高血压病人应对方式对治疗依从性的影响

Influence of coping mode of hypertension patients on their compliance toward treatment

[目的 ]探讨应对方式对治疗依从性的影响 ,为提高健康教育效果提供理论依据。 [方法 ]对 10 8例高血压病人采用医学应对问卷和治疗依从性评定量表进行调查 ,统计分析两者的关系。 [结果 ]高血压病人治疗依从性与应对方式有关 (P <0 .0 5 )。采用积极应对方式比采用消极应对方式的血压控制更好 (P <0 .0 5 ) ;年龄与面对应对方式相关 (P <0 .0 5 ) ;受教育程度与回避应对方式相关 (P <0 .0 5 )。[结论 ]健康宣教应了解病人个性心理特征和行为模式 ,指导其采用积极的应对策略。帮助病人认识治疗依从性重要的同时 ,认识应对方式的重要性。相对年轻者和受教育程度低者 ,应给予更多的关注。

Objective: to probe into the effect of coping mode on compliance towar d treatment for hypertension patients, to provide a theoretical basis for enhanc ing their health education effect. Method: a total of 108 hypertension patients were investigated by filling out medical coping questionnaires and treatment com pliance assessment scales, to find and analyze the relationship between coping m ode and treatment compliance. Result: treatment compliance of hypertension patie nts was correlated with their coping mode(P<0.05). To take activ e coping mode can control blood pressure better for hypertension patients than t o take negative coping mode(P<0.0.5). Age of patients was correl ated with their coping mode(P<0.05). And patients' education lev el was correlated with their evasive coping mode(P<0.05). Conclu sion: health education provider should know patients' psychological characters a nd behavior modes well, to help them to recognize the importance of both complia nce toward treatment and coping modes. For those with younger age or with lower education level, one should pay more attention to.