腹腔镜胰腺坏死组织清除术后病人疾病不确定感及影响因素的研究

Study on the disease uncertainty and its influencing factors in patients after laparoscopic pancreatic necrosectomy

目的:了解腹腔镜胰腺坏死组织清除术后病人疾病不确定感现状,并探讨其影响因素。方法:便利抽样法选取行腹腔镜胰腺坏死组织清除术的105例病人作为研究对象,采用一般情况调查表、疾病不确定感量表和社会支持评定量表了解病人疾病不确定感现状,结合多元线性回归明确其影响因素。本研究共发放调查问卷105份,回收有效调查问卷105份,有效回收率为100%。结果:腹腔镜胰腺坏死组织清除术后病人疾病不确定感得分为(95.40±8.46)分,处于中等偏高水平。Pearson分析显示,社会支持水平与病人疾病不确定感呈负相关(P<0.01);多元线性回归结果显示,文化程度越低、住院期间清创次数>1次、出院时带管、住院时间长是病人疾病不确定感的危险因素(P<0.05~P<0.01)。结论:目前胰腺坏死组织清除术后病人疾病不确定感处于中等偏高水平,临床护理中应给予重视,分析其影响因素并制定针对性的护理策略,可为降低病人疾病不确定感,提供优质护理服务提供参考。

Objective:To understand the current situation of disease uncertainty in patients after laparoscopic pancreatic necrosectomy,and to explore its influencing factors.Methods:A total of 105 patients who underwent laparoscopic pancreatic necrotic tissue removal were selected as the research object by convenience sampling method.The general situation questionnaire,disease uncertainty scale and social support rating scale were used to understand the current situation of patients′disease uncertainty,and the influencing factors were determined in combination with multiple linear regression.In this study,105 questionnaires were distributed and 105 valid questionnaires were recovered,with an effective recovery rate of 100%.Results:The disease uncertainty score of patients after laparoscopic pancreatic necrosectomy was(95.40±8.46)points,which was at a medium to high level.Pearson analysis showed that the level of social support was negatively correlated with the patient′s sense of disease uncertainty(P<0.01);the results of multiple linear regression showed that lower educational level,more than 1 debridement during hospitalization,tube insertion at discharge,and longer hospitalization time were risk factors for patients′disease uncertainty(P<0.05 to P<0.01).Conclusions:At present,the disease uncertainty of patients after laparoscopic pancreatic necrosectomy is at a medium to high level,which should be paid attention to in clinical nursing.Analyzing its influencing factors and formulating targeted nursing strategies can provide reference for reducing patients′disease uncertainty and providing high-quality nursing services.