在患有多发性硬化症的患者中不容忍不确定性,症状严重性和疾病自我管理
Feride Taskin Yilmaz1, Selda Celik2, Emine Ezgi Ozcelik3
1Feride Taskin Yilmaz, PhD, RN, is Associate Professor, Neurosurgery Critical Care Unit, Faculty of Health Sciences, Sakarya University of Applied Sciences, Internal Disease Nursing, Sakarya, Türkiye.
概括
多发性硬化症 (MS) 患者对不确定性的不容忍与症状严重程度增加和自我管理较差有关. 解决这种不确定性对于改善MS患者的护理和治疗结果至关重要.
科学领域:
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 患有多发性硬化症 (PwMS) 的人经常面临有关疾病病因,症状,治疗和进展的不确定性.
- 对不确定性的不容忍可能会使PwMS的疾病管理复杂化.
研究的目的:
- 探索不确定性不耐受,症状严重程度和MS患者的自我管理之间的关系.
- 为了确定是否不容忍不确定性预测PwMS的症状严重性和自我管理.
主要方法:
- 采用了一种描述性和相关性研究设计.
- 来自神经病学诊所的105名多发性硬化症患者参与了这项研究.
- 使用不确定性不耐受度量,监测我的多发性硬化症度量和多发性硬化症自我管理度量.
主要成果:
- 在不耐受不确定性和症状严重程度 (r=0.429,P<0.01) 之间发现了中度的正相关性.
- 在不容忍不确定性和自我管理之间观察到中度负相关性 (r=-0.558,P<0.01).
- 不确定性不耐受性解释了症状严重程度的18%和自我管理的30%的变化.
结论:
- 对不确定性的不耐受性显著增加了症状严重程度,并降低了PwMS的自我管理.
- 它是该人口中症状严重程度和自我管理的重要预测指标.
- 护士应该主动解决不容忍不确定性的问题,以改善PwMS的护理.
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