腹部手术病人应对方式相关因素及与术后康复的相关性研究

目的]探讨腹部手术病人的应对方式相关因素及与术后康复的柑关性。方法]采用医学应对问卷（MCMQ）对195例择期腹部手术病人进行调查。结果]单因素分析显示：①男性、文化程度高、配偶健在、家庭和睦、生活在城镇者更多采用面对方式应对；单身、生活在乡村环境者更多采用回避方式应对；年龄大于50岁、单身、家庭关系差、低收入家庭者更多采用屈服方式应对；②首次排气、排便时间与面对分值呈负相关，首次下床活动时间和排便时间与屈服分值呈正相关。结论]腹部手术病人的应对方式受个体因素影响，护理人员应指导病人采用积极有效的应对方式，最大限度地改善胃肠功能。

A correlative study on copying mode related factors and their correlative study with postoperative rehabilitation ofpatients undergoing operation on abdominal region

Objective： To probe into the copying mode, related factors and their correlation with postoperative rehabilitation of patients undergoing operation on abdominal region . Methods： A total of 19S patients undergoing selective operation on abdominal region were investigated by filling out medical copying mode questionnaire （MCMQ）. Results： The one-factor analysis of variance showed： ①Patients of males, with high education background, health spouse, harmonious family, living in urban areas most likely took facing copying mode; patients of single and living in rural areas mostly took a-voiding copying mode; and patients of over 50 years old, single, with poor family relationship and lower family income mostly took give- in copying mode. ②There were negative correlations between the first time of venting, defecation and facing scoring. There were positive correlations between the first time of off - bed exercises, defecation and give-in scorings. Conclusion： Copying mode of patients undergoing operation on abdominal region was in-fluenced by individual factors. Nursing staff should guide patients to adopt active and effective copying mode to improve their gastrointestinal function in maximum.