经皮冠状动脉介入治疗患者心理应对方式和应对能力的相关性研究  

A relative study on coping styles and coping ability of patients undergoing percutaneous coronary intervention

作　　者：潘正群[1] 范秀珍[2] 

机构地区：[1]安徽医学高等专科学校护理系,安徽合肥230061 [2]山东大学护理学院

出　　处：《蚌埠医学院学报》2011年第5期523-527,共5页Journal of Bengbu Medical College

摘　　要：目的:调查冠心病患者接受经皮冠状动脉介入(percutaneous coronary intervention,PCI)手术前、后应对方式、策略以及应对能力的变化,探讨冠心病PCI患者应对方式与应对能力之间的相关性。方法:采用Jalowiec的应对量表、心理一致感量表-13和自行设计的患者一般资料调查表,以便利取样的方法对110例冠心病PCI患者进行问卷调查。结果:除情感宣泄(P>0.05)外,冠心病PCI患者术后其余7种应对方式的分值均比术前明显提高(P<0.01)。PCI患者术后应对能力较术前差异无统计学意义(P>0.05),术前应对能力与乐观应对方式呈正相关(r=0.233,P<0.05),与宿命应对方式呈负相关(r=-0.357,P<0.01);而术后的应对能力与宿命和情感宣泄呈负相关(分别为r=-0.341,P<0.01;r=-0.243,P<0.05)。结论:PCI可显著提高冠心病患者的应对水平(除情感宣泄外),但对冠心病患者的应对能力无明显影响。积极的应对方式可提高患者的应对能力,促进康复;消极的应对方式则削弱患者的应对能力。Objective：To investigate the coping styles,strategies and coping ability in a group of patients undergoing percutaneous coronary intervention（PCI） for the first time due to coronary artery disease,and to discuss the correlation between coping styles and coping ability.Methods：One hundred and ten subjects,recruited by convenience sampling,were required to complete the questionnaire survey by Jalowiec coping scale,sense of coherence-13 and self-designed questionnaire about the patient′s general information.Results：With the exception of emotive（P0.05）,the values of other 7 coping styles of patients after PCI were much higher than that before PCI（P0.01）.The total score of coping ability of patients after PCI was unchanged（P0.05）,compared with the one before PCI.The total score of coping ability of patients before PCI was positively correlated with optimistic（r=0.233,P0.05）,and negatively correlated with fatalistic（r=-0.357,P0.01）.The total score of coping ability of patients after PCI was negatively correlated with fatailstic and emotive（r=-0.341,P0.01;r=-0.243,P0.05,respectively）.Conclusions：PCI could remarkablely increase the total coping level of patients with coronany heart disease（cexcept for emotive coping）,but could not significantly affect the coping capacity.Positive coping styles could raise patients′coping ability,and promote their health,and vice versa.

关 键 词：冠状动脉疾病 经皮冠状动脉介入术 应对方式 心理一致感 

分 类 号：R543.3[医药卫生—心血管疾病]