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经弹簧圈栓塞治疗的未破裂颅内动脉瘤患者的疾病不确定感

Illness Uncertainty of the Patients With Unruptured Intracranial Aneurysms Treated by Coil Embolization.

作者信息

Lee JiEun, Lee SukJeong, Kwon O-Ki

出版信息

J Neurosci Nurs. 2023 Oct 1;55(5):150-156. doi: 10.1097/JNN.0000000000000722. Epub 2023 Aug 8.

Abstract

BACKGROUND

Patients with unruptured intracranial aneurysms (UIAs) treated by coil embolization may experience illness uncertainty despite successful treatment. This study aimed to investigate illness uncertainty in patients with UIAs treated by coil embolization and to identify the factors affecting illness uncertainty. METHODS: This cross-sectional study involved data collected from 267 patients with UIAs who received coil embolization within 2 years at a tertiary hospital in South Korea. The data were collected through structured questionnaires and the patients' medical records. The questionnaires included information on sociodemographic characteristics, the Hospital Anxiety and Depression Scale, the Multidimensional Scale of Perceived Social Support, and Mishel Uncertainty in Illness Scale data. We collected clinical characteristics through the medical records. Data analysis was performed using descriptive statistics, an independent t test, a 1-way analysis of variance, and a Pearson correlation test. We used a multiple linear regression analysis with significant variables in the univariate analysis to determine which variables had a significant impact on illness uncertainty. RESULTS: The mean Mishel Uncertainty in Illness Scale score was 52.33 (12.93). We identified age ( P = .002), education level (high school graduation, P = .014; college or higher, P < .001), anxiety ( P < .001), and social support ( P < .001) as factors affecting illness uncertainty. CONCLUSION: Patients with UIAs who underwent coil embolization did not exhibit severe illness uncertainty. The factors affecting illness uncertainty were age, educational level, anxiety, and social support. This study provides insight into illness uncertainty in this patient population and may help develop appropriate nursing interventions.

摘要

背景

接受线圈栓塞治疗的未破裂颅内动脉瘤(UIA)患者尽管治疗成功,但仍可能经历疾病不确定性。本研究旨在调查接受线圈栓塞治疗的UIA患者的疾病不确定性,并确定影响疾病不确定性的因素。方法:这项横断面研究收集了韩国一家三级医院在2年内接受线圈栓塞治疗的267例UIA患者的数据。数据通过结构化问卷和患者病历收集。问卷包括社会人口学特征、医院焦虑抑郁量表、多维感知社会支持量表以及米舍尔疾病不确定性量表数据等信息。我们通过病历收集临床特征。数据分析采用描述性统计、独立样本t检验、单因素方差分析和Pearson相关检验。我们对单因素分析中有显著意义的变量进行多元线性回归分析,以确定哪些变量对疾病不确定性有显著影响。结果:米舍尔疾病不确定性量表的平均得分为52.33(12.93)。我们确定年龄(P = 0.002)、教育水平(高中毕业,P = 0.01 | 4;大专及以上,P < 0.001)、焦虑(P < 0.001)和社会支持(P < 0.001)为影响疾病不确定性的因素。结论:接受线圈栓塞治疗的UIA患者未表现出严重的疾病不确定性。影响疾病不确定性的因素是年龄、教育水平、焦虑和社会支持。本研究为该患者群体的疾病不确定性提供了见解,并可能有助于制定适当的护理干预措施。

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