急性心肌梗死合并糖尿病患者应对方式与生活质量的关系及影响

THE EFFECT OF RELATIONSHIP BETWEEN COPING STYLES AND LIFE QUALITY IN ACUTE MYOCARDIAL INFARCTION WITH DIABETES MELLITUS PATIENTS

目的探讨急性心肌梗死(AMI)合并糖尿病(DM)患者入院期间应对方式与生活质量的相互关系及影响,为制定提高患者生活质量的措施提供依据。方法选取2014年10月—2015年9月,沧州市人民医院心内科住院的354例AMI合并DM患者为研究对象。采用心肌梗死多维度量表(MIDAS)、医学应对问卷(MCMQ)对研究对象的生活质量和应对方式进行调查,并记录患者的人口学资料和临床资料。采用SPSS 17.0软件,计量资料采用t检验及方差分析,进行多元回归分析,采用Pearson相关分析,P<0.05为差异有统计学意义。结果 AMI合并DM患者生活质量与屈服应对方式呈正相关(r=0.642,P=0.01);年龄、治疗方式、居住状态、医疗保险、屈服因素影响AMI合并DM患者生活质量(t=25.661、3.525、2.675、2.599、2.089,P=0.000、0.000、0.008、0.010、0.037)。结论屈服应对方式与AMI合并DM患者的生活质量相关,并对患者的生活质量有重要影响。

Objective To investigate the relationship between coping styles and quality of life in patients with AMI and DM ,and to make the measure to improve the life quality of patients .Methods From August 2014 to October 2015 ,436 patients with AMI and DM were selected as the research subjects .Using multi‐dimensional myocardial infarction scale （MIDAS） and medical coping modes questionnaire （MCMQ） to in‐vestigate the quality of life and coping styles and record the demographic and clinical data .Results Coping style of yield and the quality of life of patients were positively correlated .（P〈0 .05） .To rule out confoun‐ding factors ,there were five factors which age ,treatment ,living condition ,medical insurance ,yield coping style influenced the quality of life of patients with AMI and DM .（P〈0 .05） .Conclusion The coping style of yield is related with AMI and DM patients ,and has important effect on the patients＇quality of life .