目的：探讨护理支持对消化性溃疡合并消化道出血患者疾病不确定感的影响。方法：60例消化性溃疡伴消化道出血患者随机分为对照组(28例)和研究组(32例),两组均采用普通病房护理,对照组患者给予常规性健康教育,研究组患者在此基础上给予综合性护理支持,干预时间为3周,干预前后,采用疾病不确定感量表( MUIS)对两组进行评价。结果：干预前,研究组和对照组患者MUIS 总分分别为(102.86依8.38)分和(105.37依8.57)分,两组比较差异无统计学意义(t=0.69,P>0.05),干预后,研究组和对照组患者MUIS 总分分别为(72.39依6.25)分和(93.26依7.41)分,两组比较差异具有统计学意义(t=11.83,P<0.01)。结论：护理支持能够降低消化性溃疡伴消化道出血患者疾病不确定感,提高其认知水平,维持良好的心理状态。%Objective:To explore influence of nursing supporting on disease uncertainty feeling for patients with peptic ulcer combined with gastrointestinal bleeding. Methods:60 patients with peptic ulcer combined with gastrointestinal bleeding were divided into study group (32 patients) and control group (28 patients), the two group was given common ward nursing;moreover, the cases in control group were given routine health education, whereas those in study group were given comprehensive nursing supporting, and the intervention lasted for 3 weeks. Before and after the intervention, the two groups were evaluated by Mishel's uncertainty in illness scale (MUIS). Results:Before the intervention, the total score of MUIS of study group and control group were (102. 86±8. 38) and (105. 37±8. 57), respectively, and there was not a significant statistical significance between the two groups (t=0. 69, P>0. 05);after the intervention, the total score of MUIS of study group and control group respectively were (72. 39±6. 25) and (93. 26±7. 41), and there was a significant statistical significance between the two groups (t=11. 83, P<0. 01). Conclusions:The nursing supporting can reduce the disease uncertainty feeling for the patients with peptic ulcer combined with gastrointestinal bleeding, improve their cognitive level, and keep psychological states better.
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