肺结核患者的应对方式及影响因素  

Coping Styles of Patients with Pulmonary Tuberculosis and the Influencing Factors

作　　者：林奕[1] 万丽红[2] 刘君财[1] 郑国琴[1] 张婕[1] 

机构地区：[1]深圳市第三人民医院,广东深圳518020 [2]中山大学护理学院,广东广州510080

出　　处：《护理学报》2010年第5期77-78,共2页Journal of Nursing（China）

摘　　要：目的探讨肺结核患者的应对方式及其影响因素。方法用医学应对问卷对122例肺结核患者进行测定分析。结果肺结核患者面对因子分低于国内常模(P<0.001),回避、屈服因子分与常模差异无统计学意义(P>0.05)。住院次数、婚姻是面对方式的主要影响因素,再次住院、已婚患者较多采用面对应对方式;病程、咯血是提高回避得分的主要因素;病程、呼吸困难、咯血、住院次数是屈服应对的正向影响因素,文化程度是负向影响因素。结论肺结核患者较少采用面对方式,主要采用回避、屈服等消极方式,且应对方式受婚姻、住院次数、文化程度、病程、伴随症状(咯血、呼吸困难)等因素影响,应根据此特点帮助患者建立更有效的疾病应对方式。Objective To explore the coping styles and of patients with pulmonary tuberculosis （PTB） and the influencing factors. Methods A total of 122 PTB patients were examined by the Medical Coping Modes Questionnaire （MCMQ）. Results It showed that the scores of PTB patients in the confrontation factor was statistically lower than the domestic norm （P〈0.001）, but not in the avoidance and acceptance-resignation factors （P〉0.05）. Stepwise regression revealed that hospitalization times and marriages were two variables affecting confrontation coping style of PTBs. The course of disease and emptysis were factors relating to avoidance coping style. The course of disease, dyspnea, emptysis, hospitalization times and education background were factors relating to acceptanceresignation coping style. Conclusion The PTB patients have poor coping styles, which is affected by lots of factors. More attention should be paid to improve their coping styles.

关 键 词：肺结核 应对方式 影响因素 

分 类 号：R521[医药卫生—内科学]