心理一致感对艾滋病患者应对方式的影响

Impact of sense of coherence on coping style in patients with AIDS

目的：探讨心理一致感对艾滋病患者应对方式的影响。方法采用心理一致感量表（SOC-13）和医学应对量表对80例艾滋病患者的一般情况、心理一致感和应对方式进行问卷评估,探讨艾滋病患者的心理一致感、应对方式及两者的相关性。结果艾滋病患者的心理一致感的平均得分为（63.6±10.3）分,3个维度中以理解能力的得分最高（5.0±1.1）分,其次为价值感和管理能力（4.8±0.9）分和（4.7±1.0）分。艾滋病患者的3种应对方式分量表的平均条目为面对（2.2±0.5）分,回避（2.2±0.3）分,屈服（2.0±0.6）分；艾滋病患者的面对分量表得分均低于常模,回避和屈服分量表得分均高于常模,差异具有统计学意义（P〈0.05）。面对与理解能力、价值感和心理一致感呈现正相关（P〈0.05）；回避与管理能力呈现负相关关系（P〈0.01）；屈服与管理能力、理解能力、价值感、心理一致感均呈负相关关系（P〈0.01）。结论艾滋病患者的心理一致感亟待提升,护理人员需要根据患者的实际情况实施个性化的干预方式,使患者以面对的积极应对方式应对。

Objective To explore the impact of sense of coherence on coping style in patients with AIDS （acquired immune deficiency syndrome）. Methods The general data, sense of coherence and coping style of 80 patients with AIDS were evaluated by the sense of coherence scale （ SOC-13 ） and medical coping modes questionnaire. The correlation between sense of coherence and coping style in patients with AIDS was analyzed. Results The average score of sense of coherence was （63. 6 ± 10. 3）, the highest score of the 3 dimensions was comprehensibility （5. 0 ± 1. 1）, followed by meaningfulness and manageability[ （4. 8 ± 0. 9） vs （4. 7 ± 1. 0）]. The score of confronce, avoidance and resignation in medical coping modes questionnaire was （2. 2 ± 0. 5）, （2. 2 ± 0. 3） and （2. 0 ± 0. 6）. The score of confronce in patients with AIDS was lower than the norm, and the score of avoidance and resignation were higher than the norm. The differences were statistically significant （ P 〈 0. 05 ）. There was positive correlation between confronce and comprehensibility, meaningfulness, sense of coherence （P〈0. 05）. The avoidance and manageability showed a negative correlation （P 〈 0. 01 ）. There was negative correlation between resignation and manageability, comprehensibility, meaningfulness, sense of coherence （P〈0. 01）. Conclusions The senses of coherence in patients with AIDS need to be improved, and nurses should provide personal interventions to make the patients take positive coping styles.