强直性脊柱炎患者生存质量与医学应对方式状况及其影响因素

Influencing factors of ankylosing spondylitis patients' life quality and medical coping styles

目的探讨强直性脊柱炎(ankylesing spondyliti,AS)患者生存质量现状与医学应对方式状况及其影响因素。方法对在本院门诊就诊的200例AS患者进行生存质量和医学应对方式测评,了解AS患者生存质量和医学应对方式状况及其影响因素。结果 AS患者生存质量总分为(66.82±5.57)分,其中心理状态维度得分最低为(10.65±4.05)分;pearson相关分析结果显示:"面对"应对方式与生存质量总分及其社会功能维度呈正相关﹙r=0.18、r=0.13,均P<0.05﹚,"回避"应对方式与生存质量总分及其生理功能维度呈正相关﹙r=0.12、r=0.14,均P<0.05﹚,"屈服"应对方式与生存质量的生理功能维度呈负相关﹙r=-0.20,P<0.01﹚;回归分析结果显示:AS患者生存质量受病程、医学应对方式中的"面对"应对方式及医疗费用支付方式影响(均P<0.05)。结论 AS患者生存质量偏低,其高低与患者所采用的医学应对方式、病程及医疗费用支付方式有关,应针对患者的具体情况,实施有针对性的干预措施,指导患者采取积极、有效的医学应对方式,以提高其生存质量。

Objective To investigate the influencing factors of ankylosing spondylitis（AS）patients’life quality and medical coping styles.Method Two hundred patients visiting at the outpatient department of our hospital took part in the assessment on AS life quality and medical coping styles to look into the living quality of AS patients and its medical coping methods and influencing factors.Results The total score on life quality was（66.82±5.57）,among whose dimensions the psychological function was scored the lowest by（10.65±4.05）. Pearson correlation analysis showed that the scores on confrontation of coping styles were positively related with the dimension of social function in life quality（r=0.18,r=0.13,P〈0.05）,the scores on the avoidance of coping style were positively related to the dimension of physiological function in the life quality（r=0.12,r=0.14,P〈0.05）,the scores on yielding in coping styles was negatively correlated to physiological function of the life quality（r=-0.20,P〈0.05）.Regression analysis results showed that the AS patients’life quality was impacted by the course of the disease,coping styles and modes for paying medical expenses（P〈0.05）.Conclusions The AS patients’life quality is low and it is related to their coping style,the course of the disease and modes for paying medical expenses.Medical personnel should implement targeted interventions to guide patients into taking correct medical coping styles according to the specific condition of patients,in order to improve their quality of life.