肺结核患者自我效能感及应对方式的相关性研究

Correlation studies on tuberculosis patient＇s self-efficacy and coping style

目的描述肺结核患者自我效能感及应对方式现状，分析其自我效能感及应对方式之间的相互关系。方法采用方便抽样的方法，用白行设计的一般资料问卷、一般自我效能感量表（GSES）和医学应对方式问卷（MCMQ）对132例肺结核患者进行问卷调查。应用SPSS19．0软件进行统计，分析肺结核患者自我效能感及应对方式之间的关系。结果132例肺结核患者自我效能感总分（24．90±7．04）分，为中等偏低水平。其中，59例占44．70％的患者表现为中等自我效能感水平，52例占39．40％的患者表现为低等自我效能感水平，仅有21例占15．90％的患者表现为高等自我效能感水平。肺结核患者的应对方式，面对、回避、屈服3个维度得分分别为（21．16±9．23）、（16．55±2．83）、（9．68±4．12）分。将3个维度得分与自我效能感总分进行Pearson相关分析，结果显示面对应对方式与自我效能感总分呈正相关（r=0．242，P〈0．05），回避应对方式与自我效能感总分呈正相关（r=0．150，P〈0．05），而屈服应对方式与自我效能感总分呈负相关（r=0．008，P〈0．05）。结论肺结核患者的一般自我效能感水平处于低水平，肺结核患者更多采取面对的应对方式。

Objective To describe the status of the self-efficacy and coping styles of tuberculosis patients,analysis the relationship between self-efficacy and coping styles. Methods With the method of convenient sampling, used the general information questionnaire self-designed, General Self-Efficacy Scale （GSES） and Medical Coping Modes Questionnaire （MCMQ） to take questionnaire survey on 132 patients with pulmonary tuberculosis.Applicated SPSS19.0 software for the statistics, and analyzed the relationship between self-efficacy and coping styles on patients with pulmonary tuberculosis. Results The mean score of self-efficacy in 132 pulmonary tuberculosis patients was 24.90±7.04,which was in the medium to low level. The proportion of mediun,lower, higher level of self-efficacy was 44.70% （59/132）, 39.40% （52/132）,15.90% （21/132）.Scores of the coping styles on face,avoid, yield were 21.16±9.23,16.55± 2.83,9.68 ±4.12.Patients self-efficacy level was positively correlated with face coping style （r=0.242, P〈 0.05）, avoid coping style （r=0.150, P〈0.05）,and negatively correlated with the yield response （r=-0.008, P〈 0.05）. Conclusions The general self-efficacy level of tuberculosis patients is at a lower level. Tuberculosis patients should have more choice to handle it.