|
|
Study of correlation between disease symptom cluster and the illness uncertainty in stroke patients |
WANG Fang1,2 JIN Man1 FEI Wenling1 LIU Qian3 BU Guomin2 DONG Qiong4 ZHU Xiaoping3 |
1.School of Medicine, Tongji University, Shanghai 200092, China;
2.Department of Neurosurgery, Shanghai Tenth People’s Hospital Affiliated to Tongji University, Shanghai 200072, China;
3.Department of Nursing, Shanghai Tenth People’s Hospital Affiliated to Tongji University, Shanghai 200072, China;
4.Department of Neurology, Shanghai Tenth People’s Hospital Affiliated to Tongji University, Shanghai 200072, China
|
|
|
Abstract Objective To explore the correlation between disease symptom cluster and illness uncertainty in stroke patients. Methods A total of 286 inpatients with stroke treated in the Shanghai Tenth People’s Hospital Affiliated to Tongji University from May to December 2021 were selected as study subjects. General information questionnaire, stroke symptom experience scale, and Chinese version of Mishel were used, questionnaire survey was conducted on the scale of uncertainty in disease, and symptom cluster were extracted by systematic cluster analysis, and the relationship between disease symptom cluster and sense of uncertainty was explored through correlation analysis. Results There were significant differences in disease uncertainty scores among stroke patients with gender, residence, education level, monthly income, smoking history, and transient ischemic attack history (P<0.05). Systematic cluster analysis showed that stroke patients had three symptom groups: limb deformity and pain (36.71%), psychological and cognitive impairment (41.96%) and physical activity disorder (21.33%); stroke symptom cluster was positively corrected with disease uncertainty (r=0.370, P<0.05). Conclusion There is a correlation between symptom clusters and the illness uncertain in stroke patients. Nursing staff should pay more attention to the management of symptom clusters to reduce the illness uncertainty.
|
|
|
|
|
[1] 王陇德.卒中防治报告《中国脑卒中防治报告2019》概要[J].中国脑血管病杂志,2020,17(5):272-281.
[2] 李燕,崔妙玲.脑卒中症状管理研究进展[J].护理研究,2021,35(4):648-652.
[3] Katzan IL,Schuster A,Daboul L,et al. Changes in Health- Related Quality of Life After Transient Ischemic Attack [J]. JAMA Netw Open,2021,4(7):e2117403.
[4] Lee NT,Ahmedy F,Mohamad HN,et al. Brain-Derived Neurotrophic Factor Polymorphism and Aphasia after Stroke [J]. Behav Neurol,2021,2021:8887012.
[5] 景颖颖,万婕,沈佳雯,等.脑卒中患者疾病不确定感及自我感受负担的相关性研究[J]. 护理管理杂志,2017,17(5):344-346.
[6] 林守虹,罗宁鑫,杨锦珊.颈动脉狭窄支架植入术病人术前疾病不确定感与自我感受负担相关性分析[J].循证护理,2021,7(5):668-671.
[7] 彭斌,吴波.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南(2019)[J].中华神经科杂志,2019,52(12):994-1005.
[9] 石丹,李铮,杨坚,等.脑卒中症状体验量表的编制及信效度检验[J].中华物理医学与康复杂志,2019,41(2):96- 100.
[10] 黄秀梨,许淑莲.Mishel疾病不确定感量表之中文版测试[J].护理研究(台湾),1996,4(1):59-68.
[11] 胡雷芳.五种常用系统聚类分析方法及其比较[J].浙江统计,2007(4):11-13.
[12] 赫丽杰.结直肠癌术后患者疾病不确定感现状及其影响因素分析[J].中华现代护理杂志,2018,24(24):2923- 2926.
[13] 梁群英,危志华,曾蕾,等.基于Web of Science的国际女性不孕症焦虑研究可视化分析及护理启示[J].中国医药导报,2021,18(2):147-151.
[14] 许丽红,王苗苗,李静,等.HBV/HCV相关肝病住院患者再定义疾病不确定感与应对方式的相关性研究[J].中华现代护理杂志,2021,27(35):4856-4860.
[15] 朱兰芬,汪期明,范文静.卵巢交界性肿瘤患者疾病不确定感现状及其影响因素分析[J].中华现代护理杂志,2019,25(36):4782-4786.
[16] 马千惠,郭爱敏,赵小丹,等.慢性病患者社区护理需求调查表的研制及信度效度评价[J].中国护理管理,2019, 19(7):1029-1035.
[17] Dodd M,Janson S,Facione N,et al. Advancing the science of symptom management [J]. J Adv Nurs,2001,33(5):668-676.
[18] Liu Y,Kong C,Gong L,et al. The Association of Post- Stroke Cognitive Impairment and Gut Microbiota and its Corresponding Metabolites [J]. J Alzheimers Dis,2020,73(4):1455-1466.
[19] 魏媛媛,彭晶,画妍,等.急性脑卒中患者疾病不确定感与焦虑、抑郁的相关性[J].中国健康心理学杂志,2018, 26(6):840-843.
[20] Mitchell AJ,Sheth B,Gill J,et al. Prevalence and predictors of post-stroke mood disorders: A meta-analysis and meta-regression of depression,anxiety and adjustment disorder [J]. Gen Hosp Psychiatry,2017,47:48-60.
[21] 汪凯,董强.卒中后认知障碍管理专家共识2021[J].中国卒中杂志,2021,16(4):376-389.
[22] Schottke H,Giabbiconi CM. Post-stroke depression and post-stroke anxiety:prevalence and predictors [J]. Int Psychogeriatr,2015,27(11):1805-1812.
[23] Dattilo TM,Roberts CM,Fisher RS,et al. The Role of Avoidance Coping and Illness Uncertainty in the Relationship Between Transition Readiness and Health Anxiety [J]. J Pediatr Nurs,2021,59:125-130.
[24] 刘倩,于晓丽,费燕,等.心理韧性和领悟社会支持在首发缺血性脑卒中患者感恩与健康促进行为间的中介效应[J].解放军护理杂志,2021,38(11):12-16.
[25] Brambila-Tapia A,Meda-Lara RM,Palomera-Chavez A,et al. Association between personal,medical and positive psychological variables with somatization in university health sciences students [J]. Psychol Health Med,2020,25(7):879-886.
[26] Jong MC,Boers I,van Wietmarschen HA,et al. Hypnotherapy or transcendental meditation versus progressive muscle relaxation exercises in the treatment of children with primary headaches:a multi-centre,pragmatic,randomised clinical study [J]. Eur J Pediatr,2019,178(2):147-154.
[27] Contrada M,Cerasa A,Tonin P,et al. Aromatherapy in Stroke Patients:Is it Time to Begin? [J]. Front Behav Neurosci,2021,15:749353. |
|
|
|