摘要
目的分析泌尿系统结石患者疾病不确定感现状及其相关影响因素。方法采用便利抽样方法,选取2020年5月~2023年5月郑州市第九人民医院收治的160例泌尿系统结石病患者为研究对象。采用一般资料调查表、中文版疾病不确定感成人量表(MUIS-A)、焦虑自评量表和抑郁自评量表对其疾病不确定感、负性情绪(焦虑、抑郁)进行调查,并分析相关的影响因素。结果本研究中160例泌尿结石患者的MUIS-A总分为(78.07±9.17)分,处于中等水平。不同社会特征患者包括独居状况、文化程度、婚姻状况、焦虑情绪、抑郁情绪、家庭月收入、病程、复发次数及医疗付费方式,其疾病不确定感得分比较均差异显著(P<0.05)。泌尿系统结石患者疾病不确定感与负性情绪呈正相关(r=0.836,P<0.05)。Logistic多因素分析显示独居、未婚、医疗付费方式为自费、家庭月收入<6000、合并焦虑抑郁、复发次数≥2次及病程≥5年等均为影响患者疾病不确定感的独立危险因素(均P<0.05)。结论泌尿结石患者疾病不确定感与其负性情绪正相关,且危险因素较多,医务人员需制定针对性的措施对其进行心理干预以减轻其疾病不确定感和负性情绪。
Objective To analyze the current status of disease uncertainty and its related influencing factors among patients with urolithiasis.Methods A convenience sampling method was used to select 160 patients with urolithiasis admitted to Zhengzhou Ninth People's Hospital from May 2020 to May 2023 as the study subjects.The general information questionnaire,the Chinese version of the Mishel Uncertainty in Illness Scale-Adult(MUIS-A),the Self-Rating Anxiety Scale,and the Self-Rating Depression Scale were used to investigate the patients'disease uncertainty,negative emotions(anxiety,depression),and analyze the relevant influencing factors.Results The total MUIS-A score of the 160 patients with urolithiasis in this study was(78.07±9.17)points,which was at a moderate level.There were significant differences in disease uncertainty scores among patients with different social characteristics,including living alone status,education level,marital status,anxiety,depression,family monthly income,duration of illness,number of recurrences,and medical payment methods(all P<0.05).Disease uncertainty among patients with urolithiasis was positively correlated with negative emotions(r=0.836,P<0.05).Multivariate analysis showed that living alone,unmarried status,self-paying medical expenses,family monthly income<6000,comorbid anxiety and depression,recurrence≥2 times,and duration of illness≥5 years were independent risk factors affecting patients'disease uncertainty(all P<0.05).Conclusion The disease uncertainty of patients with urolithiasis is positively correlated with their negative emotions,and there are many risk factors.Medical staff need to develop targeted measures to provide psychological intervention to reduce patients'disease uncertainty and negative emotions.
作者
冉利娟
宋艳君
师小艳
Ran Lijuan;Song Yanjun;Shi Xiaoyan(Urology Surgery Department,Zhengzhou Ninth People's Hospital,Zhengzhou 450000,China)
出处
《华北理工大学学报（医学版）》
2024年第4期306-310,共5页
Journal of North China University of Science and Technology：Health Sciences Edition
关键词
泌尿系统结石
疾病不确定感
负性情绪
现状调查
危险因素
Urolithiasis
Disease uncertainty
Negative emotions
Current status investigation
Risk factors
