摘要
目的：调查分析神经外科患者家属疾病不确定感和生活质量，并探讨护理对策。方法选择125名神经外科患者家属作为研究对象，采用Mishel疾病不确定感量表、医疗结局研究简化36条目量表（SF-36）对其疾病不确定感和生活质量进行调查分析。结果本组患者家属的疾病不确定感总分为（89.47±10.92）分，单条目平均得分为（2.99±0.38）分，其中得分最高的维度是不明确性，得分最低的维度是信息缺乏性。生活质量各维度得分方面，躯体功能得分最高为（90.57±13.31）分，情感角色得分最低为（60.31±32.63）分。结论神经外科患者家属的疾病不确定感水平较高，主要表现为不明确性和不可预测性，而且生活质量也受到了较大影响。护理人员在护理患者的同时应该对患者家属进行必要的关注，通过健康宣教、沟通交流、应对策略指导等措施帮助家属减少疾病不确定感，从而提高患者和家属的生活质量。
Objective To investigate and analyze uncertainty in illness and life quality among family members of patients in Neurosurgery Department, and explore the corresponding nursing. Methods A total of 125 family members were collected as the research object. Using The Mishel uncertainty in illness scale, medical outcomes study simplified 36 item scale （SF-36）, the investigation and analysis of uncertainty in illness and quality of life had been done. Results The total score of uncertainty feeling in illness was （ 89. 47 ± 10. 92）, of which average single clause obtained （2. 99 ± 0. 38）. The clarity acquired the highest score, but shortage of information was lowest score. For each dimensions of life quality, the score of body function reached highest （90. 57 ± 13. 31） comparing with lowest score （60. 31 ± 32. 63） for affection role. Conclusions The uncertainty level in illness of patient′s family members in Neurosurgery Department is high, mainly for the uncertain and unpredictability, and the quality of life is affected. Nursing staffs should pay increasing attention to the family members of patients by the health education, communication, corresponding strategy guidance and other measures, to help families to reduce the uncertainty in illness, so as to improve the quality of life of patients and their families.
出处
《中华现代护理杂志》
2015年第5期527-529,共3页
Chinese Journal of Modern Nursing
关键词
神经外科
家属
生活质量
疾病不确定感
Neurosurgery Department
Family member
Quality of life
Uncertainty in illness
