摘要
目的探讨稳定期腹膜透析患者心理一致感与应对方式的状况及其相关性。方法采用心理一致感量表(sense of coherence,SOC-13)、医学应对问卷(medical coping modes questionnaire,MCMQ)对86例稳定期腹膜透析患者进行问卷调查,了解腹膜透析患者心理一致感和应对方式的状况及其相关性。结果稳定期腹膜透析患者心理一致感总分为(60.93±13.77)分,处于较低水平。应对方式各维度得分由高至低依次为面对、回避、屈服,其中回避和屈服维度得分均高于临床常模患者,组间比较,差异具有统计学意义(均P<0.001),面对维度与常模比较,组间比较,差异无统计学意义(P>0.05)。心理一致感、可理解感、可控制感和意义感与面对维度呈正相关(均P<0.05),与屈服维度呈负相关(均P<0.001)。结论稳定期腹膜透析患者心理一致感处于低水平,患者较多采取面对和回避两种应对方式。心理一致感水平越高的患者其越倾向于采取积极的应对方式。医护人员应根据患者的心理一致感水平,制订相应的护理措施,指导患者采取积极的应对方式。
Objective To explore the relationship between sense of coherence and coping styles among patients at the stabile phase after peritoneal dialysis. Methods About 86 patients at stable phase after peritoneal dialysis were recruited in the investigation.The sense of coherence（SOC-13） and medical coping modes questionnaire（MCMQ） were used to evaluate the sense of coherence and coping styles. Results The average score of sense of coherence was（60.93 ±13.77）, which was at a lower level. The scores of coping styles were confrontation, avoidance and resignation, ranked from high to low. Avoidance and resignation dimensions were higher than the norm in coping styles（all P〈0.001） and there was no statistically significant difference between confrontation dimension and the norm（P〉0.05）. There was positive relationship between confrontation and the average score of sense of coherence, comprehensibility,manageability, meaningfulness（all P〈0.05）. There was negative relationship between resignation and the average score of sense of coherence, comprehensibility, manageability, meaningfulness（all P0.001）. Conclusions Patients at the stable phase after peritoneal dialysis have a lower sense of coherence and are inclined to confrontation and avoidance coping styles. The higher sense of coherence,the more positive coping styles PD patients use. Medical workers should provide personal interventions according to the results of the sense of coherence so that the patients take positive coping styles.
出处
《现代临床护理》
2017年第9期35-40,共6页
Modern Clinical Nursing
关键词
腹膜透析
稳定期
心理一致感
应对方式
peritoneal dialysis
stable
sense of coherence
coping styles
