老年慢性心力衰竭患者疾病不确定感与应对方式的相关性研究

Correlation research between uncertainty in illness and coping style of elderly patients with chronic heart failure

目的对老年慢性心力衰竭患者疾病不确定感与应对方式的相关性进行调查研究。方法采用一般资料调查表、疾病不确定感量表、医学应对方式问卷对124例老年慢性心力衰竭患者进行问卷调查。分析影响患者疾病不确定感的因素,患者疾病不确定感与应对方式采用Pearson相关分析。结果老年慢性心力衰竭患者的疾病不确定感量表总分平均为(99.10±12.88)分。多因素回归分析显示,文化程度、家庭月收入、医疗费支付方式及心功能分级是老年慢性心力衰竭患者疾病不确定感的主要影响因素。Pearson相关分析显示:疾病不确定感各维度与回避、屈服这2类应对方式呈正相关(P<0.05),与面对应对方式呈负相关(P<0.05)。结论老年慢性心力衰竭患者疾病不确定感多处于中等偏高水平,且与文化程度、经济、医保及心功能分级有关,与应对方式中的面对呈负相关。

Objective To investigate and study on correlation between uncertainty in illness and coping style of elderly patients with chronic heart failure. Method Investigate 124 elderly patients with chronic heart failure by general information questionnaire, uncertainty in illness scale and medical coping mode questionnaire. Analyze the factors influencing patients＇ uncertainty in illness. Make Pearson correlation analysis between uncertainty in illness and coping style. Result Average of total scores on uncertainty in illness scale is （99.10 ±12.88 ） for patients with chronic heart failure. Multiple regression analysis shows that education level, family income, payment of medical cost and cardiac function classification are the main influencing factors of uncertainty in illness. Pearson correlation analysis shows that each dimension of uncertainty in illness has positive correlation with two coping styles of avoiding and yielding （P〈0.05） and negative correlation with coping style of facing （P〈0.05）. Conclusion Uncertainty in illness of elderly patients with chronic heart failure is in medium and higher level which is related to education level, family income and payment of medical cost and has negative correlation with facing coping style.