社会支持对外伤性截瘫患者应付方式及生活质量的影响

Effect of social support on coping style and life quality of patients with traumatic paraplegia

目的探讨社会支持对外伤性截瘫患者应付方式及生活质量的影响。方法将60例患者以社会支持评分（SSRS）分组，社会支持总分〈35分为低社会支持组，〉45分为高社会支持组，比较两组应付问卷（WOCS）、世界卫生组织生存质量测定量表简表（WHOQCL—BREF）评分情况，并进行相关分析。结果印例外伤性截瘫患者SSRS总分及主观支持、客观支持、支持利用度因子评分分别为（38．28±4．92），（23．28±5．21），（11．22±3．16），（8．54±1．97）分。其中〈35分者（低分组）22例；〉45分者（高分组）17例；35～45分者21例。社会支持高分组外伤性截瘫患者生理领域、心理领域、社会关系领域、环境领域评分均高于社会支持低分组，差异均有统计学意义（P〈0．05或P〈0．01）。结论社会支持程度对伤性截瘫患者应付方式及生活质量具有重要影响，良好的社会支持有助于患者采取积极地应付方式，提高患者的生活质量。

Objective To investigate the impact of social support on coping style and life quality of patients with traumatic paraplegia. Methods According to social support rating scale （ SSRS）, 60 cases were divided into two groups： low social support group （total social support score lower than 35 ） and high social support group （ total social support score higher than 45 ）. Scores of WOCS and WHOQCL-BREF were compared between the two groups and correlation analysis was conducted. Results Average scores of SSRS, subjective support, objective support and support utilization of the 60 cases were （ 38.28 ± 4.92 ）, （ 23.28 ± 5.21 ）, （11.22 ±3.16） and （8.54 ± 1.97）, respectively. There were 22 cases lower than 35 points （low score group）, 17 cases higher than 45 points （high score group）, and 21cases between 35 and 45 points. Scores of physiological, psychological, social relations an.d environment dimension of the high social support group was significantly higher than those of the low social support group, and there was significant difference（P 〈 0. 05 or P 〈 0. 01 ）. Conclusions The degree of social support has an important impact on coping style and life quality of traumatic paraplegia patients. Well social support helps patients take active behaviors and improve the quality of life.