慢性阻塞性肺疾病患者自我感受负担与自我效能、应对方式的相关性分析  

An analysis of relationship between self perceived burdenand self efficacy,coping style in patients with chronic obstructive pulmonary disease

作　　者：张凯明[1] 刘鑫[1] 蔡亚敏[1] 吴春贤[1] 姜文辉[1] Zhang Kaiming;Liu Xin;Cai Yamin;Wu Chunxian;Jiang Wenhui(Department of Health Care, Hunan Provincial Military Authority Hospital, Changsha 410011, China)

机构地区：[1]湖南省军区机关医院保健科,长沙410011

出　　处：《中国医师杂志》2018年第5期697-700,共4页Journal of Chinese Physician

摘　　要：目的研究分析慢性阻塞性肺疾病(COPD)患者自我感受负担(SPB)的特点,探讨其与患者自我效能、应对方式的相关性。方法选取2015年1月至2017年6月本院收治的96例COPD患者进行研究,回顾性分析患者的临床资料,采用自我感受负担量表、自我效能量表和应对方式量表对所选患者进行问卷调查,分析患者自我感受负担与自我效能、应对方式的相关性。结果 COPD患者自我感受负担总分为(33.76±7.65)分,以中度水平为主;COPD患者症状管理自我效能、疾病共性管理自我效能得分分别为(8.13±1.09)分、(8.22±1.13)分,以中度自我效能水平为主;COPD患者应对方式总分为(35.09±10.83)分,以积极应对为主;COPD患者自我感受负担各维度评分及总分与积极应对方式呈负相关(P<0.05),与消极应对方式呈正相关(P<0.05),与应对方式总分无明显相关(P>0.05)。COPD患者自我感受负担各维度评分及总分与自我效能各维度评分及总分均呈明显负相关(P<0.05)。结论 COPD患者SPB与自我效能、应对方式存在明显相关,医护人员应加强与患者的沟通,引导患者应用积极的应对方式面对疾病,对有效提高患者自我效能,降低自我感受负担,促进患者身心健康有重要意义。Objective To investigate the characteristics of self perceived burden （SPB） in patients with chronic obstructive pulmonary disease （COFD） and explore the relationship between the perceived burden and self-efficacy, coping style. Methods A total of 96 cases with COPD in our hospital from January 2015 to June 2017 were enrolled in the study. The clinical data of patients were retrospectively analyzed. The patients were surveyed by self perceived burden scale, self-efficacy scale and coping style scale. The relationship between self perceived burden and self efficacy, coping style were investigated. Results The self perceived burden score of COPD patients was （ 33.76 ±7.65 ） points with moderate level. The symptom management self-efficacy, common disease management self-efficacy score of COPD patients were （8.13 ± 1.09） and （8. 22 ± 1.13） respectively with moderate self-efficacy. The total score of coping style in COPD patients was （35.09 ±10. 83 ） points with positive coping style. The each dimension and the total score of self perceived burden were negatively correlated with positive coping style in COFD patients （ P 〈 0. 05 ）, and positively correlated with negative coping styles （ P 〈 0. 05 ）. The total score of coping style had no significant correlation with perceived burden scores （ P 〉 0. 05 ）. The each dimension and the total score of self perceived burden were negatively correlated with the each dimension scores and total scores of self-efficacy in COPD patients （P 〈 0. 05）. Conclusions There are significant correlation between SPB and self-efficacy and coping style in COPD patients. Medical staff should strengthen communication with patients, and guide them with positive coping style in the face of disease, which can effectively improve their self-efficacy and reduce the self perceived burden and promote physical and mental health.

关 键 词：肺疾病 慢性阻塞性 自我效验 问卷调查 

分 类 号：R563.9[医药卫生—呼吸系统]