|国家科技期刊平台
首页|期刊导航|中国医学创新|冠心病患者应对方式现状及其相关影响因素分析

冠心病患者应对方式现状及其相关影响因素分析OA

Analysis of the Current Situation and Related Influencing Factors of Coping Styles in Patients with Coronary Heart Disease

中文摘要英文摘要

目的:分析冠心病患者应对方式现状及其相关影响因素.方法:采用前瞻性研究,纳入2022 年 2 月—2023 年 5 月乐平市中医医院收治的冠心病患者 95 例作为研究对象,采用简易应对方式问卷(SCSQ)评估患者应对方式并进行分组,分为消极应对组和积极应对组.纳入具有统计学意义的变量构建logistic回归模型,分析冠心病患者应对方式的影响因素.结果:经统计,95例冠心病患者中有41例采取消极应对,占比 43.16%,54 例采取积极应对,占比 56.84%.单因素分析结果显示,消极应对组文化程度初中及以下、知觉压力强烈、医患信任关系低下以及家庭月收入<6 000 元占比均高于积极应对组,差异均有统计学意义(P<0.05);构建logistic回归模型,结果显示,文化程度、知觉压力、医患信任关系及家庭月收入是冠心病患者应对方式的影响因素(OR>1,P<0.05).结论:冠心病患者普遍采取消极方式应对疾病,文化程度、知觉压力、医患信任关系及家庭月收入是冠心病患者应对方式的影响因素.

Objective:To analyze the current situation and related influencing factors of coping styles in patients with coronary heart disease Method:A prospective study was conducted,including 95 patients with coronary heart disease admitted to Leping Hospital of Traditional Chinese Medicine from February 2022 to May 2023 as the study subjects.The coping styles of patients were evaluated using the simple coping style questionnaire(SCSQ)and divided into negative coping group and positive coping group.Statistically significant variables were included to construct a logistic regression model to analyze the influencing factors of coping styles in patients with coronary heart disease.Result:According to statistics,41 out of 95 patients with coronary heart disease adopted negative coping strategies,accounting for 43.16%,while 54 adopted positive coping strategies,accounting for 56.84%.The results of univariate analysis showed that the proportions of junior high education level or below,strong perceived pressure,low doctor-patient trust relationship and monthly family income<6 000 yuan in negative coping group were higher than those of positive coping group,with statistical significance(P<0.05).A logistic regression model was constructed,and the results showed that education level,perceived stress,doctor-patient trust relationship and monthly family income were the influencing factors of coping styles in patients with coronary heart disease(OR>1,P<0.05).Conclusion:Patients with coronary heart disease generally adopt negative coping styles,and education level,perceived stress,doctor-patient trust relationship and monthly family income are influencing factors for coping styles of coronary heart disease patients.

胡银花

乐平市中医医院感染性疾病科 江西 乐平 333300

冠心病应对方式消极应对积极应对

Coronary heart diseaseCoping styleNegative copingPositive coping

《中国医学创新》 2024 (009)

151-154 / 4

10.3969/j.issn.1674-4985.2024.09.034

评论