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目的通过现状调查了解终末期肾病患者的疾病不确定感水平及影响因素。方法选取2013年12月-2013年12月在泰安市某三甲医院住院患有终末期肾病的者共102例为研究对象。结果终末期肾病住院患者疾病不确定感平均分为(99.17±9.02)分;疾病不确定感与学历、家庭人均月收入、社会支持均呈负相关(r=-0.310、-0.319、-0.270,P<0.05);疾病不确定感与职业、抑郁均呈正相关(r=0.271、0.137,P<0.05)。结论护理人员及时对患者进行症状教育和管理,加强患者的主、客观支持,调节患者情绪,促使患者积极应对疾病,降低疾病不确定感水平。
Objective To investigate the level of uncertainty and the influencing factors of disease in patients with end-stage renal disease through status quo investigation. Methods A total of 102 inpatients with end-stage renal disease who were hospitalized in a Tai’an hospital from December 2013 to December 2013 were selected as the study objects. Results The disease uncertainty of hospitalized patients with end-stage renal disease was (99.17 ± 9.02) points. The uncertainty of illness was negatively correlated with educational background, monthly income per capita and social support (r = -0.310, -0.319, -0.270, P <0.05). There was a positive correlation between disease uncertainty and occupational and depression (r = 0.271,0.137, P <0.05). Conclusion Nursing staff promptly carried out symptom education and management for patients, strengthened patients’ main and objective support, adjusted patient’s emotions, promoted patients to actively respond to the disease and reduced the level of disease uncertainty.