炎性肠病患者主观幸福感与乐观、应对方式的关系研究

Relationship between subjective well-being, optimism and coping mode in patients with inflammatory bowel disease

目的探讨炎性肠病患者主观幸福感与乐观、应对方式的关系。方法采用一般资料调查表、总体幸福感量表、生活定向测验问卷、简易应对方式问卷调查159例炎性肠病患者并进行分析。结果炎性肠病患者的主观幸福感总分（75．04±14．32）分，相关分析显示，主观幸福感总分与乐观得分、积极应对得分呈正相关（r=0．408、0．429，P〈0．01），与消极应对得分呈负相关（r=-0．174，P〈0．05）。乐观对主观幸福感具有直接正向预测作用，路径系数为0．22，应对方式是乐观与主观幸福感的中介变量。结论炎性肠病患者的主观幸福感有待进一步提高，其与乐观、应对方式均相关，且应对方式在乐观与主观幸福感之间起中介作用。

Objective To investigate the correlation between the subjective well-being, optimism and coping mode of patients with inflammatory bowel disease （IBD）. Methods A total of 159 IBD patients were surveyed and analyzed by the general information questionnaire, General Well-Being Schedule, Revised The Life Orientation Test, and Simplified Coping Style Questionnaire. Results The subjective well-being scores of IBD patients were （75.04 ± 14.32）. And the Pearson analysis showed that subjective well-being scores were positively correlated with optimism scores and positive coping scores （r= 0.408, P 〈 0.01; r=0.429, P 〈 0.01 ）. Negative coping was negatively correlated with subjective well-being scores （r=-0.174, P 〈 0.05）. Optimism had a direct positive predictive effect on subjective well-being with a path coefficient of 0.22, and coping mode was an intermediary variable of optimism and subjective well- being. Conclusion The subjective well-being of patients with IBD needs to be further improved, which is both related to optimism and coping mode. Coping mode takes effects as a mediator in optimism and subjective well-being.