摘要
[目的]观察疾病不确定感对初发心肌梗死病人急性期经过、近期预后及治疗依从性的影响。[方法]采用疾病不确定感量表(MUIS)对93例初发心肌梗死病人病情平稳后进行评估,观察病人发病后3个月内急性期经过、近期预后及治疗依从性的相关指标。[结果]疾病不确定感得分偏高组(≥105.73分,42例)平均年龄明显高于得分偏低组(<105.73分,51例),文化程度明显低于后者(P<0.05)。得分偏高组血清肌酸激酶、合并症发生情况、平均住院时间和平均住院花费均明显高于得分偏低组,血管再通率明显低于后者。两组近期预后:得分偏高组心脏射血分数、日常生活能力(ADL)总分、生活质量评估(SF-36)总分均明显低于得分偏低组,心脏事件次数和症状自评量表(SCL-90)总分明显高于后者。依从性评分:得分偏高组健康教育依从性、综合治疗依从性、改变生活方式依从性等分项评分和依从性总分均明显低于得分偏低组。[结论]初发心肌梗死病人存在疾病不确定感,与其急性期经过、近期预后及治疗依从性相互影响。
Objective： To observe the influence of uncertainty of diseases on acute process, prognosis in the near future and treatment compliance of patients with incipient myocardial infarction. Methods： A total of 93 patients with incipient myocardial infarction were evaluated with Missals uncertainty in illness scale（MUIS） after stabilization of illness condition and 3 months after attack respectively. Indexes related to their acute process, prognosis in the near future and treatment compliance of patients of incipient stage were observed. Results： The average age of patients in higher score group （ ≥105.73, 42 cases） was elder than those of lower score group （ 〈 105.73, 51 cases）. And the former had lower education background than the latter （P 〈 0.05）. In terms of serum creatine kinase （SCK） concentration, average hospitalization time and average medical expenses in the higher score group were much higher than that of the lower score group. However, the rate of revaseularization in the former was much lower than that in the latter. The prognosis in the near future of the two groups showed that the cardiac ejection fraction, the total score of activity of daily living （ADL）, and the total score of evaluation of living quality （SF- 36） in the higher score group were all much lower than that in the lower score group. But the total .scores of heart event and symptom check list （SCL） in the former were much higher than that in the latter. In terms of compliances scorings, the respective scores of compliances of health education, comprehensive treatment, changing of living style and the total scores of compliances in the higher score group were much higher than that in the lower score group. Conclusion： Patients with incipient myocardial infarction have uncertainty in illness, which has interactions with the process in acute stage, prognosis in the near future and treatment compliance.
出处
《护理研究（中旬版）》
2007年第1期108-110,共3页
Chinese Nursing Researsh
关键词
初发心肌梗死
疾病不确定感
疗效
治疗依从性
incipient myocardial infarction
uncertainty in illness
curative effect
treatment compliance
