应激和应对方式对癔球症患者生活质量的影响

Stress,coping strategies and quality of life in patients with globus

目的探讨应激和应对方式对癔球症患者生活质量的影响。方法回顾性分析2018年9月至2020年7月就诊于郑州大学第一附属医院的180例癔球症患者资料,完成健康状况调查简表(SF-36)[包括生理综合评分(PCS)和心理综合评分(MCS)],主观应激问卷10(PSS-10),医学应对方式问卷(MCMQ),并分析基线特征、应激、应对方式与生活质量之间的相关和影响生活质量的因素。结果癔球症患者的生活质量受损,既往慢性病数、年龄及应激、面对、回避影响患者的PCS(F=3.647,r=-0.263、-0.634、0.249、-0.329,P值均<0.05),而收入、婚姻状况及应激、面对、屈服影响MCS(F=1.963、5.764,r=-0.312、0.384、-0.360,P值均<0.05)。多元线性回归分析显示,应激与PCS、MCS均呈显著负相关(t=-3.883、-9.708,P值均<0.01),面对与PCS和MCS呈显著正相关(t=2.030、2.798,P=0.044、0.006),屈服与MCS呈显著负相关(t=-1.585,P=0.025),年龄与PCS显著负相关(t=-2.736,P=0.007),收入与MCS显著正相关(t=2.497,P=0.013)。结论高龄、低收入、应激水平高、采用屈服应对、减少面对应对均可降低癔球症患者的生活质量。

Objective To explore the associations of stress,coping strategies and quality of life in globus patients.Methods A total of 180 patients diagnosed with globus were retrospectively analyzed between September 2018 to July 2020 in the First Affiliated Hospital of Zhengzhou University.The questionnaire included baseline characteristics and assessment scales.Quality of life was measured by short-form health survey-36(SF-36),which included physical composite score(PCS)and mental composite score(MCS).Perceived stress was measured by perceived stress scale 10(PSS-10).The coping strategy was evaluated by medical coping modes questionnaire(MCMQ).We analyzed the relationship between baseline characteristics,stress,coping strategies,and quality of life,and the influential factors of quality of life.Results PCS was affected by the number of previous chronic illness,age,stress,confrontation,and avoidance(F=3.647,r=-0.263,-0.634,0.249,-0.329,all P<0.05).MCS was related to monthly income,marital status,stress,confrontation,and resignation(F=1.963,5.764,r=-0.312,0.384,-0.360,all P<0.05).Based on the data of multiple linear regression analysis,stress was negatively correlated with both PCS and MCS(t=-3.883,-9.708,all P<0.01),confrontation was positively correlated with both PCS and MCS(t=2.030,2.798,P=0.044,0.006),and resignation was negatively correlated with MCS(t=-1.585,P=0.025).Besides,age was negatively correlated with PCS(t=-2.736,P=0.007),and monthly income was positively correlated with MCS(t=2.497,P=0.013).Conclusion Aging,low income,over stress,resignation rather than confrontation as a coping style impair the quality of life in globus patients.