应对方式对造口患者适应水平的影响研究

Influence of coping style on the adjustment level in patients with ostomy

目的了解造口患者适应水平与应对方式的现状,并探讨二者之间的关系,以期为改善造口患者疾病应对、构建有效干预方案提供理论依据。方法采用一般人口学及疾病相关资料调查表、造口者社会心理适应量表、医学应对问卷对301例造口患者进行调查。结果造口患者适应水平总分为(47.02±7.42)分;应对方式3个维度得分为:面对(15.86±4.02)分,回避(14.81±2.07)分,屈服(9.97±3.49)分;年龄、造口术后时间、造口自我护理状况、造口接受程度和应对方式各维度均为造口患者适应水平的影响因素。结论应对方式是造口患者随访中亟待关注的问题,应构建针对性干预方案,缩短患者适应过程。

Objective To investigate the status of adjustment level and coping styles in patients with ostomy, and to analyze the relationship between them, thus to provide theoretic basis for improving disease coping and intervention protocol construction. Methods The questionnaires of demographic data, Ostomy Adjustment Inventory（QA1-20） and Medical Coping Modes Questionnaire （MCMQ） were used to investigate 301 patients with ostomy. Results The average score of OAI- 20 was （47.02±7.42 ）, the score of confrontation of MCMQ was （15.86± 4.02 ）, avoidance was （ld. 81 ±2.07 ）, yield was （9.97±3.49 ）. Age, postoperative time, self- care status, stoma acceptance and coping style were influencing factors of adjustment level. Conclusion It is suggested to pay at- tention to ostomates＇coping style,and take proper interventions to shorten the adaptation process.