of patients with multiple trauma combined with hemorrhagic shock have certain degree of uncertainty in illness,which may be related to depression of family members,low education level,family monthly income<3000 yuan and low social support,the above factors should be paid attention to in clinic and given corresponding intervention.