%0 Journal Article
%T 早期腹膜透析患者疾病不确定感对疾病适应的影响<br>Effect of disease uncertainty on disease adaptation in patients undergoing early peritoneal dialysis
%A 徐海莉
%A 贾
%A 宇
%A 牛杜鹃
%A 翟志玲
%J 郑州大学学报（医学版）
%D 2018
%R 10.13705/j.issn.1671-6825.2018.01.123
%X 目的:分析早期腹膜透析患者疾病不确定感和疾病适应现状,探讨疾病不确定感对疾病适应的影响。方法:选取2016年3月至2017年9月在郑州市某三级甲等医院肾内科腹膜透析中心治疗的220例早期腹膜透析患者为研究对象,采用一般资料调查表、疾病不确定感量表和疾病心理社会适应量表进行调查。结果:早期腹膜透析患者疾病适应总分为(64.40±3.75)分,处于中等偏低水平。疾病适应总分与疾病不确定感总分、不明确性维度、复杂性维度、信息缺乏性维度以及不可预测性维度均呈正相关(r=0.405、0.300、0.394、0.231、0.429,P<0.001)。多重线性分析显示,疾病适应影响因素为肾移植意愿、职业、不可预测性、不明确性、复杂性、宗教信仰,R2=0.640。结论:早期腹膜透析患者疾病适应水平亟待提高,临床工作者制定干预时应注重降低患者疾病不确定感水平。<br>Aim: To analyze the current status of disease uncertainty and disease adaptation in patients with early stage peritoneal dialysis, and to explore the effect of disease uncertainty on disease adaptation.Methods: Totally 220 patients with early stage peritoneal dialysis were selected, who were treated in the peritoneal dialysis center of Nephrology Department in a tertiary Hospital of Zhengzhou from March 2016 and September 2017, investigated with general information questionnaire, Mishel uncertainty in illness scale(MUIS)and self-report psychosocial adjustment to illness scale(PAIS-SR).Results: The total score of disease adaptation was(64.40±3.75)at a moderate low level. The total score of disease adaptation was positively correlated with the total score of disease uncertainty, uncertainty dimension, complexity dimension, information deficiency dimension and unpredictable dimension(r=0.405, 0.300, 0.394, 0.231, 0.429,P<0.001). Multiple linear analysis showed that the influencing factors of disease adaptation were renal transplantation intention, occupation, unpredictability, uncertainty, complexity and religious belief, R2=0.640.Conclusion: Disease adaptation of patients with early stage peritoneal dialysis remains to be improved urgently, and clinical workers should pay more attention to reducing the level of disease uncertainty of patients when making intervention
%K 腹膜透析
%K 疾病不确定感
%K 疾病适应
%K 影响因素&lt
%K br&gt
%K peritoneal dialysis
%K disease uncertainty
%K disease adaptation
%K influencing factor
%U http://jms.zzu.edu.cn/oa/darticle.aspx?type=view&id=201804031