多发伤合并失血性休克患者家属疾病不确定感水平评价

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Abstract Objective To analyze the level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock. Methods A total of 118 family members of patients with multiple trauma combined with hemorrhagic shock admitted to Jiangsu Province Hospital from October 2019 to December 2020 were selected as the research subjects, one case was randomly selected into groups from the family members of the patients, all the family members of patients were assessed with mishel uncertainty in illness scale （MUIS） on the day of admission, designed the filling form of baseline data, the related baseline data of family members of patients were recorded, the MUIS scores of family members of patients with different data characteristics were compared, the related factors that might affect the level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock were analyzed. Results The family members of 118 patients with multiple trauma combined with hemorrhagic shock had a moderate level of uncertainty in illness, with an average MUIS score of （91.53±10.71） points; the MUIS score of the family members of patients with multiple trauma combined with hemorrhagic shock who had junior high school education or below, low social support, family monthly income ＜3000 yuan and depression was higher than those of the family members of patients with multiple trauma combined with hemorrhagic shock who had technical secondary school or high school education, college education or above, medium or higher social support, family monthly income ≥3000 yuan and no depression, there was a statistical significant difference （P ＜ 0.05）; by multiple linear regression analysis, the results showed that junior high school education or below （X1）, low social support （X2）, family monthly income ＜3000 yuan （X3） and depression （X4） were the influencing factors for the high level of uncertain in illness of family members of patients with multiple trauma combined with hemorrhagic shock （P ＜ 0.05）, obtained the equation Y = 116.043+1.036X1+0.540X2+0.560X3+0.957X4. Conclusion The family members of patients with multiple trauma combined with hemorrhagic shock have certain degree of uncertainty in illness, which may be related to depression of family members, low education level, family monthly income ＜3000 yuan and low social support, the above factors should be paid attention to in clinic and given corresponding intervention.

Key words： Multiple trauma Hemorrhagic shock Family members Uncertainty in illness Influencing factors

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	QIAN Yuanyuan ZHANG Li ZHOU Juan JI Xueli▲

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QIAN Yuanyuan ZHANG Li ZHOU Juan JI Xueli▲. Evaluation on level of uncertainty in illness of family members of patients with multiple trauma combined with hemorrhagic shock[J]. 中国医药导报, 2021, 18(26): 125-128,146.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I26/125

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