脊柱结核患者对疾病的应对方式及其影响因素的研究  

Study on the medicial coping modes and its influence factors in patients with spinal tuberculosis

作　　者：蒋海兰[1] 刘海容[1] 于梅[1] 闫静[1] 刘向东[1] 

机构地区：[1]解放军总医院第二附属医院骨科,北京100091

出　　处：《护理管理杂志》2009年第3期8-10,共3页Journal of Nursing Administration

摘　　要：目的探讨脊柱结核患者对疾病的应对方式及其影响因素。方法应用疾病认知程度调查表、医学应对方式问卷、社会支持评定量表对168例脊柱结核患者进行问卷调查。结果脊柱结核患者的回避、屈服应对方式得分高于常模(P<0.05),而面对应对方式得分与常模比较差异无统计学意义(P>0.05);所采取的应对方式受年龄、文化程度、对疾病认知程度、医疗费用支付方式、社会支持程度的影响(P<0.01或P<0.05)。结论脊柱结核患者对疾病多采用回避和屈服的应对方式,护理人员应根据应对方式的影响因素采取有效的护理干预进行正性引导,帮助患者建立积极的应对方式。Objective To investigate the medicial coping modes and its influence factors in patients with spinal tuberculosis. Method A total of 168 spinal tuberculosis patients were investigated with the degree of disease recognition questionnaire, Medical Coping Mode Questionnaire, and Social Support Scale. Results The factor scores of avoidance and resignation in patients with spinal tuberculosis were significantly higher than the norm （P 〈0. 05 ）. But there was no significant difference in the factor score of eonfronce（ P 〉 0.05 ）. The patients＇ coping modes were related to the patients＇ age,educational background, recognition to the disease, means of payment,and social support（P 〈0.05 or P 〈 0.01 ）. Conclusion The patients with spinal tuberculosis tend to adopt avoidance and resignation coping modes. Nursing staff should take effective nursing interventions to help the patients adopt positive coping modes based on the influence factors.

关 键 词：脊柱结核 应对方式 影响因素 护理干预 

分 类 号：R473.5[医药卫生—护理学]