重度前列腺增生症患者情绪、社会支持和应对方式的调查  

An Investigation and Nursing Countermeasure of Emotion,Coping Style and Social Support of Severe Benign Prostatic Hyperplasia( BPH) Patients

作　　者：刘一梅[1] 余琦[1] 顾冬生[2] 曾京华[2] 罗汉宏[2] 王鑫[2] 

机构地区：[1]中国人民解放军第421医院护理部 [2]解放军第421医院泌尿外科

出　　处：《中国健康心理学杂志》2015年第3期441-444,共4页China Journal of Health Psychology

摘　　要：目的:探讨影响重度前列腺增生症(BPH)患者负性情绪、社会支持利用度和应对方式的相关因素,为护理干预提供依据。方法:对47例重度前列腺增生症患者和随机抽取97例常规体检的健康正常人作为对照组,采用国际前列腺症状评分表、正负性情绪量表(PANAS)、社会支持评定量表(SSRS)和医学应对方式问卷(MCMQ)进行测评和对照研究分析。结果:1PANAS评分,患者组的负性情绪得分显著高于对照组(t=6.855,P<0.001),差异具有统计学意义;2两组SSRS评分显示:患者组的社会支持利用度得分显著低于对照组(t=-2.198,P<0.05),有统计学意义;3MCMQ测评结果显示:患者组多采用回避和屈服的应对方式,与对照组得分比较均有显著差异(t=2.589,2.900;P<0.05),有统计学意义。结论:重度BPH患者存在较强的负性情绪和不适当的应对方式,以及较低的社会支持利用度;有针对性的心理护理干预措施,对其躯体疾病的治疗及生存质量的提高,有积极的促进作用。Objective：To survey and analyze the emotion, coping style and social support of severe BPH patients,and to provide scientific basis for nursing care intervening.Methods：47 severe BPH pa-tients and 97 physical examination persons from No.421 Hospital of PLA were assessed with c（ I-PSS） , positive and negative affect scale（ PANAS） ,medical coping model questionnaire（ MCMQ） and social sup-port questionnaire（ SSRS ） .Results：① The PANAS scores showed that the negative emotion scores of BPH group were statistically significantly higher than those of control group（t=6.855,P〈0.001）.②The SSRS scores of two group showed that severe BPH group patients got statistically significantly lower scores of utilization of social support than those of control group（t=2.198,P〈0.05）.③The results of MCMQ showed that severe BPH group patients preferred to adopt coping modes of＂avoidance＂and＂sub-mission＂compared with control group（t1=2.589,t2=2.900;P〈0.05）.Conclusion：Paying more at-tention to negative emotion of severe BPH patients,understanding lower utilization of social support and unhealthy coping modes,taking aimed mental interference and nursing care,can promote recovery and liv-ing quality of patients with BPH.

关 键 词：重度前列腺增生症 社会支持 应对方式 情绪 护理 

分 类 号：R395.6[哲学宗教—心理学]