重症急性胰腺炎患者应对方式的影响因素

Influencing Factors of Coping Style in Patients with Severe Acute Pancreatitis

目的探讨重症急性胰腺炎患者应对方式的影响因素。方法选取2018年1月至2020年12月于信阳市第四人民医院接受诊疗的93例重症急性胰腺炎患者作为研究对象,采用简易应对方式问卷(SCSQ)评估患者应对方式,依据评估结果将患者分为积极应对组与消极应对组,并采用反刍性沉思问卷(ERRI)评估患者反刍性沉思水平,采用多因素logistic回归模型分析重症急性胰腺炎患者应对方式的影响因素。结果93例重症急性胰腺炎患者消极应对32例(34.41%),积极应对61例(65.59%)。消极应对组与积极应对组受教育程度、年人均收入、反刍性沉思评分比较,差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,高中及以下受教育程度、年人均收入<50000元、反刍性沉思评分低是重症急性胰腺炎患者采用消极应对方式的影响因素(P<0.05)。结论重症急性胰腺炎患者反刍性沉思评分低与重症急性胰腺炎患者采用消极应对方式密切相关,反刍性沉思评分越低,应对方式越消极。

Objective To explore the influencing factors of coping style in patients with severe acute pancreatitis.Methods A total of 93 patients with severe acute pancreatitis who received diagnosis and treatment in the Fourth People’s Hospital of Xinyang from January 2018 to December 2020 were selected as the research objects.The coping styles of patients were evaluated by simplified coping style questionnaire(SCSQ).According to the evaluation results,the patients were divided into positive coping group and negative coping group.The event related rumination inventory(ERRI)was used to evaluate the ruminant meditation level of patients.Multivariate logistic regression model was used to analyze the influencing factors of coping style in patients with severe acute pancreatitis.Results Among 93 patients with severe acute pancreatitis,32 cases(34.41%)adopted negative coping,and 61 cases(65.59%)adopted positive coping.There were statistical differences in the education level,annual per capita income and ruminant meditation score between negative coping group and positive coping group(P<0.05).Multivariate logistic regression analysis showed that the education level of senior high school and below,annual per capita income less than 50000 yuan,low ruminant meditation score were the influencing factors of adopting negative coping style in patients with severe acute pancreatitis(P<0.05).Conclusion The low ruminant meditation score of patients with severe acute pancreatitis is closely related to their negative coping styles.The lower the ruminant meditation score is,the more negative the coping style is.