中国血液净化

中国血液净化 ›› 2015, Vol. 14 ›› Issue (02): 85-88.doi: 10.3969/j.issn.1671-4091.2015.02.00

• 临床研究 • 上一篇    下一篇

中青年腹膜透析患者疾病不确定感与应对方式和情绪的相关性研究

黄柳,黄燕林,郭阳化,滕艳娟,李浩宇   

  1. 广西医科大学第一附属医院肾内科
  • 收稿日期:2014-08-25 修回日期:2014-10-24 出版日期:2015-02-12 发布日期:2015-02-12
  • 通讯作者: 黄柳 154320831@qq.com E-mail:xixixiaohuang@163.com
  • 基金资助:
    广西壮族自治区教育厅高校科研项目（编号：YB2014087），广西壮族自治区卫生厅科研课题（合同号：Z2014653）

Study on the correlations among uncertainty in illness, coping style and emotion in young and middle-aged patients undergoing peritoneal dialysis

  • Received:2014-08-25 Revised:2014-10-24 Online:2015-02-12 Published:2015-02-12

RichHTML

0

PDF

190

摘要： 【摘要】目的 探讨中青年腹膜透析(Peritoneal Dialysis，PD)患者疾病不确定感与应对方式和情绪的相关关系。 方法 采用一般资料调查表、Mishel疾病不确定感量表(MUIS-A)、医学应对问卷(MCMQ)和简明心境量表(POMS-SF)对 75 例中青年PD患者进行问卷调查，分析疾病不确定感与应对方式和情绪的相关关系。 结果 中青年PD患者疾病不确定感属于中等程度，面对、回避、屈服应对会影响患者的疾病不确定感(R=0.461,P＜0.01),情绪总分TMD及愤怒-敌意、迷惑-混乱、精力-活力维度会影响患者的疾病不确定感(R=0.939，P＜0.01)。 结论 中青年PD患者疾病不确定感与应对方式和情绪具有相关关系，医务人员应注重制订个体化的护理措施，指导患者进行情绪管理以及采取积极的应对方式，以降低患者的疾病不确定感，改善和提高患者的生存质量。

关键词: 中青年, 腹膜透析, 疾病不确定感, 应对方式, 情绪

Abstract: 【Abstract】 Objective To explore the relationship between uncertainty in illness, coping style and emotion in young and middle-aged patients undergoing peritoneal dialysis (PD). Methods Demographic questionnaire, Mishel Uncertainty in Illness Scale-Adult (MUIS-A), Medical Coping Modes Questionnaire (MCMQ) and Profile Of Mood State-Short Form (POMS-SF) were used to analyze the correlations among illness uncertainty, coping style and emotion in 75 young and middle-aged PD patients. Results The mean score of uncertainty in illness of young and middle-aged PD patients was in the moderate level. The confrontation coping, avoidance coping and resignation coping affected the illness uncertainty of the patients (R=0.461, P＜0.01). The total mood, anger-hostility and confusion-bewilderment affected the illness uncertainty of the patients (R=0.939, P＜0.01). Conclusions There are significant correlations among uncertainty in illness, coping style and emotion in young and middle-aged PD patients. Medical personnel should pay attention to design care measures individually, instruct the patients to manage emotion and adopt effective coping style to decrease their uncertainty in illness and improve their quality of life.

Key words: Young and middle-aged, Peritoneal dialysis, Uncertainty in illness, Coping style, Emotion