工伤康复患者医学应对方式和心理状况的相关性

摘要 目的：探讨工伤康复患者医学应对方式与心理状况的相关关系。 方法：应用医学应对问卷（MCMQ）和90项症状清单（SCL-90）对738例工伤康复患者进行测评。 结果：不同受伤类型工伤康复患者的应对方式存在显著差异。未婚组和已婚组在屈服和回避的得分上存在显著差异。不同性别患者在面对和屈服的得分上存在显著差异。屈服与SCL-90各因子存在显著的相关。屈服应对方式是对工伤患者心理健康状况较好的预测指标。 结论：工伤康复患者的医学应对方式和心理健康状况密切相关，工伤康复患者的心理状况及其医学应对方式对疾病的发展及预后有很大影响, 医护人员应通过心理干预改变工伤康复患者的不良应对方式, 改善他们的心理状况, 以提高其生存质量和治疗效果。

Correlation analysis on medical coping styles and psychological status in work-injury rehabilitation patients

Objective:To explore the relationship between medical coping modes and psychological status in work-injury rehabilitation patients. Method:A total of 738 work-injury rehabilitation inpatients were evaluated by medical coping modes questionnaire(MCMQ)and symptom check list 90(SCL-90). Result There were significant differences of coping modes among various work-injury patients.There were significant differences of scores of confrontation and avoidance between marital and single groups.The scores of female were higher than that of male in confrontation.Male rehabilitation patients had higher scores in acceptance-resignation.The scores of acceptance-resignation were positively correlated with SCL-90.The coping mode of acceptance-resignation was a better predictive index of psychological status of work-injury rehabilitation patients. Conclusion:There is closed correlation between the psychological condition and medical coping modes of work-injury rehabilitation inpatients.The psychological condition and medical coping modes have obvious effects on the progression and the prognosis of their disease.Psychological interventions should be applied to change their negative coping modes,ameliorate their psychological condition,promote their quality of life and improve the medical treatments effects.