慢性病患者负性认知加工偏向与自理能力及应对方式相关性分析

Associations of negative cognitive processing bias with self-care ability and coping styles among patients with chronic diseases

目的 探讨慢性病患者负性认知加工偏向与自理能力及应对方式的相关性。方法 选取2021年1月—2022年1月河南省人民医院90例慢性病患者为慢性病组,另选取50名健康体检人群为健康组,采用问卷调查其负性认知加工偏向、自理能力及应对方式,并比较2组评分;采用Pearson相关性分析患者负性认知加工偏向与自理能力、应对方式的关系。结果 慢性病组负性认知加工偏向评分(44.54±3.39)高于健康组(30.12±2.45),自理能力评分(61.77±2.18)低于健康组(87.98±3.20),应对方式评分(32.19±1.39)低于健康组(60.52±3.65),以上差异均有统计学意义(t=11.57、12.63、15.27,P值均<0.01)。Pearson相关性分析显示,负性认知加工偏性与自理能力、积极应对方式呈负相关,与消积应对方式呈正相关(r=-0.45、-0.38、0.41,P值均<0.01)。结论 慢性病患者存在一定负性认知加工偏向,并影响其自理能力与应对方式,应根据具体情况给予相应干预以减轻患者负性认知对健康的影响。

Objective To examine the associations of negative cognitive processing bias with self-care ability and coping styles among patients with chronic diseases. Methods A total of 90 patients with chronic diseases admitted to Henan Provincial People’s Hospital during the period between Jan 2021 and Jan 2022 were enrolled as the chronic disease group, and 50 healthy volunteers at the same hospital during the study period served as controls. Participants’ negative cognitive processing bias, self-care ability and coping styles were investigated using questionnaire surveys, and the scores of negative cognitive processing bias, self-care ability and coping styles were compared between the 2 groups. In addition, the associations of negative cognitive processing bias with self-care ability and coping styles were examined using Pearson correlation analysis. Results The score of negative cognitive processing bias was significantly higher in the chronic disease group than in the control group(44.54±3.39 vs. 30.12±2.45;t=11.57,P<0.01),while lower scores of self-care ability(61.77±2.18 vs. 87.98±3.20;t=12.63,P<0.01) and coping styles(32.19±1.39 vs. 60.52±3.65;t=15.27,P<0.01) were found in the chronic disease group than in the control group. Pearson correlation analysis showed that the negative cognitive processing bias negatively correlated with the self-care ability(r=-0.45, P<0.01) and active coping style(r=-0.38, P<0.01),and positively correlated with the passive coping style(r=0.41, P<0.01). Conclusion There is a negative cognitive processing bias among patients with chronic diseases, which affects their self-care ability and coping styles. Corresponding interventions are needed to reduce the impact of negative cognition on human health.