弥漫性甲状腺肿伴甲亢症患者的应对方式及其对生存质量的影响

Coping style and it's affection to quality of life in patients with graves′ disease

目的:比较弥漫性甲状腺肿伴甲亢症患者与正常对照组的应对方式与生存质量,研究两者的相关性以探讨应对方式对生存质量的影响。方法:采用WHO生存质量测定简表、特质应对方式问卷对65例甲亢患者和64例正常对照组进行了测评。结果:两组积极应对评分无显著差异,甲亢组消极应对评分高于正常对照组(P<0.05)。甲亢组在生理领域及心理领域的生存质量比对照组差(P<0.05);甲亢组消极应对与生理领域和心理领域的生存质量均呈负相关(P<0.05);积极应对与社会关系领域的生存质量呈正相关(P<0.05)。结论:甲亢组比正常对照组应对方式消极,甲亢患者的生存质量在生理领域和心理领域比正常对照组差,生存质量的降低与消极应对有关。

Objective：To compare the coping style and quality of life in patients with graves＇ disease, to study their correlations,and explore how coping style affects patient＇s quality of life.Method：65 patients and 64 normal controls were assessed using World Health Organization Quality of Life Questionaire abbreviated version （WHOQOL- BREF） and Trait Coping Style Questionaire.Result：Positive coping score had no significant differences in two groups. Negative coping score of patients with graves＇ disease was significantly higher than normal eontnol （P〈0.05）. PHYS and PSYCH domains of quality of life scores were significantly lower than normal control（P〈0.05）. In Graves＇ group. negative coping was negative related with PHYS and PHYCH domain scores（P〈0.05）. Positive coping positive related with SOCIL domain score（P〈0.05）.Conclusion：Coping style of patients with Graves＇ disease is negative than that of normal controls,negative coping style lowers the quality of life of patients with Graves＇ disease.