高血压患者医学应对方式现状及影响因素

Analysis of medical coping style and related influencing factors in hypertensive patients

目的分析高血压患者医学应对方式现状,并探讨其相关影响因素。方法选取2022-03-01-2023-03-31九江市第一人民医院就诊的90例高血压患者为研究对象,采用医学应对方式问卷(MCMQ)评估患者应对方式现状,将应对患者纳入积极应对组,将回避屈服患者纳入消极应对组,logistic回归分析检验影响高血压患者医学应对方式的相关因素。结果90例高血压患者中积极应对58例(64.44%),回避20例(22.22%),屈服12例(13.33%);单因素分析结果显示,消极应对组与积极应对组间受教育程度(χ^(2)=5.002,P=0.025)、家庭人均月收入(χ^(2)=9.140,P<0.001)、自我效能感(χ^(2)=6.633,P=0.036)和社会支持(χ^(2)=7.572,P=0.023)比较,差异有统计学意义;经多因素logistic回归分析结果显示,受教育程度低(OR=2.727,95%CI为1.119~6.647,P=0.027)、自我效能感低(OR=3.267,95%CI为1.191~8.957,P=0.021)、低社会支持度(OR=3.750,95%CI为1.333~10.546,P=0.012)是影响高血压患者医学应对方式的危险因素,家庭人均月收入(OR=0.987,95%CI为0.981~0.992,P<0.001)是影响高血压患者医学应对方式的保护因素。结论部分高血压患者会消极应对疾病,受到患者自身受教育程度低、家庭人均月收入低、自我效能感低、低社会支持度等因素的影响。

Objective To analyze the status quo and related influencing factors of medical coping style in patients with hypertension(HBP).Methods A total of 90 patients with HBP who visited the First People's Hospital of Jiujiang from March 1,2022 to March 31,2023 were selected as the research objects.The medical coping modes questionnaire(MCMQ)was used to evaluate the current coping style of patients.Patients who coped actively were included in the positive coping group,while those who avoided or yielded were included in the negative coping group.Logistic regression analysis was used to test the factors influencing the medical coping styles of hypertensive patients.Results Among the 90 patients with HBP,58(64.44%)coped actively,20(22.22%)avoided,and 12(13.33%)yielded.Univariate analysis showed that there were statistically significant differences in education level(χ^(2)=5.002,P=0.025),family per capita monthly income(χ^(2)=9.140,P<0.001),self-efficacy(χ^(2)=6.633,P=0.036),and social support(χ^(2)=7.572,P=0.023)between the negative coping group and the positive coping group.The results of multivariate logistic regression analysis showed that low educational level(OR=2.727,95%CI was 1.119-6.647,P=0.027),low self-efficacy(OR=3.267,95%CI was 1.191-8.957,P=0.021),low social support(OR=3.750,95%CI was 1.333-10.546,P=0.012)were risk factors affecting the medical response of hypertension patients,while household per capita monthly income(OR=0.987,95%CI was 0.981-0.992,P<0.001)was the protective factor affecting the medical coping style of hypertension patients.Conclusion Some HBP patients deal with the disease negatively,which is affected by the low education level of the patients,low per capita monthly income of the family,low self-efficacy,low social support and other factors.