首页|结肠造口病人配偶负性情绪与疾病不确定感调查分析

结肠造口病人配偶负性情绪与疾病不确定感调查分析

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目的 了解永久性结肠造口病人配偶的焦虑、抑郁水平及疾病不确定感现状,并分析二者相关性.方法 采用一般资料量表、焦虑自评量表、抑郁自评量表、疾病不确定感家属量表,对144例永久性结肠造口病人的配偶进行问卷调查,分析其焦虑、抑郁情绪的影响因素及焦虑、抑郁情绪与疾病不确定感的相关性.结果 永久性结肠造口病人配偶焦虑情绪得分为(46.90±10.45)分,抑郁情绪得分为(43.26±10.20)分,疾病不确定感得分为(73.40±9.48)分.病人配偶的性别和自觉健康状况、家庭人均月收入为焦虑、抑郁情绪的影响因素,配偶是否工作及病人的医疗付费方式为焦虑情绪的影响因素.焦虑、抑郁情绪与疾病不确定感及其各维度均呈显著正相关(r=0.173~0.460,P<0.05).结论 永久性结肠造口病人配偶焦虑、抑郁情绪与疾病不确定感存在相关性,医务工作者应重视配偶照顾者的疾病不确定感,从而改善其负性情绪.
THE RELATIONSHIP BETWEEN NEGATIVE EMOTIONS AND ILLNESS UNCERTAINTY IN THE SPOUSES OF PATIENTS WITH PERMANENT COLOSTOMY
Objective To examine the current levels of anxiety and depression and illness uncertainty in the spouses of patients with permanent colostomy,and to determine the correlation between these negative emotions and illness uncertainty.Methods A total of 144 spouses of patients with permanent colostomy were surveyed using the general information scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale,and Mishel Uncertainty In Illness Scale-Family Member Form.Factors that in fluence anxiety and depression and the correlation between anxiety and depression and illness uncertainty were analyzed.Results Among the spouses of patients with permanent colostomy,the mean score of anxiety was 46.90± 10.45,the mean score of depression was 43.26 ± 10.20,and the mean score of illness uncertainty was 73.40 ±9.48.The gender of spouse caregivers,self-rated health status and average monthly household income were factors that influence anxiety and depression,and the spouses' employment status and patients' medical payment method were factors that influence anxiety.The levels of anxiety and depression were positively correlated with illness uncertainty and each of its dimensions (r=0.173-0.460,P<0.05).Conclusion Anxiety and depression are associated with illness uncertainty in the spouses of patients with permanent colostomy.Medical workers should be more aware of the level of illness uncertainty in spouse caregivers in order to reduce their anxiety and depression.

colostomyspousesanxietydepressionillness uncertaintyquestionnaires

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中国医科大学附属盛京医院泌尿外科,辽宁沈阳 110004

结肠造口术 配偶 焦虑 抑郁 疾病不确定感 问卷调查

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(5)
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