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为探讨急性心肌梗死病人的疾病不确定感水平和应对方式及两者间的关系 ,采用 Mishel疾病不确定感量表和 Jalowiec的应对方式量表 ,以随机抽样法对入住 CCU且病情稳定的 6 8例急性心肌梗死病人进行问卷调查。结果 88.2 %的病人疾病不确定感处于中等水平 ;乐观的应对方式使用最多 ,感情冲动的应对方式使用最少。疾病不确定感与逃避、听天由命、感情冲动、寻求支持 4类应对方式有显著的正性关系 (P<0 .0 1) ,与面对、乐观、自我依赖 3类应对方式有显著的负性关系 (P<0 .0 1或 P<0 .0 5 ) ,与掩饰应对方式没有显著性关系。提示护士应指导病人采用有效的应对方式降低疾病不确定感 ,从而降低病死率 ,减少复发 ,提高病人生活质量
In order to explore the level of uncertainty and coping style of AMI patients and the relationship between the two, the Mishel disease uncertainty scale and Jalowiec’s coping style scale were used to assess the incidence of CCU and stable condition in patients with acute myocardial infarction Eight patients with acute myocardial infarction were surveyed. Results 88.2% of the patients were at medium risk of illness. Optimistic coping styles were the most used and the most impulsive coping styles were the least used. There was a significant positive relationship between illness uncertainty and evasion, resignation, emotional impulse and seeking to support four types of coping styles (P <0. 01), which were negatively correlated with coping style, optimism and self-dependence The relationship (P <0. 01 or P <0. 05), and cover up coping styles no significant relationship. Tips nurses should guide the patient to adopt an effective response to reduce the uncertainty of the disease, thereby reducing mortality, reduce recurrence and improve patient quality of life