慢性阻塞性肺疾病患者生存质量与应对方式的相关性研究

Relationship of Quality of Life and Coping Style of Patients with Chronic Obstructive Pulmonary Disease

目的探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者生存质量与应对方式之间的关系。方法2008年9月—2009年6月,应用健康状况调查问卷(Short Form 36 Health Survey Questionnaire,SF-36)、呼吸道疾病问卷修订版(The Airways Questionnaire 20-Rised,AQ20-R)和医学应对问卷(Medical Coping Modes Questionnaire,MCMQ)对102例COPD患者进行调查。结果SF-36中得分最低的是生理职能维度,其次是一般健康状况维度;AQ20-R总分为(8.73±3.74)分;与常模相比,COPD患者较少采用面对、回避的应对方式;经Spearman相关分析显示,SF-36的生理职能维度与面对应对方式呈正相关;精力和情感职能维度与回避应对方式呈负相关;AQ20-R总分与回避应对方式呈正相关;SF-36除躯体疼痛维度以外的各维度均与屈服应对方式呈显著负相关;AQ20-R总分与屈服应对方式呈显著正相关。结论COPD患者所采取的应对方式在一定程度上影响患者的生存质量,护理人员应从生理、心理、社会功能等方面评估健康状况,帮助患者采取积极应对,减少消极应对。

Objective To study the relationship between quality of life and coping style of patients with COPD.Methods A descriptive and correlative study was performed.A total of 102 patients were investigated by SF-36,AQ20-R,and MCMQ,the result of which was analyzed by SPSS 13.0.Results Of the dimensions of SF-36,the lowest score was role-physical（RP）,and general health（GH） in turn.The total score of AQ20-R was（8.73±3.74）.The score of RP was positively correlated with confrontation coping mode,the scores of vitality（VT） and role-emotional（RE） were negatively correlated with avoidance coping mode.The total score of AQ20-R was positively correlated with avoidance and resignation.The scores of SF-36 were negatively correlated with resignation coping mode,except bodily pain（BP）.Conclusion Coping style of COPD patients exerts certain influence on their quality of life.Nursing staff should make an overall evaluation of health status of patients in physiological,psychological and social aspects and help patients to adopt active coping styles.