急性胰腺炎患者应对方式现状及其相关影响因素分析  

Analysis of coping style and related influencing factors in patients with acute pancreatitis

作　　者：俞颖 曾慧 Ying YU;Hui ZENG(Department of Gastroenterology,Yingtan People's Hospital,Yingtan 335000,Jiangxi Province,China)

机构地区：[1]鹰潭市人民医院消化内科,江西鹰潭335000

出　　处：《数理医药学杂志》2023年第7期549-554,共6页Journal of Mathematical Medicine

摘　　要：目的 分析急性胰腺炎(acute pancreatitis,AP)患者应对方式现状及其相关影响因素。方法 选取2021年6月至2022年10月江西省鹰潭市人民医院收治的78例AP患者作为研究对象,采用简易应对方式问卷(Simple Coping Style Questionnaire,SCSQ)评估患者的应对方式情况,根据患者应对方式不同分为两组,分析AP患者应对方式的相关影响因素。结果 78例AP患者中,积极应对50例(64.10%)、消极应对28例(35.90%);消极组初中及以下文化水平(60.71%vs.36.00%)、家庭人均月收入<3 500元(64.29%vs.38.00%)、低社会支持率(42.86%vs.16.00%)高于积极组,反刍性沉思问卷评分(36.76±6.48vs.42.85±7.58)低于积极组(P <0.05);多因素分析结果显示,文化水平低[OR=2.747,95%CI(1.059,7.127),P=0.038]、家庭人均月收入低[OR=2.937,95%CI(1.123,7.678),P=0.028]、社会支持度低[OR=3.937,95%CI(1.359,11.409),P=0.012]、反刍性沉思水平[OR=0.887,95%CI(0.822,0.957),P=0.002]均为AP患者应对方式的独立影响因素。结论 AP患者多能够积极应对自身疾病,但仍有部分患者应对疾病时较为消极,可能受到患者自身文化水平、家庭经济状况、反刍性沉思水平、社会支持等因素的影响。Objective To analyze the current situation of coping style and related influencing factors in patients with acute pancreatitis(AP).Method A total of 78 AP patients admitted to Yingtan People's Hospital of Jiangxi Province from June 2021 to October 2022 were selected as subjects.The Simple Coping Style Questionnaire(SCSQ)was used to assess the coping style of the patients,and the patients were divided into two groups according to the different coping styles.The baseline data of the two groups were further compared to find out the related influencing factors.Result Among 78 patients with AP,50(64.10%)responded positively and 28(35.90%)responded negatively.In the negative group,the education level of junior high school or below(60.71%vs.36.00%),per capita monthly income<3500 yuan(64.29%vs.38.00%),the low social support rate(42.86%vs.16.00%)were higher than the positive group,and the ERRI score(36.76±6.48 vs.42.85±7.58)was lower than the positive group(P<0.05).The results of multivariate analysis showed that low educational level[OR=2.747,95%CI(1.059,7.127),P=0.038],low family per capita monthly income[OR=2.937,95%CI(1.123,7.678),P=0.028],low social support[OR=3.937,95%CI(1.359,11.409),P=0.012]and rumination meditation level[OR=0.887,95%CI(0.822,0.957),P=0.002]were all independent influencing factors for the coping style of AP patients.Conclusion Most patients with AP can actively cope with their disease,but there are still some patients with a negative response to the disease,which may be affected by the low level of education,family economic status,rumination level,social support and other factors.

关 键 词：急性胰腺炎 应对方式 简易应对方式问卷 反刍性沉思问卷 社会支持评定量表 

分 类 号：R576[医药卫生—消化系统]