摘要
目的观察冠状动脉旁路移植术后早发房颤患者疾病不确定感水平,并分析其影响因素。方法选取2013年6月~2014年12月期间因冠状动脉粥样硬化性心脏病于第二军医大学附属长征医院行冠状动脉旁路移植术后合并早发房颤的患者48例为研究对象。采用Mishel疾病不确定感量表评估患者的疾病不确定感水平,采用一般资料调查问卷、Connor-Davidson韧性量表、医学应对方式量表、自我效能评价量表及社会支持水平量表对研究对象进行调查,并分析与患者疾病不确定感的相关因素。结果 48例患者疾病不确定感总分平均分为（102.3±11.8）分,处于中等水平。不同性别、年龄、文化程度、家庭月平均收入、病程、自我效能水平及患者是否有医保、是否合并症组组间患者疾病不确定感总分比较差异有统计学意义（P〈0.05）。Pearson相关分析显示,患者的疾病不确定感总分与坚韧（r=0.395,P=0.012）、自强（r=0.372,P=0.017）、乐观（r=0.401,P=0.004）、回避（r=0.391,P=0.008）、屈服（r=0.562,P=0.000）呈正相关,与社会支持总量（r=-0.463,P=0.000）、支持利用度（r=-0.369,P=0.019）及应对方式中的面对（r=-0.417,P=0.000）呈负相关。多元线性逐步回归分析结果显示,年龄、文化程度、家庭月平均收入、医保、合并症、自我效能、自强、乐观、面对、回避、屈服及社会支持总量对疾病不确定感水平有显著影响。结论冠状动脉旁路移植术后早发房颤患者疾病不确定感水平处于中等,年龄、文化程度、家庭月平均收入、医保、合并症、自我效能、心理韧性、应对方式及社会支持水平是疾病不确定感水平的主要影响因素。
Objective To investigate the current status of uncertainty in illness in coronary artery bypass graft surgery（CABG） patients with early atrial fibrillation and analyze its influential factor. Methods 48 coronary artery bypass graft surgery patients with early atrial fibrillation from June 2013 to December 2014 in Changzheng Hospital Affiliated to the Second Military Medical University were selected for the study. Uncertainty in Illness level was assessed by Mishel Uncertainty in Illness Scale（MUIS）. General information questionnaire, Connor-Davidson Resilience Scale, medical coping style scale, self-efficacy scale and social support rating scale were used in this study, and the relevant factors of uncertainty of illness were analysed. Results The average score of uncertainty in illness in 48 coronary artery bypass graft surgery patients with early atrial fibrillation was（102.3 ±11.8） score, which was in the middle level. The score of uncertainty in illness of patients in different gender, age, education level, average monthly household income,duration, level of self-efficacy and whether the patient has health insurance, whether with complication were statistically significant different（P〈0.05）. Pearson correlation analysis showed that score of uncertainty in illness was positively correlated with tenacity（r = 0.395, P = 0.012）, self-reliance（r = 0.372, P = 0.017）, optimism（r = 0.401, P = 0.004）,avoidance（r = 0.391, P = 0.008） yield（r = 0.562, P =0.000）, and was negativly correlated with the utilization of support（r =-0.463, P = 0.000）, total social support scores（r =-0.369, P = 0.019） and facing in medical coping style scale（r =-0.417, P = 0.000）. Multiple linear regression analysis showed that age, education level, average monthly household income, health care, complications, self-efficacy, self-reliance, optimism, facing, avoiding, yield and total social support levels were the risk factors of uncertainty in illness level. Conclusion The level of uncertainty in
出处
《中国医药导报》
CAS
2016年第5期67-70,共4页
China Medical Herald
基金
上海市市级医院新兴前沿技术联合攻关项目(SHDCI2014107)
关键词
冠状动脉旁路移植术
房颤
疾病不确定感
相关因素
Coronary artery bypass grafting
Atrial fibrillation
Uncertainty in illness
Related factors
