糖尿病视网膜病变患者知觉压力与应对方式的相关性

Correlation between perceived stress and coping style in patients with diabetic retinopathy

目的:探讨糖尿病视网膜病变(DR)患者知觉压力与应对方式的相关性。方法:选取2019年4月至2020年4月该院收治的120例DR患者进行前瞻性研究,采用知觉压力量表(PSS)和简易应对方式问卷(SCSQ)分别评估患者知觉压力水平和应对方式,将评估为积极应对者纳入积极组,将评估为消极应对者纳入消极组。设计基线资料调查表,询问并记录患者的基线资料,采用Pearson相关分析法分析DR患者知觉压力与应对方式的相关性。结果:120例DR患者倾向于采取消极应对方式者75例(62.50%),倾向于采取积极应对方式者45例(37.50%);两组性别、年龄、居住地、职业状态、受教育程度、医疗付费方式、病变类型、视力状况等基线资料比较,差异均无统计学意义(P>0.05);Pearson相关性分析结果显示,DR患者PSS评分与SCSQ积极应对评分呈负相关(r<0,P<0.05),与SCSQ消极应对评分呈正相关(r>0,P<0.05)。结论:DR患者知觉压力与其消极应对方式呈正相关,与其积极应对方式呈负相关,医护人员应注重减轻患者知觉压力,推动患者选择积极应对方式。

Objective:To explore correlation between perceived stress and coping style in patients with diabetic retinopathy(DR).Methods:A prospective study was conducted on 120 DR patients admitted to this hospital from April 2019 to April 2020.Perceived stress scale(PSS)and simplified coping style questionnaire(SCSQ)were used to evaluate the patients’perceived stress level and coping style,respectively.The patients who were assessed as positive responders were included in positive group,and those who were assessed as negative responders were included in negative group.A baseline data questionnaire was designed to record the patients’baseline data.Pearson linear correlation was used to analyze the correlation between perceived stress and coping style in these DR patients.Results:Among the 120 DR patients,75 cases adopted a negative coping style,accounting for 62.50%(75/120),and 45 cases tended to adopt a positive coping style,accounting for 37.50%(45/120).There were no significant differences in the baseline data between the two groups(P>0.05),including gender,age,place of residence,occupational status,education level,medical payment method,lesion type,and visual acuity.The Pearson linear correlation analysis showed that the PSS score of the DR patients was negatively correlated with the SCSQ positive coping score(r<0,P<0.05),and positively correlated with the SCSQ negative coping score(r>0,P<0.05).Conclusions:The perceived stress in the DR patients are positively correlated with their negative coping styles and negatively correlated with their positive coping styles.Therefore,the medical staff should pay attention to reducing the patients’perceived pressure and encourage them to choose positive coping methods.