慢性胰腺炎生活质量和心理弹性、应对方式及社会支持的相关性分析  

Quality of Life of the Patients Suffering Chronic Pancreatitis with Psychological Elasticity,Correlation of Coping Style and Social Support

作　　者：陈凌华[1] 赵慧[1] 雷玲[1] 张素珍[1] 林洁[1] 张沥文[1] CHEN Linghua;ZHAO Hui;LEI Ling;ZHANG Suzhen;LIN Jie;ZHANG Liwen(The Second Clinical School,North Sichuan Medical College/Nanchong Central Hospital,Nanchong 637000,China)

机构地区：[1]川北医学院第二临床医学院.南充市中心医院,四川南充637000

出　　处：《西部中医药》2018年第8期70-74,共5页Western Journal of Traditional Chinese Medicine

摘　　要：目的:探讨慢性胰腺炎患者的心理弹性、应对方式、社会支持与生活质量的相关性。方法:采用心理弹性量表、医学应对问卷、社会支持评定量表、汉化版简明健康调查问卷(SF-36)对120例慢性胰腺炎患者进行调查研究。结果:慢性胰腺炎患者的生活质量下降,在总体健康、躯体疼痛、生理职能、情感职能、精神健康方面明显低于中国常模(P<0.05),心理弹性、社会支持、面对应对、回避应对与生活质量呈正相关(P<0.01),与屈服应对呈负相关(r=-0.672,P<0.01);以生活质量得分为因变量进行多元逐步回归分析显示:自强、坚韧、面对应对、客观支持及对支持的利用度与生活质量呈正相关(P<0.01),而屈服应对方式与生活质量呈负相关(t=-2.316,P<0.05),具有预测慢性胰腺炎患者生活质量的可能,解释率65.7%。结论:慢性胰腺炎患者生活质量较低,受到多种因素的影响,个体的自强、坚韧、面对应对、客观支持及对支持的利用度是影响生活质量的重要因素。Objective：To discuss the correlation of psychological elasticity,coping style and social support with quality of life of the patients suffering chronic pancreatitis（CP）.Methods：Psychological elasticity scales,medical coping questionnaire,social support assessment scales and SF-36 were used to survey 120 patients suffering chronic pancreatitis.Results：Quality of life of the patients lowered,the patients were lower than Chinese norm obviously in general health,somatic pain,role physical,role emotional and emotional health obviously（P〈0.05）,psychological elasticity,social support,coping style and avoiding response were positively related to quality of life（P〈0.01）,negatively correlated with yield response（r =-0.672,P〈0.01）; After taking the scores of quality of life as dependent variable,the results of multiple stepwise regression showed that self-improvement,tenacity,coping,objective support and the availability of support were positively related to quality of life（P〈0.01）,while the style of yield response was negatively correlated to quality of life（t=2.316,P〈0.05）,which possessed the possibility of predicting quality of life of the patients suffering chronic pancreatitis,and the interpretation rate was 65.7%.Conclusion：Quality of life of the patients is low,and it is affected by many factors,individual self-improvement,tenacity,coping,objective support and the availability of support are the important factors of affecting quality of life.

关 键 词：胰腺炎 慢性 生活质量 心理弹性 应对方式 社会支持 

分 类 号：R657.51[医药卫生—外科学]