A survey of uncertainty in illness state and its influencing factors in patients with Brucellosis

Objective To investigate the current status of uncertainty in illness state among brucellosis patients in Urumqi, Xinjiang, and analyze its influencing factors. Methods A convenience sampling method was used to select 180 brucellosis patients from a Grade-A hospital in Urumqi, Xinjiang, who visited between May 2024 and December 2024. General data, the Illness Uncertainty Scale (DCS), the Hospital Anxiety and Depression Scale (HADS), and the SF-36 Health Survey were used to collect data. Multivariate linear regression analysis was applied to analyze the influencing factors of illness uncertainty in brucellosis patients. Results Among the 180 patients, 117 were male, and 63 were female, with an average age of (40. 44 ± 9. 99) years. The total score of illness uncertainty was (74. 66 ± 11. 03), with the ambiguity dimension scoring (43. 75 ± 6. 90) and the complexity dimension scoring (30. 91 ± 5. 14). Multivariate linear regression analysis showed that age, education level, whether it was the first treatment, quality of life, and anxiety and depression were influencing factors of illness uncertainty in brucellosis patients (P＜0. 05). Conclusion This study showed that the uncertainty of illness in brucellosis patients was significantly influenced by factors such as educational level, whether it was their first treatment, quality of life, and anxiety or depression. It is recommended that healthcare professionals pay attention to the psychological state of patients and reduce illness uncertainty through health education and psychological counseling, thereby improving treatment adherence and quality of life. (目的 调查新疆乌鲁木齐某三级甲等医院布鲁氏菌病患者疾病不确定感现状, 分析其影响因素。方法 采用便利抽样法, 选取2024年5月—12月在新疆乌鲁木齐某三甲医院就诊的180例布鲁氏菌病患者作为研究对象, 采用一般资料调查表、疾病不确定感量表(DCS)、焦虑抑郁量表(HADS)、生活质量评分量表(SF-36)进行调查。利用多元线性回归分析布鲁氏菌病患者疾病不确定感的相关影响因素。结果 180例患者中, 男117例, 女63例, 平均年龄(40. 44±9. 99)岁。患者疾病不确定感总分为(74. 66±11. 03)分, 其中不明确性维度得分为(43. 75±6. 90)分、复杂性维度得分为(30. 91±5. 14)分。多元线性回归分析显示, 年龄、文化程度、是否首次治疗、生活质量、焦虑抑郁是布鲁氏菌病患者疾病不确定感的影响因素(P＜0. 05)。结论 布鲁氏菌病患者的疾病不确定感受文化程度、是否首次治疗、生活质量和焦虑抑郁情绪的显著影响。建议医护人员关注患者的心理状态, 通过健康教育和心理疏导减轻疾病不确定感, 从而提升治疗依从性和生活质量。)