目的 探讨原发性醛固醇增多症(PA)患者疾病不确定感水平的影响因素，以指导临床干预措施的拟定，降低PA患者的疾病不确定感水平。方法 选取2021 年 1 月—2022 年 1 月医院收治的83 例PA患者，评估所有患者的疾病不确定感水平[疾病不确定感量表(MUIS)评分]，设计基线资料调查表，对所有患者的基线资料进行比较，比较不同资料特征PA患者的MUIS评分，重点分析 PA 患者疾病不确定水平的影响因素。结果 经评估，83 例 PA 患者的MUIS评分为(89。73±8。60)分;不同社会支持、受教育程度、焦虑及家庭月人均收入PA患者的MUIS评分有统计学差异(P＜0。05)，不同年龄、性别、工作状况、宗教信仰、合并糖尿病、独居 PA 患者的 MUIS 评分比较，无统计学差异(P＞0。05);PA患者疾病不确定感水平的影响因素受为家庭月人均收入低、社会支持低下、焦虑及教育程度低(P＜0。05)。结论 PA患者的疾病不确定感呈中高水平，受教育程度低、社会支持低下、焦虑及家庭月人均收入低均是PA患者疾病不确定感水平的影响因素，临床可根据上述影响因素指定相应干预措施，以减轻患者疾病不确定感。
Analysison the level of disease uncertainty and its related influencing factors in patients with primary aldosteronism
Objective To explore the influencing factors of disease uncertainty levels in patients with primary aldosteron-ism(PA),in order to guide the formulation of clinical intervention measures and reduce the level of disease uncertainty in PA patients.Methods 83 patients with PA admitted to the hospital from January 2021 to January 2022 were selected to evaluate the level of disease uncertainty of all patients[MUIS score],design a baseline data questionnaire,and make detailed statistics on the baseline data of all patients,compare the MUIS score of PA patients with different data characteristics,and focus on the analysis of the factors affecting the level of disease uncertainty of PA patients.Results After evaluation,the MUIS score of 83 PA patients was(89.73±8.60)points;The MUIS scores of PA patients with different social support,education level,anxiety and family monthly per capita income were statistically different(P＜0.05),while the MUIS scores of PA patients with different ages,gen-ders,work conditions,religious beliefs,diabetes and living alone were not statistically different(P＞0.05);The influencing fac-tors of disease uncertainty level in PA patients are low monthly per capita income,low social support,anxiety,and low education level(P＜0.05).Conclusion The disease uncertainty of PA patients is at a medium-high level.Low education level,low social support,anxiety and low family monthly per capita income are all factors affecting the disease uncertainty level of PA patients.Clin-ical intervention measures can be designated according to the above factors to reduce the disease uncertainty of patients.
Primary aldosteronismDisease uncertaintyAnxietySocial support
国家科技期刊平台
NSTL
万方数据
维普
