老年糖调节受损者应对方式与主观幸福感状况调查

Coping Strategies and Subjective Well-being of the Elderly with Impaired Glucose Regulation

目的 探讨老年糖调节受损（IGR）者的应对方式和主观幸福感状况及其相互关系，为心理护理提供理论依据。方法 用主观幸福感量表和特质应对方式问卷对220例老年IGR者的应对方式和主观幸福感状况进行调查。并对应对方式与主观幸福感的关系进行相关性分析。结果 老年IGR者积极应对和消极应对得分分别为34．23±7．02和19．92±5．65．积极应对得分高于国内常模（P〈0．01），有27．73％～78．64％采用不同形式的积极应对方式。4．09％～18．18％采取消极应对方式；主观幸福感总分为36．60±8．21；积极应对方式与主观幸福感呈正相关（r=0．39，P〈0．01）．消极应对方式与主观幸福感呈负相关（r=0．40，P〈0．01）。结论 老年IGR者中大部分人采取积极应对方式。幸福感较强。应重视采取消极应对方式的少部分人。帮助其改变应对方式。以提高主观幸福感。

Objective To explore the coping strategies and subjective well-being （SWB） of the elderly with impaired glucose regulation （IGR）, and the correlation between the coping strategies and SWB, to provide some advice on psychological nursing. Methods A total of 220 old persons with IGR were tested by MUNSH and TCSQ, and the correlation analysis between the coping strategies and SWB of them was performed. Results 27.73 %- 78.64 % of old people with IGR chose active .strategies when facing .stress. 4.09% - 18. 18% of them adopted negative strategies. Most old people with IGR felt happy. Bivariate correlation .suggested that positive coping had a significantly positive correlation with SWB （r= 0.39. P〈0.01 ）, and negative coping had a significantly negative correlation with SWB（r=-0. 40, P〈 0.01 ）. Conclusion In psychological nursing on the elderly with IGR, more attention should be paid to those who mainly selected negative strategies. To enhance their coping strategies could improve their SWB.