冠心病病人入院初期生活质量与应对方式相关性研究

目的]探讨冠心病病人入院初期生活质量与应对方式相关性。方法]采用便利抽样的方法,对126例冠心病病人应用一般资料收集表、医学应对量表（MCMQ）、医学结局量表（SF-8）、西雅图心绞痛量表（SAQ）进行问卷调查。分析病人医学应对方式与生活质量的相关性。结果]多元回归分析显示,冠心病病人生活质量受文化程度（P〈0.05）、是否在职（P〈0.01）、冠状动脉病变程度（P〈0.05）、年龄（P〈0.01）、心肌梗死（P〈0.01）影响。冠心病病人应对方式以面对为主（相对得分0.61分）,其次是回避（0.53分）,最少采用的方式是屈服（0.39分）,且冠心病病人比常模更少采取屈服的应对方式（P〈0.05）;面对维度与SF-8所有维度呈负相关（P〈0.01）,与SAQ的躯体受限程度、心绞痛稳定状态、心绞痛发作情况呈负相关（P〈0.05）,与疾病认识程度呈正相关（P〈0.05）。结论]冠心病病人在入院初期的生活质量与面对应对呈弱负相关关系,与研究时点和疾病特点有关,更应关注应对方式对其远期生活质量的影响。

Study on relativity between quality of life and coping style of patients with coronary heart disease in the early period of admission

Objective：To probe into the relativity between the quality of life and coping style of patients with coronary heart disease in the early period of admission.Methods：By adopting convenient sampling,a total of 126 coronary heart disease patients were investigated by filling out general information collection forms,MCMQ,SF-8 and SAQ.Then the relativity between the quality of life and coping style of patients were analyzed.Results：Multiple linear regression showed that the quality of life of coronary heart disease patients was influenced by education background（P〈0.05）,on job or jobless（P〈0.01）,severity of coronary heart disease（P〈0.05）,age（P〈0.01） and myocardial infarction（P〈0.05）.The major coping style of coronary heart disease patients was confrontation（related score was 0.61）.The avoidance was in the second place（related score was 0.53）.A few patients accepted yielding（related score was 0.39）.Coronary heart disease patients accepted remarkablely less yielding than the norms（P〈0.05）.The score of confrontation dimension was negatively correlated with all the dimensions of SF-8（P〈0.01）.It was negatively correlated with body limitation extent,stable state of angina pectoris and the attacks of angina pectoris（P〈0.05）.However,it was positively correlated with cognition degree of patients toward the disease（P〈0.05）.Conclusion：The quality of life of coronary heart disease patients showed a weak negative correlation with confrontation coping in the early period of admission.One should focus more on the influence of coping style on patients＇ quality of life in the long term.