| Abstract |
Objective To study the state of illness uncertainty and its relationship with anxiety, depression and cognitive function in elderly patients with spinal fractures. Methods Ninety elderly patients with spinal fractures in our hospital from May 2016 to May 2019 were selected as the study subjects. The condition uncertainty illness scale (MUIS), self-depression rating scale (SDS), simple intelligent mental state scale (MMSE), and self-rating anxiety scale (SAS) were investigated. Pearson analysis and multiple stepwise regression analysis were used to investigate the relationship between illness uncertainty and anxiety, depression and cognitive function. Results The total score of MUIS (81.22 ± 4.33) in 90 elderly patients with spinal fractures, the average score of uncertainty is the highest. SDS score, SAS score were positively correlated with ambiguity, unpredictability, complexity, and total MUIS score (P<0.05), and not correlated with lack of information (P>0.05). MMSE score was negatively correlated with lack of information, complexity, ambiguity, unpredictability, and total MUIS score (P<0.05). Multiple stepwise regression analysis showed that SDS score, SAS score, and MMSE score were related factors that affected the uncertainty of the elderly patients with spinal fractures. Conclusion Elderly patients with spinal fractures are at a medium level of uncertainty, which is mainly manifested by ambiguity and complexity. Anxiety and depression are related factors of illness uncertainty.
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