摘要目的 调查慢性肾脏病(CKD)住院患者疾病不确定感的现状并探讨其影响因素.方法 采用疾病不确定感量表(MUIS-A)及自编个人资料和影响因素问卷,对110例慢性肾脏病患者进行调查,分析其影响因素.结果 共发放问卷110份,回收有效问卷106份,回收有效率为96.4％.106例CKD患者疾病不确定感总分为55～117分,平均(86.73±15.35)分,75例患者得分为78 ～120分,属于中度疾病不确定感.疾病不确定感各维度得分:不明确性(39.05±8.20)分,不一致性(18.42±4.61)分,复杂性(13.64±3.97)分,不可测性(15.61±4.46)分.不同年龄、文化程度、居住地、婚姻状况、人均收入、支付方式、症状个数、发病性质、CKD分期及有无宗教信仰、疲乏、泡沫尿、水肿症状的CKD患者疾病不确定感得分比较,差异无统计学意义(P＞0.05)；不同病程、获取知识途径个数及是否有夜尿增多、肉眼血尿症状的CKD患者疾病不确定感得分比较,差异有统计学意义(P＜0.05).结论 CKD患者的疾病不确定感处于中等水平,症状、信息和病程为其主要影响因素.

abstractsObjective To discuss the current status and influencing factors of illness uncertainty in hospitalized patients with chronic kidney diseases (CKD).Methods Totals of 110 patients with chronic kidney diseases were investigated with MUIS-A,self-designed personal material and influencing factors questionnaire.Results A total of 106 out of 110 questionnaires were recovered with the efficient rate of 96.4％.The total score of their uncertainty was 55-117,and the average score was (86.73 ± 15.35).Totals of 75 cases scored 78-120,as the moderate illness uncertainty.The score of very dimension of illness uncertainty was (39.05 ±8.20) for ambiguity,(18.42 ± 4.61) for inconsistency,(13.64 ± 3.97) for complexity,and (15.61 ± 4.46)for unpredictability.Patients of different ages,degrees of education,locations,marriage status,per capital incomes,payment patterns,numbers of symptoms,natures of disease,CKD stages,religions,and situations of fatigue,urine foam,and edema had no significantly different degree of illness uncertainty (P ＞0.05).And patients of different courses of disease,numbers of channels to get knowledge,and situations of enuresis nocturna increase and gross hematuria had significantly different degree of illness uncertainty (P ＜0.05).Conclusions Patients with chronic kidney diseases had moderate level of illness uncertainty,and symptoms,information and course of disease were the main influencing factors.