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目的:调查ICU患者家属疾病不确定感与应对方式状况,并探讨两者的关系。方法:采用便利取样法,选取218例ICU患者家属,运用一般资料量表、Mishel疾病不确定感家属量表和简易应对方式量表进行问卷调查。结果:本组ICU患者家属疾病不确定感总分为(99.56±11.28)分,处于较高水平;积极应对方式得分为(1.65±0.53)分,低于国内常模;消极应对方式得分为(1.68±0.50)分,高于国内常模,差异均有统计学意义(t=3.15,t=2.65,P<0.01);ICU患者家属疾病不确定感总分及疾病的不明确性、复杂性、信息缺乏同积极应对方式分别呈负相关(P<0.01),疾病不确定感总分、疾病的不明确性、信息缺乏与消极应对方式分别呈正相关(P<0.01)。结论:应提高医务人员对ICU患者家属的关怀和支持力度,鼓励其采用积极的应对方式面对问题,以降低疾病不确定感。
Objective: To investigate the family uncertainty of illness and coping style of ICU patients, and to explore the relationship between the two. Methods: By using convenient sampling method, 218 cases of ICU patients were selected and questionnaires were surveyed by using general information scale, Mishel family uncertainty scale and simple coping style questionnaire. Results: The family members of ICU patients had a total score of (99.56 ± 11.28) points at a high level of uncertainty of illness. The score of positive coping style was (1.65 ± 0.53) points lower than that of domestic norms. The negative coping style scores were ( 1.68 ± 0.50), higher than that of the norm in the country (t = 3.15, t = 2.65, P <0.01). The family members of the ICU had uncertainties and complexities (P <0.01). There was a positive correlation between the lack of information and the positive coping styles (P <0.01). The total score of the disease uncertainty, the uncertainty of the disease and the lack of information were positively correlated with the negative coping styles (P <0.01). Conclusion: Medical staff should be more concerned and supportive to the families of patients with ICU, encourage them to adopt positive coping styles to face the problems and reduce the uncertainty of disease.