肾移植受者疾病不确定感现状及其与应对方式的相关性研究

  目的   探讨肾移植受者疾病不确定感现状，分析疾病不确定感与应对方式的相关性，为进一步研究提供参考。   方法   采用方便抽样法，选取肾移植受者259例为研究对象，使用一般资料调查表、疾病不确定感量表(MUIS)、医学应对方式问卷(MCMQ)对研究对象进行调查。   结果   肾移植受者疾病不确定感的得分为(87.86±12.67)分，其中4个维度平均得分由高到低分别为不明确性维度(37.88±8.13)分，信息缺乏维度(19.34±4.69)分，复杂性维度(16.00±3.22)分，不可预测性维度(14.63±2.62)分；肾移植受者更倾向选择面对的应对方式(64.1%)，3种应对方式的平均得分分别为面对(19.98±3.81)分、回避(14.44±2.97)分、屈服(8.81±3.17)分，疾病不确定感总分、不明确性维度、复杂性维度和信息缺乏维度得分与应对方式中的屈服方式呈正相关关系(r=0.320、0.297、0.131、0.249，均P < 0.05)，未发现不可预测性维度与应对方式之间的相关关系。   结论   肾移植受者的疾病不确定感处于中水平。医务人员应当注重肾移植受者疾病不确定感的评价与管理及其与应对方式的相关性，引导肾移植受者采用积极的方式应对，降低其疾病不确定感。 

Status quo of uncertainty in illness and its correlation with coping in kidney transplant recipients

  Objective   To explore the current status of disease uncertainty in kidney transplant recipients and analyse the correlation between uncertainty in illness and medical coping modes in kidney transplant recipients to provide reference for further research.   Methods   Convenience sampling method was used to select 259 kidney transplant recipients as research objects. General information questionnaire, Mishel's Uncertainty in Illness Scale (MUIS) and Medical Coping Modes Questionnaire (MCMQ) were used to survey kidney transplant recipients.   Results   Kidney transplant recipients' score of uncertainty in illness was (87.86±12.67) points, of which the average score of the four dimensions from high to low was the uncertainty dimension (37.88±8.13) points, the lack of information dimension is (19.34±4.69) points, the complexity dimension is (16.00±3.22) points and the unpredictability dimension is (14.63±2.62) points. Kidney transplant recipients tend to select confrontation (64.1%), the average scores of the three coping modes are confrontation (19.98±3.81) points, avoidance (14.44±2.97) points and acceptance-resignation (8.81±3.17) points. Total uncertainty in illness, uncertainty, complexity and lack of information are positively correlated with the acceptance-resignation (r=0.320, 0.297, 0.131, 0.249, all P < 0.05), but there is no correlation between the unpredictability dimension and coping modes.   Conclusion   Kidney transplant recipients' uncertainty in illness is at a moderate level. The medical staffs should pay more attention to the assessment and management of uncertainty in illness in kidney transplant recipients and its correlation with coping modes, guide patients to adopt effective coping modes to reduce their uncertainty in illness and promote the health of kidney transplant recipients.