Ⅱ期硅沉着病患者疾病应对方式与家庭功能相关性的研究

Correlation between family function and coping mode for disease of patients with type Ⅱ silicosis

目的分析Ⅱ期硅沉着病患者的疾病应对方式与家庭功能的关系。方法采用医学应对问卷及家庭关怀度指数问卷，对50例Ⅱ期硅沉着病患者进行调查并对结果进行分析。结果本组患者的应对方式与男性常模组比较，其面对、回避方式的使用低于常模，而屈服方式的使用则高于常模，差异均具有统计学意义（P〈0．01）；68％的Ⅱ期硅沉着病患者家庭功能较好；患者面对方式的使用程度与其家庭功能中的合作度呈正相关，回避方式的使用与家庭成长度及情感度呈正相关，家庭功能良好的患者使用回避方式多于家庭功能不良的患者。屈服方式的使用与家庭功能间无显著相关性。结论Ⅱ期硅沉着病患者采用的疾病应对方式与家庭功能有关，应加强对患者的心理护理及对其家庭成员的教育，以发挥家庭功能，协助患者进行积极应对，达到延缓病程进展的目的。

Objective To discuss the relation between family function and coping mode for disease of patients with type Ⅱ silicosis. Methods Interviewed 50 patients with type Ⅱ silicosis by medical coping mode questionnaire and family APGAR index, and then analyzed the datum of them. Results The scores in 50 patients with type Ⅱ silicosis about confrontation and avoidance were significantly lower than those of in normal male, P〈0.01, and the score of bend was significantly higher than normal score （P〈0.01）; 68% patients were with better family function： there was a positive relationship between confrontation mode and family function, avoidance mode positively related to the family development and emotion function. Patients with better family function used more avoidance mode than lower family function. There was no relationship between bending mode and family function. Conclusion There was relationship between coping mode and family function among patients with type Ⅱ silicosis. Nurses should educate the patients and their family members, improve the family function, and help patients to cope positively, in order to attain the goal to delay the disease process.