糖尿病足截肢患者应对方式在伤残接受度与生活质量间的中介效应  

Mediating Effect of Coping Style on Disability Acceptance and Quality of Life in Patients with Diabetic Foot Ulcers Undergoing Amputation

作　　者：赵露 顾培培 李玉雪[3] 郑丽萍[4] 李俊玲[1] ZHAO Lu;GU Pei-pei;LI Yu-xue;ZHENG Li-ping;LI Jun-ling(Dept.of Nursing Administration,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Academy of Medical Science,Zhengzhou University,Zhengzhou 450052,China;Dept.of General Surgery,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Neonatal ICU,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院护理部,河南郑州450000 [2]郑州大学医学科学院,河南郑州450052 [3]郑州大学第二附属医院普外科,河南郑州450000 [4]郑州大学第二附属医院新生儿重症监护室,河南郑州450000

出　　处：《护理学报》2021年第23期11-16,共6页Journal of Nursing（China）

基　　金：河南省科技攻关项目(162102310562);河南省医学教育研究课题(wjlx2018048)。

摘　　要：目的调查糖尿病足截肢患者的生活质量水平,分析其与伤残接受度之间的关系,并探讨应对方式在两者之间的中介效应。方法选取2018年5月—2019年3月就诊于河南省人民医院及郑州大学第二附属医院的217例糖尿病足部截肢患者为研究对象,采用糖尿病特异性生存质量量表、伤残接受度量表、医学应对方式问卷进行调查。结果糖尿病足截肢患者生活质量与伤残接受度(r=0.549,P<0.01)、面对应对(r=0.583,P<0.01)呈正相关,与回避、屈服之间呈负相关(r=-0.451、-0.569,P<0.01);应对方式在伤残接受度和生活质量间起到部分中介作用,中介效应占总效应的30.51%。结论本组糖尿病足截肢患者的生存质量水平较低,伤残接受度是生活质量的重要影响因素,应对方式在生活质量与伤残接受度之间有部分中介作用。需提高对患者伤残接受度的关注和管理,采取有针对性的干预措施,以促进患者对糖尿病足截肢诊断的积极应对、行为调整,提高患者的生活质量。Objective To investigate the quality of life of patients with diabetic foot ulcers(DFUs) undergoing amputation,to explore the association between the quality of life and disability acceptance and the mediating effect of coping style in the relationship between the quality of life and disability acceptance.Methods From May 2018 to March 2019,217 diabetic foot amputees in two tertiary grade-A general hospitals in Zhengzhou,were surveyed by using the Diabetes Specific Quality Life Scale(DSQL),the Acceptance of Disability Scale(ADS) and the Medical Coping Mode Questionnaire scale(MCMQ).Results There was a significant positive correlation between the quality of life,disability acceptance(r=0.549,P<0.01),and face-coping(r=0.583,P<0.01);and a significant negative correlation between avoidance coping,and yield coping style(r =-0.451,-0.569,P <0.01).Coping style was a partial mediator between acceptance of disability and the quality of life,accounting 30.51% of the total effect.Conclusion The quality of life of patients with DFUs undergoing amputation in the study is relatively poor.Disability acceptance is an important factor affecting the quality of life,and coping style has a partially mediating effect between the quality of life and disability acceptance.More attention should be paid to disability acceptance of the patients.Target measures are beneficial for promoting positive response,behavior adjustment and the quality of life.

关 键 词：糖尿病足截肢 伤残接受度 应对方式 生活质量 中介效应 

分 类 号：R473.58[医药卫生—护理学]