肺移植患者术后医学应对模式与生存质量的现状及相关性

Correlation of medical coping mode and current situation of quality of life of lung transplant postoperative patients

目的:调查肺移植术后患者医学应对模式及生存质量现状,并分析其相关性。方法:采用医学应对模式问卷(Medical Coping Mode Questionnaire,MCMQ)及简明健康问卷(Short-Form Health Sur vey,SF-36)对30例肺移植患者进行横断面调研。结果:肺移植术后患者面对和屈服维度的评分明显低于常模水平,回避维度评分明显高于常模水平;肺移植患者在SF-36各维度评分均明显低于全国常模水平。相关性分析显示:肺移植术后患者生理职能、情感职能、社会功能、精神健康和一般健康维度的评分与面对维度呈显著的正相关性。SF-36各维度评分与回避维度无明显相关;SF-36各维度与屈服均呈显著的负相关。结论:肺移植术后患者生存质量明显低于常模水平,且对疾病的应对模式是影响生存质量的重要因素。

Objective： To research the medical coping mode and current situation of quality of life （QOL） of lung transplant postoperative patents and to analyze the correlation. Methods： Medical Coping Mode Questionnaire （MCMO.） and Short-Form Health Survey （SF-36） were used for a cross-sectional research on 30 lung transplant patients. Results： The scores of confrontation dimension and yield dimension of lung transplant postoperative patients were evidently lower than the norms, and the score of avoidance dimension was evidently higher than the norm. The scores of all dimensions on SF-36 of lung transplant patients were evidently lower than the national norms. As indicated by the correlation analysis, the scores of physiological function, emotional function, social function, mental health and general health of lung transplant postoperative patients were positively correlated to the confrontation dimension. The scores of all dimension of QOL were not obviously correlated to the avoidance dimension, but they were negatively correlated to the yield dimension. Conclusion： Q OL of lung transplant postoperative patients is evidently lower than the norm. Coping mode against disease is the important factor for Q OL.