社会支持与应对方式对慢性荨麻疹患者生活质量的影响

Influence of Social Support and Coping Style on Quality of Life for Patients with Chronic Urticaria

目的探讨社会支持和应对方式对慢性荨麻疹患者生活质量的影响。方法采用便利抽样法选取2011年11月至2012年4月在天津市中医药研究院附属医院住院的慢性荨麻疹患者90例,采用世界卫生组织生活质量测定量表简表、社会支持评定量表及医学应对方式问卷对其进行问卷调查。结果患者的医疗费用支付方式和病程与生活质量有相关性(P<0.05);除支持利用度外,患者的社会支持与生活质量总分及各因子均呈正相关(P<0.05或P<0.01);医学应对方式中,回避维度与生活质量总分及生理、心理和社会领域呈正相关(P<0.05),与环境领域无相关性(P>0.05)。结论慢性荨麻疹患者的生活质量偏低;社会支持及应对方式影响慢性荨麻疹患者的生活质量。在临床工作中应评估患者所采取的应对方式及生活质量,通过有效的心理干预,帮助患者采用积极的应对方式,从而有效地利用社会支持,提高生活质量。

Objective To investigate the influence of social support and coping style on quality of life for patients with chronic urticaria. Methods By convenience sampling method, ninety patients with chronic urticaria were sur- veyed with World Health Organization Quality of Life assessment instrument-Brief（WHOQOL-BREF）, Medical coping Modes Questionnaire（MCMQ） and Social Support Rating Scale （SSRS） from November 2011 to April 2012. Results Significant positive correlations were detected between payment of medical expenses, course of dis- ease and quality of life （P〈0.05）, subjective or objective social support and quality of life（P〈0.05 or P〈0.01）. Significant positive correlations were also found between avoidance of coping modes and physical, psychological, social domains of life quality（P〈0.05）. Conclusion Influenced by social support and coping style, life quality of chronic urticaria is still fairly low. Social support and coping style of chronic urticaria should be assessed in clini- cal practice. Effective and active psychological interventions should be implemented to help patients to adopt active coping style and efficient social support, so as to improve the life quality of chronic urticaria.