绝经后盆底功能障碍患者羞耻感与其应对方式的关系分析  

Correlation between shame and their coping styles among postmenopausal pelvic floor dysfunction patients

作　　者：童海鸥 王洪萍[1] 苏婵 李秀青[1] Tong Haiou;Wang Hongping;Su Chan;Li Xiuqing(Department of Gynaecology,the 2nd Affiliated Hospital of Wenzhou Medical University,Wenzhou 325027,China)

机构地区：[1]温州医科大学附属第二医院妇科,温州325027

出　　处：《中华现代护理杂志》2018年第33期4012-4015,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查绝经后盆底功能障碍患者羞耻感和应对方式的现状,并探讨羞耻感对其应对方式的影响。方法采用便利抽样法,选取2016年12月—2017年8月在温州医科大学附属第二医院就诊的绝经后盆底功能障碍患者250例为研究对象,采用中文版医学应对问卷(MCMQ)、羞耻量表(SS)进行问卷调查。共发放问卷250份,回收有效问卷235份。结果235例绝经后功能盆底障碍患者羞耻感总分为(85.14±10.24)分,高于国内常模,差异有统计学意义(P<0.05);绝经后盆底功能障碍患者应对总分为(53.62±1.76)分。Pearson相关分析显示,绝经后盆底功能障碍患者羞耻感与面对得分呈负相关(P<0.05),与回避和屈服得分呈正相关(P<0.05)。分层回归分析显示,行为羞耻、身体羞耻和家庭羞耻是绝经后盆底功能障碍患者应对方式面对得分的影响因素。结论绝经后盆底功能障碍患者羞耻感高,应对方式不积极,且羞耻感是影响其积极应对的主要因素,临床护理人员应重视盆底康复宣传,鼓励患者积极应对。Objective To investigate the current situation of shame and coping styles among postmenopausal pelvic floor dysfunction (PFD) patients and to explore the effect of shame on their coping styles. Methods From December 2016 to August 2017, we selected 250 postmenopausal PFD patients at the 2nd Affiliated Hospital of Wenzhou Medical University as subjects by convenience sampling. All of the patients were investigated with the Chinese Version of Medical Coping Modes Questionnaire (MCMQ) and the Shame Scale (SS) . A total of 250 questionnaires were sent out and 235 valid questionnaires were collected. Results The total score of SS of 235 postmenopausal PFD patients was (85.14±10.24) higher than domestic norm with a statistical difference (P<0.05) . The total score of MCMQ of postmenopausal PFD patients was (53.62±1.76) . Pearson correlation analysis showed that shame of postmenopausal PFD patients had a negative correlation with the score of confrontation (P<0.05) , and had positive correlations with the scores of avoidance and yield (P<0.05) . Behavioral shame, physical shame and family shame were factors influencing the scores of coping styles in postmenopausal PFD patients. Conclusions Postmenopausal PFD patients are with the high level of shame and with the negative coping styles. The shame is the influencing factor of the positive coping style. Nurses should pay attention to pelvic floor rehabilitation education, encourage patients to copy with disease positively.

关 键 词：绝经后期 盆底功能障碍 羞耻感 应对方式 

分 类 号：R473.71[医药卫生—护理学]