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| 肾移植受者疾病不确定感现状及影响因素分析 |
| Current status and influencing factors of disease uncertainty in renal transplant recipients |
| 投稿时间：2023-05-25 |
| DOI：10.3969/j.issn.1000-0399.2023.12.018 |
| 中文关键词: 肾移植 疾病不确定感 心理弹性 应对方式 影响因素 |
| 英文关键词: Renal transplantation Illness uncertainty Mental resilience Coping style influencing factor |
| 基金项目:安徽省护理学会科研课题立项项目(编号:AHHLa202101) |
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| 中文摘要: |
| 目的 了解肾移植受者疾病不确定感水平并分析其影响因素,为降低肾移植受者疾病不确定感提供依据。方法 采用便利抽样法,选取2022年8~9月在中国科学技术大学附属第一医院(安徽省立医院)肾移植随访门诊就诊的208例肾移植受者为调查对象,使用一般资料调查表、中文版疾病不确定感量表、心理弹性量表、医学应对方式问卷对其进行调查,并采用多元逐步回归分析研究对象疾病不确定感的影响因素。结果 肾移植受者的疾病不确定感总分为(64.18±13.86)分,条目均分为(2.57±0.55)分,中高度疾病不确定者141例(67.79%)。多元逐步回归分析结果显示,家庭人均月收入高、住院期间照顾者是配偶、心理弹性水平高是患者疾病不确定感的保护因素(P<0.05),移植后出现并发症、采取屈服应对方式是患者疾病不确定感的危险因素(P<0.05)。以上变量共解释总变异的57.3%。结论 肾移植受者疾病不确定感处于中等水平,应针对其影响因素,采取个体化应对措施,以降低疾病不确定感水平。 |
| 英文摘要: |
| Objective To understand the level of disease uncertainty in kidney transplant recipients and analyze its influencing factors, in order to provide a basis for reducing disease uncertainty in kidney transplant recipients.Methods using the convenience sampling method, selection of August-September 2022 in a certain level of first-class comprehensive hospital in anhui province in 208 cases of kidney transplant follow-up clinics in renal transplant recipients as investigation object, using the general data questionnaire, Mishel's uncertainty in illness scale-adult(MUIS-A), Resilience Scale-14(RS-14), Medical Coping Modes Questionnaire(MCMQ), and the influencing factors were analyzed by multiple stepwise regression.Results The results of multiple stepwise regression analysis showed that a high per capita monthly income in the family, a spouse caregiver during hospitalization, and a high level of psychological resilience were protective factors for the patient's sense of disease uncertainty(P<0.05), while complications after transplantation and adopting a submissive coping style were risk factors for the patient's sense of disease uncertainty(P<0.05). The above variables account for 57.3% of the total variance.Conclusions The disease uncertainty of renal transplant recipients is moderate. Clinicians should provide patients with more information support and psychological care,enhance their personal experience and confidence in the face of disease, and help them establish positive coping styles when coping with pressure, so as to reduce the level of uncertainty in the disease and improve the rehabilitation effect of renal transplant patients. |
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