老年冠心病病人自尊与应对方式相关研究

Relative Study Between Self-esteem and Coping Modes in Aged Patients with Coronary Heart Disease

目的:探讨老年冠心病病人的自尊水平及与应对方式的关系。方法:应用自尊量表(SES)及医学应对方式问卷(MCMQ)对246例社区居家及住院治疗的老年冠心病病人进行测试研究。结果:①女性老年冠心病病人的自尊水平显著高于男性(t=4.056,P=0.000);②老年冠心病病人的自尊水平与面对应对方式正相关(r=0.387,P=0.000),与屈服应对方式负相关(r=-0.425,P=0.000);③自我肯定是自尊影响面对应对方式的主要因子,自我否定与失败感是自尊影响屈服应对方式的主要因子。结论:老年冠心病病人的自尊水平会影响其应对方式的选择。

Objective： To probe into the relationship between self-esteem and coping modes in aged patients with coronary heart disease （CHD）. Methods： A total of 246 aged patients with CHD at home and in hospital were tested for their self-esteem and reply modes by adopting the Self-esteem Scale （SES） and Medical Coping Modes Questionnaire （MCMQ）. Results： ①The female aged patients with CHD had higher scores of self-esteem than the male patients （t = 4.056, P=0.000）. ②The patients＇ self-esteem had significantly positive correlation to the confrontation coping mode （r = 0.387 ,P=0.000） and significantly negative correlation to the compromising coping modes （r =-0.425, P=0.000）. ③Self-affirmation was the main factor of self-esteem to affect the confrontation coping mode; self-denial and the feeling of failure were the main factors of self-esteem to affect the compromising coping mode. Conclusion： Aged patients with CHD＇s self-esteem can influence their choice of coping modes.