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目的探索体外受精-胚胎移植(IVF-ET)助孕夫妇疾病不确定感与社会支持的相关性。方法采用社会支持量表、Mishel疾病不确定感量表,对2015年10月-2016年4月于郑州市某三级甲等医院就诊的120对IVF-ET助孕夫妇进行调查。结果 IVF-ET助孕夫妇疾病不确定感总分为(93.03±13.73)分,处于中等水平。社会支持中的主观支持维度与疾病不确定感中的复杂性维度呈正相关(r=0.184,P<0.05),与不确定性维度呈负相关(r=-0.251,P<0.01),对支持的利用度维度与疾病不确定感各维度及不确定感总分均呈负相关,客观支持维度与不确定性维度(r=-0.251,P<0.01)、复杂性维度(r=-0.193,P<0.05)、信息缺乏(r=-0.200,P<0.05)、不确定感总分(r=-0.288,P<0.01)呈负相关。结论 IVF-ET助孕夫妇的疾病不确定感与社会支持相关。在临床护理工作中应认真评估其不确定感来源,给予针对性护理措施,帮助其建立良好的社会支持,从而达到提高其治疗效果和生活质量的目的。
Objective To explore the correlation between the uncertainty of illness and the social support of IVF-ET. Methods A total of 120 pairs of IVF-ET co-pregnant couples who were treated at a tertiary level Hospitals in Zhengzhou City from October 2015 to April 2016 were surveyed by Social Support Scale and Mishel Disease Uncertainty Scale. Results The overall score of uncertainty of IVF-ET-assisted couples was (93.03 ± 13.73) points, at a moderate level. The dimension of subjective support in social support was positively correlated with the dimension of complexity in the uncertainty of disease (r = 0.184, P <0.05), negatively correlated with the dimension of uncertainty (r = -0.251, P <0.01) (R = -0.251, P <0.01). The complexity dimension (r = -0.193, P <0.01) was significantly correlated with the dimensions of Uncertainty and the total score of Uncertainty. P <0.05), lack of information (r = -0.200, P <0.05) and total score of uncertainty (r = -0.288, P <0.01). Conclusions The uncertainty of the disease of IVF-ET-assisted couples is related to social support. In the clinical nursing work, the sources of the uncertainty should be carefully evaluated, and targeted nursing measures should be given to help them establish good social support so as to improve the treatment effect and quality of life.