紧张型头痛患者的生活质量与应对方式以及社会支持的相关性研究

Association Study of the Quality of Life,Coping Style and Social Support in Patients with Tension-type Headache.

目的探讨紧张型头痛患者的生活质量、应对方式及其社会支持状况。方法采用生活质量综合评定问卷(GQOL I)、医学应对问卷(MCMQ)及社会支持评定量表(SSA S)对56例紧张型头痛(观察组)和56例健康自愿者(对照组)进行调查,并对生活质量与应对方式及社会支持作相关分析。结果①观察组生活质量总分及躯体功能、心理功能2个维度评分均显著低于对照组(P<0.01);②观察组面对分量表评分显著低于对照组,而屈服分量表评分则显著高于对照组(P<0.05);③观察组社会支持总分及主观支持、支持利用度评分均显著低于对照组(P<0.05或P<0.01);④紧张型头痛患者的生活质量总分及躯体功能、心理功能2个维度评分与面对分量表评分及社会支持总分、主观支持、支持利用度2个维度评分均呈显著性正相关,而与屈服分量表评分则呈显著性负相关(P<0.05或P<0.01)。结论紧张型头痛患者的生活质量较低,与应对方式及社会支持有关。因此,指导紧张型头痛患者采取积极的应对方式,增强其社会支持,可以提高紧张型头痛患者的生活质量。

Objective To explore the quality of life, coping style and social support in patients with tension-type headache. Methods 56 patients with tension-type headache （observed group） and 56 normal controls （control group） were tested with the Generic Quality of Life Inventory （GQOLI）, Medical Coping Questionnaire （MCMQ） and Social Support Assessment Scale （SSAS）. Results ①The total score of GQOLI and physical function, mental function factor scores in the observed group were significant lower than that in the control group （P〈0.01）; ②The score of face to face in the observed group was significant lower than those in the control group （P〈0. 05）, while the score of submissiveness in the observed group was significantly higher than that in the control group （P〈0. 01） ③The total score of SSAS, subjective support and utilization degree of social support scores in the observed group were significant lower than that in the control group （P〈0. 05 or P〈0.01）. ④The total score of GQOLI and physical function, mental function factor scores were significantly positively correlated with the score of face to face of MCMQ and the total score of SSAS, subjective support and utilization degree of social support scores, but they were significantly negatively correlated with the score of submissiveness of MCMQ. Conclusion The quality of life of the patients with tension-type headache was lower than that of normal people. The quality of life was significantly correlated with coping style and social support. Using positive coping style and enhancing social support could increase quality of life of the patients with tension-type headache.