心臟衰竭病患疾病不確定感與社會支持對心理困擾的影響

本研究旨在了解心臟衰竭病患疾病不確定感與社會支持對心理困擾的 影響。本研究為一描述性相關研究，以新竹縣某地區教學醫院內科病房之心臟衰竭病人為研究對象，採立意取樣，共取樣29名。以結構式問卷量表 為研究工具，其包括：「疾病不確定感量表」、「社會支持量表」、「醫院焦慮憂鬱量表」、「個人屬性資料」等四部份。並以SPSS/PC套裝軟體 進行資料處理，以百分比、平均值、標準差、最大值、最小值、Pearson 積差相關及逐步回歸等統計方法來分析。結果顯示： 1.心臟衰竭病患疾病不確定感與社會支持呈正相關〈r=- .351, p< .05〉 2.心臟衰竭病患疾病不確定感與心理困擾呈正相關〈r= .420, p< .05〉 3.心臟衰竭病患社會支持與心理困擾無關〈r=- .089, p> .05〉 4.由逐步回歸分析顯示，疾病不確定感是唯一可以預測心臟衰竭病患心理困擾之變項，可解釋百分之17.6的變異數〈R2= .176, F=5.774, p< .05〉 期望藉此研究能夠幫助護理人員，當心臟衰竭個案在住院期間因疾病 產生心理方面的困擾時，提供一相關的資料做評估方面的參考；使個案在 疾病治療的過程中，不只生理上達到舒適而且心理上也能被了解，使個案 能獲得身心健康的狀態，達到全人的照護。

The purpose of this study was to explore illness uncertainty and social support related to psychlogical distress in heart failure patients.This was a descriptive and correlationnal research by a purposive sampling of twenty nine heart failure patients from a teaching hospital medical ward in Hsinchu county. The researh method was the structural survey scales consist of four parts------ Mishel uncertainty in illnes scale（MUIS）, Interpersonal Support Evaluation List（ISEL）, Hospital Anxiety and Depression Scale（HADS）and individual tenacity chart. The data collected are processed via SPSS/PC package software and analyzed via statistical mathod of percentage, medians, standard deviation, minimum,maximum, Pearson’s product correlation coeffient, Stepwize multiple regression. The major findings of the study were the follows： 1.Social support was negatively related to total uncertainty（r = - .351, p< .05）. 2.A positve relationship between uncertainty and psychological distress was noted（r = .420, p< .05）. 3.No relationship between social support and psychological distress（r = - .089, p> .05）. 4.From stepwize multiple regression analysis found, uncertainry was the only factor predicting the psychological distress and explained 17.6％ of the variance（R2= .176, F=5.774, p< .05）. The purpose of the study has been to unveil pertinent assessment data to nursing staff when evaluating disease-related psychological distress through- -out the hospitalization of heart failure patients, where a case treatment pro- -cedure not only demands physical comfort but also psychological equilibrium crucial to ensure a patient’s physiological well-being. I properly maintained in a more attentive personal care. Keywords: Heart failure, uncertainty, social support, psychological distres