急诊手创伤行手术治疗患者的应对方式及其影响因素研究

目的探讨手创伤患者的应对方式及其影响因素。方法采用特质应对方式量表(TCSQ)、症状自评量表(SCL-90)、社会支持量表(SSRS)和艾森克人格问卷(EPQ),对杭州整形医院住院的急诊手创伤行手术治疗患者进行问卷调查。然后将手创伤患者问卷调查结果与相应的常模进行比较。结果手创伤患者消极应对方式与健康人群常模、综合性医院各类患者比较,差别有统计学意义(P<0.05)。手创伤患者的SCL-90中F2(强迫)、F3(人际敏感)、F4(抑郁)、F6(敌对)、F8(偏执)5个因子评分与常模组比较,差别有统计学意义(P<0.05)。积极应对方式的影响因素为主观支持和职业;消极应对方式的影响因素为EPQ-N(神经质)、F8、婚姻和受伤性质。结论手创伤患者存在一定的心理健康问题,较多采用消极应对方式;消极应对方式受个性特点、社会支持、社会保障及婚姻等影响。

Influencing Factors of Coping Style in Patients with Hand Trauma

Objective To investigate the coping style and its influencing factors in patients with hand trauma.Methods The patients with hand trauma from the emergency room in Hangzhou Plastic Surgery Hospital were evaluated with tinnitus coping style questionnaire(TCSQ),symptom check list-90(SCL-90),social support rating scale(SSRS)and Eysenck personality questionnaire(EPQ).The comparison was made in result of questionnaire survey between the patients and the corresponding norms.Results The score of negative coping style in hand trauma patients was higher than those in both norms and other patients from general hospitals(P<0.05).The scores of F2(constraining),F3(interpersonal sensitivity),F4(depression),F6(hostility)and F8(crankiness)in hand trauma patients were all higher than those in norms(P<0.05).The influencing factors of positive coping style were subjective support and occupation.The influencing factors of negative coping style were EPQ-N,F8(crankiness),marriage status and the characteristics of hand trauma.Conclusion The patients with hand trauma have certain psychological problems and they often adopt negative coping style.Their personality characteristics,social support,social security and marriage status are of comprehensive effects on their coping style.