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目的了解失能老人家属照顾者疾病不确定感的现状及影响因素。方法于2015年2-12月,采用便利抽样方法,应用一般资料调查表、日常生活活动能力调查表、Mishel疾病不确定感家属调查表、社会支持评定调查表、简易应对方式量表辽宁省锦州市社区402名失能老人的家属照顾者进行问卷调查。结果失能老人家属照顾者疾病不确定感平均得分为(72.26±9.34)分,不明确性维度得分(34.62±5.22)分,缺乏澄清维度得分(18.81±3.54)分,缺乏信息维度得分(9.42±2.07)分,不可预测性维度得分(9.31±2.56)分。失能老人家属照顾者疾病不确定感的影响因素主要有社会支持、学历、消极应对方式、家庭人均年收入。结论失能老人家属照顾者疾病不确定感处于较高水平,社区医务人员应该更多疾病不确定感对失能老人家属照顾者的影响,找到降低照顾者疾病不确定感切实可行措施,进而提高失能老人的护理质量。
Objective To understand the current situation and influencing factors of uncertainty about the illness of disabled dependents. Methods From February to December of 2015, the convenience sampling method, general information questionnaire, daily living activity questionnaire, Mishel family uncertainty questionnaire, social support rating questionnaire and simple coping style questionnaire were used in Jinzhou, Liaoning Province City community 402 disabled elderly people caregivers to conduct a questionnaire survey. Results The average score of uncertainty of illness was (72.26 ± 9.34) points, uncertainty dimension score (34.62 ± 5.22), absence of clarity dimension score (18.81 ± 3.54), lack of information dimension score (9.42) ± 2.07) points, unpredictable dimension score (9.31 ± 2.56) points. The main influencing factors of the uncertainty of the illness of elderly disabled dependents are the social support, education, negative coping styles and annual per capita income of the family. Conclusions The uncertainty of the illness of the elderly relatives in caregivers is at a high level. Community health workers should find out more practical measures to reduce the uncertainties of caregivers and improve the uncertainty of the elderly relatives. The quality of nursing care for disabled seniors.