老年支气管哮喘患者应对方式与家庭功能的关系

Relationship Between Coping Style and Family Function in Elderly Patients with Bronchial Asthma

目的观察老年支气管哮喘患者应对方式与家庭功能的关系。方法选择2019年3月至2021年3月西平县人民医院接收的82例老年支气管哮喘患者,随访3个月,采用简易应对方式问卷(SCSQ)评估应对方式,并采用家庭功能评定量表(FAD)评估家庭功能,调查并比较患者基线资料,比较不同特征及应对方式患者FAD评分情况,并分析应对方式与家庭功能的关系。结果随访3个月,全部82例老年支气管哮喘患者FAD中问题解决评分平均为(12.15±1.36)分,角色评分平均为(23.37±1.28)分,沟通评分平均为(19.08±1.05)分,情感介入评分平均为(16.13±1.10)分,情感反应评分平均为(14.14±1.02)分,行为控制评分平均为(24.23±1.15)分,总的功能评分平均为(32.71±1.53)分,FAD总分平均为(141.81±6.74)分。不同特征的患者FAD评分对比,差异无统计学意义(P>0.05)。随访3个月,全部82例患者中30例倾向于采取积极应对方式,SCSQ中积极应对维度评分平均为(25.18±1.36)分,FAD评分平均为(138.21±6.46)分,52例倾向于采取消极应对方式,SCSQ中消极应对维度评分平均为(14.53±1.29)分,FAD评分平均为(143.89±6.67)分。一般线性双变量Pearson直线相关性检验结果显示,老年支气管哮喘患者FAD评分与SCSQ中积极应对维度呈负相关(r<0,P<0.05),与SCSQ中消极应对维度呈正相关(r>0,P<0.05)。线性回归分析结果显示,消极应对方式与老年支气管哮喘患者FAD评分高有关(P<0.05)。结论老年支气管哮喘患者家庭功能与应对方式有关,消极应对方式可能会降低患者家庭功能,积极应对方式可改善患者家庭功能。

Objective To observe the relationship between coping style and family function in elderly patients with bronchial asthma.Methods A total of 82 elderly patients with bronchial asthma received by Xiping County People’s Hospital from March 2019 to March 2021 were selected.After three months of follow-up,the coping styles were evaluated by simple coping style questionnaire(SCSQ),and family function was assessed by family assessment device(FAD).The baseline data of patients were investigated and compared,the FAD scores of patients with different characteristics and coping styles were compared,and the relationship between coping style and family function was analyzed.Results All 82 elderly patients with bronchial asthma were followed up for 3 months.In FAD,the average score of problem solving was(12.15±1.36)points,the average score of role was(23.37±1.28)points,the average score of communication was(19.08±1.05)points,the average score of emotional intervention was(16.13±1.10)points,the average score of emotional response was(14.14±1.02)points,the average score of behavior control was(24.23±1.15)points,the average total functional score was(32.71±1.53)points and the average total FAD score was(141.81±6.74)points;there was no statistical difference in FAD scores between patients with different characteristic data(P>0.05);after 3 months of follow-up,30 of the 82 patients tended to adopt a positive coping style,the average score of positive coping dimension in SCSQ was(25.18±1.36)points and the average score of FAD was(138.21±6.46)points,52 cases tended to adopt negative coping style,the average score of negative coping dimension in SCSQ was(14.53±1.29)points and the average score of FAD was(143.89±6.67)points;through the general linear bivariate Pearson linear correlation test,the results showed that,the FAD score of elderly patients with bronchial asthma was negatively correlated with the positive coping dimension in SCSQ(r<0,P<0.05),and positively correlated with the negative coping dimension in SCSQ(r>0,P<0.05);through univariate linear regression analysis,the results showed that,negative coping style was associated with high FAD score in elderly patients with bronchial asthma(P<0.05).Conclusion Family function of elderly patients with bronchial asthma is related to coping style,negative coping style may reduce the family function of patients,while positive coping style can improve the family function of patients.