疾病感知在变应性鼻炎患者的应对方式与益处发现间的中介作用  

The mediating role of disease perception in coping style and benefit discovery in patients with allergic rhinitis

作　　者：郭人毓 王文[1] 万文锦[1] 崔昕燕[1] 林睿[1] GUO Ren-yu;WANG Wen;WAN Wen-jin;CUI Xin-yan;LIN Rui(Department of Otolaryngology,The First Affiliated Hospital,Nanjing Medical University/Jiangsu Provincial People′s Hospital,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院/江苏省人民医院耳鼻咽喉科,江苏南京210029

出　　处：《实用医院临床杂志》2024年第1期63-68,共6页Practical Journal of Clinical Medicine

基　　金：国家自然科学基金青年项目(编号:81600789);江苏省自然科学基金青年基金项目(编号:BK20161058)。

摘　　要：目的调查变应性鼻炎(AR)患者益处发现水平现状,分析益处发现与疾病感知、应对方式的关系,明确疾病感知在AR患者应对方式与益处发现的中介效应,为制定干预性策略提供参考。方法选择2022年7月至2022年12月我院收治的AR患者225例,使用一般调查问卷、简易疾病感知量表(BIPQ)、医学应对方式问卷(MCMQ)、益处发现量表(BFS)进行调查。结果(1)AR患者益处发现总分(49.58±7.23)分,疾病感知评分(42.49±8.75)分,面对、回避、屈服评分分别为(19.15±3.56)分、(15.13±3.02)分、(9.43±2.86)分;(2)不同病程、文化程度、家庭经济状况、医疗付费方式患者益处发现评分比较,差异有统计学意义(P<0.05);(3)益处发现与面对成正相关性(r=0.512,P<0.05),与疾病感知、屈服成负相关性(r=-0.361,r=-0.056.P<0.05);疾病感知与面对成负相关性(r=-0.214,P<0.05),与回避、屈服成正相关性(r=0.223,r=0.612,P<0.05);(4)文化程度、经济状况、医疗付费方式、疾病感知、面对、屈服是AR患者益处发现水平的影响因素(P<0.05);(5)疾病感知对益处发现产生间接效应(β=0.298,P<0.001),中介效应占比36.61%(0.298/0.814)。结论AR患者益处发现整体水平偏低,与文化程度、经济状况、医疗付费方式、疾病感知、面对、屈服等因素相关。疾病感知作为中介变量,可通过影响应对方式,调节AR患者益处发现水平。Objective To investigate the status quo of benefit discovery in patients with allergic rhinitis(AR)and to analyze the relationship between benefit discovery,disease perception and coping style as well as clarify the mediating effect of disease perception in coping style and benefit discovery in patients with AR so as to provide reference for formulating intervention strategies.Methods A total of 225 AR patients from July 2022 to December 2022 were selected.General questionnaire,Simple Disease Perception Scale(BIPQ),Medical Coping Style Questionnaire(MCMQ)and Benefit Finding Scale(BFS)were used.Results The total score of benefit discovery of AR patients was(49.58±7.23)points.The disease perception score was(42.49±8.75)points.The face,avoidance and yield scores were(19.15±3.56)points,(15.13±3.02)points and(9.43±2.86)points,respectively.The differences in benefit discovery score among patients with different disease course,education level,family economic status and medical payment method were statistically significant(P<0.05).The benefit discovery was positively correlated with face(r=0.512,P<0.05)and negatively correlated with disease perception and yield(r=-0.361 and-0.056,P<0.05).Disease perception was negatively correlated with face(r=-0.214,P<0.05),and positively correlated with avoidance and submission(r=0.223 and 0.612,P<0.05).Educational level,economic status,medical payment mode,disease perception,face and submission were the factors influencing the level of benefit discovery in AR patients(P<0.05).Disease perception had an indirect effect on benefit discovery(β=0.298,P<0.001).The intermediate effect accounted for 36.61%(0.298/0.814).Conclusions The overall level of benefit discovery in AR patients is low.Benefit discovery is related to factors such as education level,economic status,medical payment mode,disease perception,face and submission.As a mediating variable,disease perception can regulate the level of benefit discovery in AR patients by affecting coping styles.

关 键 词：变应性鼻炎 益处发现 疾病感知 应对方式 中介效应 

分 类 号：R473.7[医药卫生—护理学]