消化性溃疡患者觉察压力应对方式与情绪状况的关系

Relationship among perceived stress,coping style and emotional state in patients with peptic ulcer

目的探讨消化性溃疡患者觉察压力、应对方式与情绪状况的关系及应对方式的中介作用。方法采用随机方便抽样方法,抽取新疆军区总医院消化内科门诊消化性溃疡患者438例作为研究组,同时抽取423例健康人群作为对照组,运用觉察压力、简易应对方式问卷和正性负性情绪量表进行调查。中介作用采用AMOS 21.0软件进行分析。结果研究组正性情绪得分(30.62±7.81)显著低于对照组(31.52±6.98),负性情绪得分(20.29±6.88)显著高于对照组(19.98±6.96)2组的差异均有统计学意义(P<0.05和P<0.01);超载感、积极应对、消极应对对正性情绪具有显著的预测作用(P<0.05或0.01),消极应对、预测感、控制感、积极应对、年龄对负性情绪具有显著的预测作用(P<0.05或0.01);预测感、控制感通过消极应对对负性情绪的部分中介效应值为0.047 6、-0.091 8,占总效应的19.2%、38.0%,超载感通过积极应对对正性情绪的部分中介效应值为0.058,占总效应的16.2%,应对方式在预测感、控制感与正性情绪间具有完全中介作用。结论消化性溃疡患者负性情绪较高,觉察压力、应对方式与正性负性情绪关系密切,应对方式在觉察压力与正性负性情绪间具有中介作用。

[Objective] To explore the relationship among perceived stress,coping style and emotional state in patients with peptic ulcer, analyze the mediating effect of coping style. [Methods] Using random convenient sampling method, 438 outpatients with peptic ulcer from the Gastroenterology Department of Xinjiang Military General Hospital were selected as the study group,while 423 healthy subjects were collected as the control group,and all of them were investigated with Perceived Stress Questionnaire,Simple Coping Style Scale and Positive and Negative Emotion Scale.The analysis of the intermediary role was conducted by AMOS21.0 software. [Results]The positive emotion score of the study group（30.62±7.81）was significantly lower than that of the control group（31.52±6.98）,while the negative emotion score of the study group（20.29±6.88）was significantly higher than that of the control group（19.98±6.96）,and the differences were statistically significant（P〈0.01 and P〈0.05）. The sense of overload,positive and negative coping style had significant predictive effect on positive emotion（P〈0.05 or P〈0.01）,while negative coping style,the sense of prediction,the sense of control,positive coping style and age had significant predictive effect on negative emotion（P 0.05 or P 0.01）. The sense of prediction and the sense of control had partial mediating effect on negative emotion through negative coping style,and the value of the partial mediating effect was 0.047 6 and-0.091 8 respectively,accounting for 19.2% and 38.0% of the total effect. The sense of overload had partial mediating effect on positive emotion through positive coping style,and the value of the partial mediating effect was 0.058,accounting for 16.2% of the total effect. The coping style played a fully mediating role among the sense of prediction,the sense of control and positive emotion. [Conclusion]The patients with peptic ulcer have higher negative emotion,perceived stress and coping style are closely related to positive and negative emotion,and coping style has an intermediary effect between perceived stress and positive and negative emotion.