脑卒中患者疾病症状群与疾病不确定感的相关性研究

Study of correlation between disease symptom cluster and the illness uncertainty in stroke patients

目的探讨脑卒中患者疾病症状群与疾病不确定感的关系。方法选取2021年5月至12月同济大学附属第十人民医院收治的286例脑卒中住院患者为研究对象。采用一般资料调查表、脑卒中症状体验量表和中文版Mishel疾病不确定感量表进行问卷调查,采用系统聚类分析提取症状群,并通过相关性关系分析疾病症状群与不确定感的关系。结果性别、居住地、文化程度、个人月收入、吸烟史和短暂性脑缺血发作史的脑卒中患者疾病不确定感得分差异有统计学意义(P<0.05)。系统聚类分析法显示脑卒中患者有3个症状群:肢体畸形与疼痛(36.71%)、心理及认知障碍(41.96%)及躯体活动障碍(21.33%);脑卒中症状群与疾病不确定感呈正相关性(r=0.370,P<0.05)。结论脑卒中患者疾病症状与疾病不确定感存在相关性,护理人员应重视患者疾病症状管理与不确定感的个性化评估。

Objective To explore the correlation between disease symptom cluster and illness uncertainty in stroke patients.Methods A total of 286 inpatients with stroke treated in the Shanghai Tenth People’s Hospital Affiliated to Tongji University from May to December 2021 were selected as study subjects.General information questionnaire,stroke symptom experience scale,and Chinese version of Mishel were used,questionnaire survey was conducted on the scale of uncertainty in disease,and symptom cluster were extracted by systematic cluster analysis,and the relationship between disease symptom cluster and sense of uncertainty was explored through correlation analysis.Results There were significant differences in disease uncertainty scores among stroke patients with gender,residence,education level,monthly income,smoking history,and transient ischemic attack history(P<0.05).Systematic cluster analysis showed that stroke patients had three symptom groups:limb deformity and pain(36.71%),psychological and cognitive impairment(41.96%)and physical activity disorder(21.33%);stroke symptom cluster was positively corrected with disease uncertainty(r=0.370,P<0.05).Conclusion There is a correlation between symptom clusters and the illness uncertain in stroke patients.Nursing staff should pay more attention to the management of symptom clusters to reduce the illness uncertainty.