中青年与老年冠心病患者应对方式及社会支持的比较研究

目的探讨中青年与老年冠心病患者应对方式及社会支持的差异。方法采用一般情况调查表、简易应对方式问卷及社会支持评定量表对158例首发冠心病患者进行问卷调查。结果老年组冠心病患者消极应对为（11．5205±3．4525）分，社会支持为（38．1096±6．8426）分，与中青年组比较有统计学意义（均P〈0．01）；冠心病患者的客观支持、主观支持及社会支持与积极应对呈正相关，与消极应对呈负相关。结论中青年与老年冠心病患者的应对方式及社会支持存在差异，应针对性地对不同人群进行健康教育，面对生活事件应激时要采用正确的、积极的应对方式，有效利用社会网络以获得更多的社会支持，尤其重视老年人的社会支持。

Association between coping styles and social support in middle-aged and elderly patients with coronary heart disease

Objective To explore coping styles and social support in middle-aged and elderly patients with coronary heart disease(CHD).Methods Questionnaire survey was used.158 patients with CHD were investigated by the General Data Questionnaire,the Simple Coping Style Questionnaire and the Social Support Rating Scale.Results The total scores of passive coping styles and social support of elderly patients were (11.520 5±3.452 5)and(38.109 6±6.842 6)respectively.Both of them had significant differences to middle-aged patients(P<0.01);There was positive correlation between objective,subjective and social support and active coping styles,the negative correlation between objective,subjective and social support and passive coping styles.Conclusions Middle-aged patients and elderly patients with CHD had significantly different coping styles and social support.It is important to deliver effective health education about adopting the propercoping strategy to copy with life events and using the social network to improve the social support for patients,especially for elderly.