HBV/HCV相关肝病住院患者再定义疾病不确定感与应对方式的相关性研究

Correlation between redefined disease uncertainty and coping style in hospitalized patients with HBV/HCV-related liver disease

目的调查HBV/HCV相关肝病住院患者再定义疾病不确定感及应对方式的现状,并探讨它们之间的相关性。方法采用自制一般资料调查表、疾病不确定感成人量表和医学应对方式问卷对2018年5—11月在西安交通大学第二附属医院接受治疗的118例HBV/HCV相关肝病患者进行问卷调查。采用Pearson相关分析对疾病不确定感和应对方式的关系进行分析。结果HBV/HCV相关肝病患者的再定义疾病不确定感总体得分为(88.94±11.48)分。疾病不确定感总分及不可预测性维度与应对方式问卷中的屈服维度呈正相关(r=0.22,P<0.05;r=0.31,P<0.01)。复杂性维度、信息缺乏性维度与面对维度呈负相关(r=-0.32,P<0.01;r=-0.21,P<0.05)。结论HBV/HCV相关肝病作为一种慢性传染性疾病,患者普遍存在较高的再定义疾病不确定感,临床医务人员应采取有效干预,提高患者的疾病不同阶段认知程度,促进患者形成积极的应对方式,降低患者的再定义疾病不确定感水平。

Objective To investigate the status quo of redefined disease uncertainty and coping style in hospitalized patients with HBV/HCV-related liver disease and explore the correlation between them.Methods A total of 118 patients with HBV/HCV-related liver disease who were treated in the Second Affiliated Hospital of Xi'an Jiaotong University from May 2018 to November 2018 were investigated by using Self-made General Information Questionnaire,Mishel Uncertainty in Illness Scale Adult and Medical Coping Style Questionnaire.Pearson correlation analysis was used to analyze the relationship between disease uncertainty and coping style.Results The overall score of redefined disease uncertainty in patients with HBV/HCV-related liver disease was(88.94±11.48).The total score of disease uncertainty and the unpredictability dimension were positively correlated with the yield dimension in the coping style questionnaire(r=0.22,P<0.05;r=0.31,P<0.01).The complexity dimension,the lack of information dimension and the facing dimension were negatively correlated(r=-0.32,P<0.01;r=-0.21,P<0.05).Conclusions HBV/HCVrelated liver disease is a chronic infectious disease,and patients generally have a higher sense of redefinition disease uncertainty.Clinical medical staff should take effective interventions to improve patients'awareness of different stages of the disease,promote patients to form active coping styles and reduce the level of redefined disease uncertainty.