疾病不确定感对中老年压力性尿失禁妇女一般自我效能感评分的影响

目的:探讨疾病不确定感对中老年压力性尿失禁(SUI)妇女一般自我效能感(GSE)评分的影响。方法:选择近期来我院就诊的中老年SUI妇女137例,分别应用Missals疾病不确定感量表和一般自我效能感量表(GSES)进行评估,并与随机抽取的46例同期进行健康体检妇女的测试结果比较。结果:中老年SUI妇女的疾病不确定感量表各维度得分及总分均明显高于健康体检妇女(P<0.01);中老年SUI妇女GSES各问题得分及总分明显低于健康体检妇女(P<0.01,P<0.05);且疾病不确定感水平越高,GSES各问题得分及总分越低(P<0.01,P<0.05)。结论:中老年SUI妇女疾病不确定感得分与GSES评分呈负相关,医护人员应及时对患者疾病不确定感进行评估,并采取相应干预措施以提高患者一般自我效能。

Influence of the sense of uncertainty in illness on the scores of general self-efficacy of middle and aged women with stress urinary incontinence

Objective: To discuss the influence of the sense of uncertainty in illness on the scores of general self-efficacy(GSE) of middle and aged women with stress urinary incontinence(SUI).Methods: 137 middle and aged women patients who had visited doctor in our hospital in recent years were selected as study objects.The Missals Disease Uncertainty Scale and general self-efficacy scale(GSES) were respectively used to make an assessment of the patients,comparing the test results with other 46 randomly selected people who had regular check-up at the same time.Results: The scores in each dimension and the total scores of Disease Uncertainty Scale were significantly higher in middle and aged women with SUI than those in healthy women(P<0.01);the score in each item of GSES and the total scores of GSES were obviously lower in middle and aged women with SUI than those in healthy women(P<0.01,P<0.05);the higher the level of uncertainty in illness was,the score in each item of GSES and the total scores of GSES were lower(P<0.01,P<0.05).Conclusion: The scores of sense of uncertainty in illness in middle and aged women with SUI were negatively correlated with GSES scores,therefore medical personnel should timely assess the patient’ sense of uncertainty in illness and take appropriate interventions to improve patient’s GSE.