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青光眼患者术后自我管理行为、自我感受负担与疾病不确定感的相关性

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目的 探讨青光眼患者术后自我管理行为、自我感受负担与疾病不确定感(UII)的相关性。方法 选取我院2021年1月-2024年1月行手术治疗的青光眼患者98例,术后1周,使用疾病不确定感量表(MUIS-A)评定患者UII,并使用自我管理行为量表(GSMQ)、自我感受负担量表(SPBS)评定患者自我管理行为、自我感受负担,对比不同UII水平青光眼患者自我管理行为(GSMQ)、自我感受负担(SPBS)状况,经双变量Pearson直线相关性检验分析青光眼患者术后自我管理行为、自我感受负担与UII的关系。结果 98例青光眼患者术后1周MUIS-A总分为(80。24±10。39)分,不明确性维度得分为(48。68±6。30)分、复杂性维度得分为(31。56±4。36)分;其中UII低水平20例,中等水平51例,高水平27例;UII高水平的青光眼患者GSMQ各维度评分及总分依次较中等水平、低水平患者低,SPBS各维度评分及总分依次较中等水平、低水平患者高(P<0。05);经双变量Pearson直线相关性检验显示,青光眼患者术后MUIS-A各维度评分及总分与GSMQ各维度评分及总分均呈负相关(r<0,P<0。05),与SPBS各维度评分及总分均呈正相关(r>0,P<0。05)。结论 青光眼患者术后自我管理行为、自我感受负担与UII有关,未来临床应积极展开自我行为管理、心理干预、家庭支持等,以期降低患者UII水平。
The correlation between postoperative self-management behavior,self perceived burden,and disease uncertainty in glaucoma patients
Objective To explore the correlation between postoperative self-management behavior,self perceived burden,and disease uncertainty(UII)in glaucoma patients.Methods Ninety eight glaucoma patients who underwent surgical treatment in our hospital from January 2021 to January 2024 were selected.One week after surgery,the Disease Uncertainty Scale(MUIS-A)was used to assess the patients'UII,and the Self Management Behavior Scale(GSMQ)and Self Perceived Burden Scale(SPBS)were used to assess the patients'self-management behavior and self perceived burden.The self-management behavior(GSMQ)and self perceived burden(SPBS)of glaucoma patients with different UII levels were compared.The relationship between postoperative self-management behavior,self perceived burden,and UII was analyzed by bivariate Pearson linear correlation test.Results The total score of MUIS-A in 98 glaucoma patients one week after surgery was(80.24±10.39)points,with an ambiguity dimension score of(48.68±6.30)points and a complexity dimension score of(31.56±4.36)points;among them,there were 20 cases of low-level UII,51 cases of moderate level,and 27 cases of high-level UII;the GSMQ scores and total scores of glaucoma patients with high UII levels were lower than those of patients with moderate and low UII levels,while the SPBS scores and total scores were higher than those of patients with moderate and low UII levels(P<0.05);according to the bivariate Pearson linear correlation test,postoperative MUIS-A scores and total scores in glaucoma patients were negatively correlated with GSMQ scores and total scores in all dimensions(r<0,P<0.05),and positively correlated with SPBS scores and total scores in all dimensions(r>0,P<0.05).Conclusion Postoperative self-management behavior and self perceived burden in glaucoma patients are related to UII.In the future,clinical practice should actively carry out self-management,psychological intervention,family support,etc.,in order to reduce the level of UII in patients.

GlaucomaSelf-management behaviorSelf perceived burdenDisease uncertaintyrelevance

林康娣、王熔灼、林小清、陈建英、麦思敏

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广东医科大学附属第二医院,广东 湛江 524003

青光眼 自我管理行为 自我感受负担 疾病不确定感 相关性

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(1)