烟雾病血管重建术后患者应对方式与自我感受负担的相关性

Correlation between coping style and self perceived burden in patients with moyamoya disease after revascularization

目的分析烟雾病(MD)血管重建术后患者应对方式与自我感受负担(SPB)的关系。方法前瞻性纳入2017年1月至2020年1月上海长海医院收治的60例MD患者,全部患者均接受血管重建术治疗;于术后评估患者应对方式[采用简易应方式问卷(SCSQ)评估]与SPB[采用自我感受负担量表(SPBS)评估];分析MD患者SPB与应对方式的的关系。结果60例MD患者术后SPBS评分总分为24.00(20.00,30.00)分,其中身体负担、经济负担、情感负担得分分别为14.00(13.00,15.00)分、2.00(2.00,2.00)分、8.50(7.25,9.00)分;60例MD患者术后消极应对得分、积极应对得分分别为16.00(14.00,17.00)分、15.00(14.50,16.00)分;经一般双变量Spearman相关性检验分析结果显示,MD患者消极应对评分与SPBS各维度评分及总分均呈正相关(r>0,P<0.05),积极应对与SPBS各维度评分及总分均呈负相关(r<0,P<0.05)。结论MD患者血管重建术后应对方式与SPB有关,随着消极应对向积极应对的转变,患者SPB程度逐渐减轻,考虑临床可着手从患者应对方式方面干预,通过引导患者积极应对,减轻MD患者血管重建术后SPB程度。

Objective To analyze the relationship between coping style and self-perceived burden(SPB)in patients with moyamoya disease(MD)after revascularization.Methods A total of 60 cases of MD patients admitted to Changhai Hospital of Shanghai from January 2017 to January 2020 were prospectively included,all patients were received revascularization for treatment;the coping styles(assessed by simple coping style questionnaire[SCSQ])and SPB(assessed by self perceived burden scale[SPBS])of the patients were evaluated after operation;the relationship between SPB and coping style of MD patients was analyzed.Results The total score of SPBS score in 60 cases of MD patients after operation was 24.00(20.00,30.00)points,of which the scores of physical burden,economic burden and emotional burden were 14.00(13.00,15.00)points,2.00(2.00,2.00)points and 8.50(7.25,9.00)points,respectively;the scores of negative coping and positive coping were 16.00(14.00,17.00)points and 15.00(14.50,16.00)points respectively in 60 cases of MD patients after operation;through the general bivariate Spearman correlation test analysis,the results showed that the negative coping score of MD patients was positively correlated with each dimension and total score of SPBS(r>0,P<0.05),positive coping was negatively correlated with each dimension and total score of SPBS(r<0,P<0.05).Conclusion The coping style of MD patients after revascularization is related to SPB,with the change from negative coping to positive coping,the degree of SPB in patients are gradually decreased,it is suggested that clinical intervention should be carried out from the aspect of coping style of patients,by leading the positive coping of patients,the degree of SPB in MD patients after revascularization can be reduced.