银屑病病人特质应对方式、社会支持与抑郁的相关性研究  

Study on correlation among trait coping style,social support and depression status of psoriasis patients

作　　者：杨文华[1] 高伟[1] 陈少蕾[2] 张明[2] 杨敏[1] 董祥芹[1] 焦健[1] 

机构地区：[1]山东大学齐鲁医院 [2]山东大学护理学院

出　　处：《护理研究（中旬版）》2013年第7期2070-2072,共3页Chinese Nursing Researsh

基　　金：山东省软科学研究计划项目;编号:2009RKE27052

摘　　要：[目的]了解银屑病病人抑郁状况,分析抑郁与特质应对方式、社会支持的关系。[方法]应用一般资料调查表、特质应对方式问卷(TCSQ)、抑郁自评量表(SDS)、社会支持量表(SSRS)对100例银屑病病人进行调查。[结果]银屑病病人SDS得分为(59.44±10.94)分,显著高于常模,抑郁与消极应对呈正相关(P<0.05),与积极应对、社会支持总分、主观支持、支持利用度呈负相关(P<0.05)。对病人抑郁影响因素进行逐步回归分析结果显示,消极应对和对支持利用度是抑郁的最重要预测因素,二者可解释43.5%的变异量。[结论]银屑病病人抑郁状况较严重,应对方式和社会支持是其重要的影响因素,医务工作者应加强对银屑病病人应对方式的健康教育,同时调动有效的社会支持来源帮助银屑病病人克服抑郁心理障碍。Objective:To know about the depression status of patients with psoriasis and analyze the relationship among depression,trait coping style and social support of psoriasis patients.Methods:A total of 100 patients with psoriasis were surveyed with General Information Questionnaire,SDS,TCSQ and SSRS.Results:The SDS score was(59.44±10.94),which was significantly higher than the norm,and depression in psoriasis patients was positive correlated with negative coping(P<0.05)and negative correlated with positive coping,total score of social support,subjective support and support utilization degree(P<0.05).Stepwise regression analysis for influencing factors of depression showed that negative coping and support utilization degree were the most important predictors of depression,both could explain 43.5% of the variance.Conclusion:psoriasis patients have more severe depression,coping style and social support are the important influencing factors,medical workers should strengthen health education of coping style for psoriasis patients,at the same time mobilize effective sources of social support to help psoriasis patients to overcome depressive mental disorder.

关 键 词：银屑病 抑郁 应对方式 社会支持 

分 类 号：R473.75[医药卫生—护理学]