诱导期血液透析患者疾病不确定感与身体症状困扰的相关性研究

目的探讨终末期肾脏病住院患者在血液透析诱导期疾病不确定感与身体症状困扰的相关性。方法采用描述性相关性研究,分别用Mishel疾病不确定感量表和台湾学者陈美玲"的血液透析患者身体症状困扰量表",调查了59例处于血液透析诱导期的终末期肾脏病住院患者的疾病不确定感和身体症状困扰。结果诱导期血液透析患者疾病不确定感处于中等水平,症状困扰的程度各自不同,但困扰发生率为100%。疾病不确定感与症状困扰呈正相关(r=0.27～0.54,P<0.05)。结论症状困扰会影响肾病住院患者诱导透析期间的疾病不确定感,护理人员应指导患者进行症状管理,减轻症状对患者生活的困扰,从而降低患者的疾病不确定感。

Co-relationship study between uncertainty in illness and symptom distress in patients undergoing hemodialysis in induction period

Objective To study the co-relationship between uncertainty in illness and symptom distress in patients with end stage of renal disease(ESRD)undergoing induced hemodialysis.Method A cross-sectional study was conducted.The Mishel uncertainty in illness scale(MUIS)and the Chen symptom distress scale in kidney disease were used to assess uncertainty in illness and symptom distress among 59patients with ESRD undergoing hemodialysis.Result The uncertainty in illness of patients in induced period was at middle level,All the patients suffered from symptom distress in various degrees,Uncertainty in illness was positively correlated with symptom distress(r=0.27 ～0.54,P<0.05).Conclusion Uncertainty in illness of ESRD patientsundergoing induced dialysis is related to symptom distress.Nurses should instruct patients to manage symptoms in order to decrease uncertainty in illness.