Path analysis of the influence of disease uncertainty and coping style on self-perceived burden in patients with lower extremity deep vein thrombosis
10.3760/cma.j.cn115682-20220113-00198
- VernacularTitle:下肢深静脉血栓患者疾病不确定感及应对方式对自我感受负担影响的路径分析
- Author:
Mian XIAO
1
;
Rufu JIA
;
Guimei YIN
;
Yafei WANG
Author Information
1. 华北理工大学护理与康复学院，唐山 063210
- Keywords:
Deep vein thrombosis;
Coping style;
Disease uncertainty;
Self-perceived burden;
Path analysis
- From:
Chinese Journal of Modern Nursing
2022;28(33):4620-4625
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the relationship between disease uncertainty, coping style, and self-perceived burden (SPB) in patients with lower extremity deep vein thrombosis (DVT) .Methods:Totally 280 patients with lower extremity DVT who were hospitalized in the Department of Vascular Surgery of three ClassⅢ Grade A hospitals in Cangzhou from September 2020 to April 2021 were selected by convenience sampling and investigated with the general information questionnaire, Medical Coping Style Questionnaire, Self-Perceived Burden Scale (SPBS) , Medical Coping Modes Questionnaire (MCMQ) , and Mishel's Uncertainty in Illness Scale (MUIS-A) . Pearson correlation was used to analyze the correlation between variables. A total of 280 questionnaires were distributed in this study, and 262 valid questionnaires were recovered, with an effective recovery rate of 93.6%.Results:The SPB score of the 262 patients with lower extremity DVT was (28.83±7.43) ; disease uncertainty, avoidance, and yielding were positively correlated with the patients' SPB ( r=0.651, 0.477, 0.469; P<0.01) , while facing was negatively correlated with SPB ( r=-0.485, P<0.01) . The path analysis revealed that avoidance and yielding played a partial mediating effect between disease uncertainty and SPB, accounting for 14.6% of the total path effect. Conclusions:Disease uncertainty can indirectly affect SPB in patients with lower extremity DVT through avoidance and yielding. Clinical medical staff should formulate targeted intervention and health guidance strategies to improve patients' disease cognition and coping ability, and reduce their SPB.
