维持性血液透析患者医学应对方式与领悟社会支持的相关性分析  

Correlation between medical coping style and perceived social support in maintenance hemodialysis patients

作　　者：郑浩天[1] 杨冬菊 李巧[1] 陈林[1] 

机构地区：[1]四川大学华西医院肾脏内科血液透析中心,成都610041 [2]四川大学华西临床医学院,成都610041

出　　处：《中国血液净化》2018年第2期141-143,共3页Chinese Journal of Blood Purification

摘　　要：目的探讨维持性血液透析患者医学应对方式的现状及其与领悟社会支持的相关性。方法采用方便抽样,对2017年3~6月在四川大学华西医院血液净化中心接受维持性血液透析治疗的100例患者进行医学应对问卷(medial coping modes questionnaire,MCMQ)和领悟社会支持量表(perceived socail support scale,PSSS)的调查。结果维持性血液透析患者以回避为主要应对方式(36例,36%);面对维度得分低于常模(t=-2.780,P=0.007),回避、屈服维度得分高于常模(t=7.208,t=6.486,P均<0.001);屈服维度与领悟社会支持总分及各维度负相关(r=-0.322、-0.318、-0.256、-0.260,P=0.001、0.001、0.010、0.009),面对维度与其他支持维度正相关(r=0.249,P=0.013)。结论提示应完善和充分利用MHD患者的家庭和社会支持系统,减少屈服应对,提高其健康水平。Objective To investigate the status of medical coping style and its correlation with perceived social support in maintenance hemodialysis（MHD） patients. Methods By convenient sampling, a total of100 patients who underwent MHD in our hospital from July to June in 2017 were followed up for Medial Coping Modes Questionnaire（MCMQ） and Perceived Social Support Scale（PSSS）. Results Avoidance was the main coping style in MHD patients（36 case, 36%）. The score of face dimension was lower than norm（t=-2.780, P=0.007）, and the scores of avoidance and yield dimension were higher than norm（t=7.208 and 6.486 respectively, P〈0.001）. The yield dimension was negatively correlated with the total scores and dimensions of perceived social support（r=-0.322,-0.318,-0.256 and-0.260; P=0.001, 0.001, 0.010 and 0.009）, and the face dimension was positively correlated with other support dimensions（r=0.249, P=0.013）. Conclusion This study suggests that the family and social support system for MHD patients should be improved to reduce their yield responses and improve their health conditions.

关 键 词：维持性血液透析 应对方式 领悟社会支持 

分 类 号：R318.16[医药卫生—生物医学工程]