摘要
目的分析缺血性脑卒中(CIS)患者疾病不确定感(UII)的相关影响因素。方法选取2021年6月至2023年4月南昌市第一医院收治的83例CIS患者作为研究对象,参照Mishel疾病不确定感量表(MUIS-A)对患者UII现状评估,调查员自拟一般资料问卷,经多元线性回归探究CIS患者UII水平的影响因素。结果83例CIS患者MUIS-A评分为(92.97±10.57)分,处于中等水平。不同学历、家庭月均收入、卒中次数、自理能力及社会支持水平的患者MUIS-A评分的比较,差异有统计学意义(P<0.05)。不同性别、年龄、梗死区域、工作状态、婚姻情况患者的MUIS-A评分比较,差异无统计学意义(P>0.05)。多元线性回归分析结果显示,学历(B=8.676,t=3.281,95%CI:3.413~13.938)、家庭月均收入(B=8.437,t=3.198,95%CI:3.186~13.687)、卒中次数(B=8.321,t=2.446,95%CI:1.550~15.092)、自理能力(B=9.059,t=2.777,95%CI:2.567~15.551)、社会支持水平(B=15.834,t=9.925,95%CI:12.660~19.008)均为CIS患者UII水平的独立影响因素(P<0.05)。结论CIS患者UII处于中度水平,学历、家庭经济、卒中次数、自理能力及社会支持均是其影响因素,临床上需特别注意。
Objective To analyze the related influencing factors of uncertainty in illness(UII)in patients with cerebral ischemic stroke(CIS).Methods A total of 83 CIS patients admitted to the First Hospital of Nanchang from June 2021 to April 2023 were selected as the research objects.The current status of UII in the patients was evaluated by referring to the Mishel uncertainty in illness scale-adult(MUIS-A).Investigators prepared a general information questionnaire by themselves,and multiple linear regression was used to explore the influencing factors of UII levels in CIS patients.Results The MUIS-A score of 83 CIS patients was(92.97±10.57)points,which was at a medium level.The comparison of MUIS-A scores among patients with different educational backgrounds,average monthly family incomes,number of strokes,self-care abilities and levels of social support showed statistically significant differences(P<0.05).There were no statistically significant differences in the MUIS-A scores among patients with different genders,ages,infarction areas,working statuses,and marital situations(P>0.05).The results of multiple linear regression analysis showed that educational background(B=8.676,t=3.281,95%CI:3.413-13.938),average monthly family income(B=8.437,t=3.198,95%CI:3.186-13.687),number of strokes(B=8.321,t=2.446,95%CI:1.550-15.092),self-care ability(B=9.059,t=2.777,95%CI:2.567-15.551)and the level of social support(B=15.834,t=9.925,95%CI:12.660-19.008)were both independent influencing factors for the UII level in CIS patients(P<0.05).Conclusion UII in CIS patients is at a moderate level.Educational background,family economy,the number of strokes,self-care ability and social support are all influencing factors.Special attention should be paid in clinical practice.
作者
梅承艳
谭彧
罗军
MEI Chengyan;TAN Yu;LUO Jun(Department of Cadre Health,the First Hospital of Nanchang,Jiangxi Province,Nanchang 330008,China;Department of Neurology,the First Hospital of Nanchang,Jiangxi Province,Nanchang 330008,China)
出处
《中国当代医药》
2025年第21期104-107,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202410542)。
关键词
缺血性脑卒中
疾病不确定感
社会支持
经济状况
自理能力
Cerebral ischemic stroke
Uncertainty in illness
Social support
Economic situation
Self-care ability
