摘要
[目的]了解我国慢性阻塞性肺疾病(COPD)病人疾病不确定感与应对方式的现状,明确其相关性。[方法]应用一般情况调查表、疾病不确定感量表(MUIS-A)和医学应对问卷(MCMQ)对364例40岁以上的COPD病人进行测评。[结果]COPD病人疾病不确定感总分为(85.17±10.78)分,应对方式各维度均分分别为面对(1.53±0.78)分、回避(1.80±0.97)分、屈服(1.66±0.79)分。疾病不确定感总分与面对呈负相关(P<0.05),与回避呈正相关(P<0.01)。[结论]COPD病人疾病不确定感处于中等水平,以回避和屈服的应对方式为主。病人疾病不确定感与面对呈负相关,与回避呈正相关。医务工作者应重视COPD病人的疾病不确定感与应对方式,引导病人采用积极的应对方式,降低其疾病不确定感,进而提高其生活质量。
Objective:To understand the status quo of uncertainty of disease and coping style in patients with chronic obstructive pulmonary disease(COPD)in China,and to clarify its correlation.Methods:A total of 364 patients with COPD over 40 years old were evaluated using the General Situation Questionnaire,Mishel Uncertainty in Illness Scale-Adult(MUIS-A)and Medical Coping Modes Questionnaire(MCMQ).Results:The total score of uncertainty of disease in COPD patients was(85.17±10.78).The scores of all dimensions of coping style were facing(1.53±0.78),avoidance(1.80±0.97),and yield(1.66±0.79).The total score of uncertainty of disease was negatively correlated with facing(P<0.05)and positively correlated with avoidance(P<0.01).Conclusions:The uncertainty of disease in patients with COPD was at a medium level,and the main coping styles were avoidance and yield.The patient’s uncertainty of disease is negatively correlated with facing and positively correlated with avoidance.Medical staff should pay attention to the uncertainty of disease and coping style of COPD patients,and guide patients to adopt positive coping styles to reduce their uncertainty of disease and improve their quality of life.
作者
赵慧敏
李节
毛靖
ZHAO Huimin;LI Jie;MAO Jing(School of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Hubei 430030,China)
出处
《全科护理》
2019年第9期1025-1028,共4页
Chinese General Practice Nursing
基金
国家自然科学基金资助项目
编号:71503088
华中科技大学同济医学院护理学院2017年自主创新研究基金资助项目
编号:1
关键词
慢性阻塞性肺疾病
疾病不确定感
应对方式
相关性
chronic obstructive pulmonary disease
uncertainty of disease
coping style
correlation