社会支持对老年慢性阻塞性肺疾病患者应付方式的影响

目的 探讨社会支持对老年慢性阻塞性肺疾病(COPD)患者应付生活方式的影响.方法 选择62例老年COPD患者进行应付问卷(WOCS)和世界卫生组织生存质量测定量表简表(WHOQCL-BREF)评定.结果 62例慢性阻塞性肺疾病患者SSRS总分及主观支持、客观支持、支持利用度因子评分分别为(38.46±7.83)分,(18.22±4.13)分,(10.91±1.51)分,(9.32±1.40)分.其中＜35分者(低分组)24例;＞45分者(高分组)16例;35～45分者22例.社会支持高分组慢性阻塞性肺疾病患者生理领域、心理领域、社会关系领域、环境领域评分,显著高于社会支持低分组,差异有显著性(P＜0.05或P＜0.01).结论 社会支持程度对慢性阻塞性肺疾病患者应付方式及生活质量具有重要影响,良好的社会支持有助于患者采取积极的应付方式、提高患者的生活质量.

Social support in patients with chronic obstructive pulmonary disease to cope with the impact of coping style

Objective To investigate the impact on coping style of social support on patients with chronic obstructive pulmonary disease (COPD) . Methods There were 62 elderly COPD patients assessed by WOCS and the Word Health Organization Quality of life BREF (WHOQC_BREF) assessment. Results The total scores fo 62 patients of SSRS, subjective support, objective support and support using degree respectively were ( 38.46 ± 7.83 ), ( 18.22 ± 4.13), ( 10.91 ± 1.51, (9.32 ± 1.40) . There were 24 cases lower than 35 points (low score group), 16 cases higher than45 points (high score group) , and22 cases between 35 and45 points. WHOQCL-BREF evaluation of physiological, psychological, social relations and environmental field of the high social support group were significantly higher than those of the low social support group (P ＜0.05 or P ＜0.01 ) . Conclusions The degree of social support has an important impact on COPD patients'coping style and life quality and good social support helps patients take an active approach to deal with and improve the quality of life.