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机构地区:[1]右江民族医学院附属医院感染科,广西百色533000
出 处:《中国当代医药》2014年第16期154-156,共3页China Modern Medicine
基 金:广西壮族自治区百色市科学研究与技术开发计划项目(百科计字[2012]1号23)
摘 要:目的了解重型肝炎患者简易应对方式及影响因素,探讨相应的干预措施。方法选取83例重型肝炎患者作为观察组,83例正常人群作为对照组,给两组调查对象发放简易应对方式自评量表,对调查结果进行分析。结果两组的积极、消极应对方式评分比较,差异有统计学意义(P<0.01)。农民的积极应对方式评分为(1.09±0.47)分,低于其他职业的(1.39±0.41)分;消极应对方式评分为(2.16±0.31)分,高于其他职业的(1.69±0.47)分,差异有统计学意义(P<0.01)。高中及以下学历患者的积极应对方式评分为(1.13±0.41)分,低于中专及以上学历患者的(1.55±0.38)分;消极应对方式评分为(2.06±0.38)分,高于中专及以上学历患者的(1.50±0.47)分,差异有统计学意义(P<0.01)。结论重型肝炎患者主要应用消极应对方式,尤其以农民、高中及以下学历患者最为明显,在重型肝炎患者住院期间,医护人员应实施相应的干预措施,以提高其应用积极应对方式,改善其不良心理状况,提高其生存质量。Objective To understand the coping style and influencing factors of patients with severe hepatitis and discuss relevant intervention measure. Methods 83 cases of patients with severe hepatitis were selected as observation group,83 cases of normal people were selected as control group,simple coping style self-rating depression scales were distributed to all research objects and the survey result was analyzed. Results Score of positve coping dimension and negative coping dimenstion in two groups was compared respectively,with statistical difference (P〈0.01).Positve coping dimension score of the farmer was(1.09±0.47)points,lower than that of other occupation[(1.39±0.41)points],negative coping dimenstion score of the farmer was (2.16±0.31)points,higher than that of other occupation [(1.69±0.47)points],with statistical difference(P〈0.01).The positve coping dimension score of the patient got degree under senior high school was (1.13±0.41)points,lower than that of the patient got degree above technical secondary school [(1.55±0.38)points],the negetive coping dimension score of the patient got degree under senior high school was (2.06±0.38)points,higher than that of the patient got degree above technical secondary school [(1.50±0.47)points],with statistical difference (P〈0.01). Conclusion Severe hepatitis patients mainly take negetive coping style,the farmers and the patients got degree under senior high school are especially obvious,coping style is related to patient's occupation and education background.During the hospitalization of severe hepatitis patients,the medical workers should carry out relevant intervention measure to increase evere hepatitis patients' positive coping style,improve their psychologic status,enhance their quality of life.
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