慢性阻塞性肺疾病患者压力应对能力的现状调查研究

The research of current situations of COPD patients＇ abilities to cope with stress

目的 探讨慢性阻塞性肺疾病（COPD）患者的压力应对能力及其影响因素.方法 采用描述性研究设计方法,应用压力应对能力量表（MSI）调查200例慢性阻塞性肺疾病患者的适应性状况.结果 慢性阻塞性肺疾病患者的压力水平相对较高,压力应对能力相对较低.压力及压力应对能力与文化程度、付费方式、病程有显著相关性.女性患者的压力应对能力、变化和成熟得分显著高于男性患者,有宗教信仰的患者成熟得分显著高于无信仰者,压力及压力应对能力与年龄、婚姻状况、社会支持状况无显著相关性.结论 慢性阻塞性肺疾病患者的压力应对能力亟待提高;应针对不同人群的特点提供切实有效的护理措施,提高他们对疾病的应对能力.

Objective To study COPD patients＇ abilities to cope with stress and the influencing factors on it. Methods The descriptive research design method was adopted and COPD patients＇adaptive state was evaluated by MIS. Results The level of COPD patients ＇stress was higher, but the abilities to cope with the stress were lower. The stress and the abilities were significantly related to patients＇literacy, payment methods and courses. The female patients＇ scores of abilities, changes and maturation were higher than male patients. The scores of patients with religious faiths were also higher than patients who had no religious faiths. Meantime, the stress and abilities bad little relationship with patients＇age, the states of marriage and social sustainment. Conclusions COPD patients＇abilities to cope with stress need urgent improvement. According to different patients＇ features, the effective nursing measures should be provided to improve their abilities to cope with COPD.