冠心病患者社会支持及应对方式对患者生存质量的影响

目的 探讨社会支持及应对方式对冠心病患者生存质量的影响.方法 应用社会支持评定量表（SSRS）、Jalowies应对方式量表、简易健康调查量表（SF-36）对85例冠心病患者（冠心病组）及85名健康体检者（对照组）进行调查,分析社会支持及应对方式对患者生存质量的影响及其相关性.结果 冠心病组主观支持、支持利用度及社会支持总量分别为（18.62±4.36）分、（9.47±3.25）分、（5.12±1.98）分,低于对照组的（24.12±5.39）分、（6.69±2.87）分、（8.32±2.14）分,而客观支持（35.12±6.98）分,则高于对照组的（39.62±5.42）分,差异有统计学意义（P＜0.05）.冠心病组姑息、逃避、宿命、依靠自我分别为（2.32±0.87）分、（2.42±0.92）分、（2.62±0.36）分、（2.47±0.92）分,高于对照组的（0.52±0.21）分、（0.37±0.18）分、（0.29±0.12）分、（0.31±0.11）分,而乐观、面对、寻求支持、情感宣泄评分分别为（0.48±0.12）分、（0.58±0.11）分、（0.62±0.14）分、（0.47±0.15）分,低于对照组的（2.58±1.21）分、（2.48±0.98）分、（2.38±1.02）分、（2.52±1.23）分,差异有统计学意义（P＜0.05）.冠心病组SF-36总评分及各维度评分低于对照组,差异有统计学意义（P＜0.05）.经Pearson相关分析得知,冠心病患者SF-36总评分与社会支持总量、支持利用度、应付方式中的乐观、面对呈正相关（P＜0.05）,而与应付方式中的逃避、宿命呈负相关（P＜0.05）.经Logistic多因素分析可知,应对方式中的逃避、宿命是影响冠心病患者生存质量的独立危险因子,而社会支持总量、应对方式中的乐观是冠心病患者生存质量的保护因子.结论 冠心病患者社会支持及应对方式与其生存质量具有密切的关系.护理人员对冠心病患者实施护理过程中可提高其社会支持水平,促进患者采用积极的应对方式将有利于提高冠心病患者生存质?

The impact of different social support and coping styles on quality of life for patients with coronary heart disease

Objective To investigate the effects of social support and coping style on quality of life in patients with coronary heart disease.Methods 85 cases of coronary heart disease （CHD） and 85 cases of normal healthy subjects（control group） were investigated with Social Support Rating Scale（SSRS）,Jalowies Coping Scale,Easy Health Survey（SF-36）.The affect of social support and coping style on quality of life were analyzed.Results The subjective support,utilization of support and social support amount of CHD groups [（18.62±4.36）,（9.47± 3.25）,（5.12±1.98）] were lower than the control group[（24.12±5.39）,（6.69±2.87）,（8.32±2.14）],while the objective support （35.12±6.98） were higher than control group （39.62±5.42） （P〈0.05）.The scores of palliative,escape,fate,relying on self of CHD groups [（2.32±0.87）,（2.42±0.92）,（2.62±0.36）,（2.47±0.92）] were higher than the control group[（0.52±0.21）,（0.37±0.18）,（0.29±0.12）,（0.31±0.11）],while the scores of optimistic,face seeking support,emotional catharsis of CHD groups [（0.48±0.12）,（0.58±0.11）,（0.62±0.14）,（0.47±0.15）] were lower than the control groups[（2.58±1.21）,（2.48±0.98）,（2.38±1.02）,（2.52±1.23）]（P〈0.05）.The SF-36 total score and each dimension score of CHD groups were lower than the control groups（P〈0.05）.The SF-36 total score were positive correlation with total amount of social support,utilization of support,optimistic way,face（P〈0.05）,but the SF-36 total were negative correlation with cope with the escape,fate （P〈0.05）.The coping style of escape,fate were independent risk factor for the quality of life of CHD,while the total amount of social support,coping style of optimism were the protection factor of the quality of life in patients with coronary heart disease.Conclusion Coronary heart disease in patients with social support and coping with their quality of life has a close relationship.Nursing care for patients with c