心肌梗死患者应对方式对创伤后成长的影响分析

目的探讨心肌梗死患者应对方式对创伤后成长的影响，为提高心肌梗死患者创伤后成长提供依据。方法采用特质应对方式问卷、创伤后成长量表及自编患者一般资料问卷，对192例心肌梗死门诊患者进行调查。结果心肌梗死患者创伤后成长总分为（69.63±13.27）分，积极应对方式总分为（33.80±6.12）分，消极应对方式总分为（30.13±6.61）分；积极应对方式得分与创伤后成长及各维度得分均成正相关（P ＜0.05）；分层回归分析结果显示，人均月收入、疾病了解程度、发病次数、是否合并其他疾病、积极应对方式与创伤后成长有关（P ＜0.05），应对方式可解释创伤后成长变异的4％。结论临床医务人员可以通过指导患者采取恰当的应对策略，帮助患者提高创伤后成长水平。

Influence of coping styles on posttraumatic growth among patients with myocardial infarction

Objective To explore the influence of coping styles on posttraumatic growth of myocardial infarction,and to provide evi-dence for improving levels of posttraumatic growth of patients with myocardial infarction. Methods A total of 192 myocardial infarction out-patients were investigated by filling out the trait coping styles questionnaire,the posttraumatic growth scale and the self-designed demographic and clinical questionnaire. Results The total score of posttraumatic growth was 69. 63 ± 13. 27,the total score of positive coping styles was 33. 80 ± 6. 12,and the total score of negative coping styles was 30. 13 ± 6. 61. The total score of positive coping styles was significantly corre-lated with the total scores of posttraumatic growth and every dimension(P < 0. 05). The results of hierarchical regression analysis showed that the significant independent factors were monthly family income,the degree of mastering the knowledge of disease,the number of myocardial infarction,the combined diseases and positive coping styles(P < 0. 05). Coping styles could explain 4% of the variance in posttraumatic growth. Conclusion The clinical nursing staffs should make efforts to improve levels of posttraumatic growth by guiding patients to take ap-propriate coping strategies.