2020 年1 期 第28 卷
COPD健康心理![查看全文 查看全文](/Areas/201911120101/Content/img/icon_html.png)
![PDF下载 PDF下载](/Areas/201911120101/Content/img/icon_pdf.png)
慢性阻塞性肺疾病患者心理一致感水平及其影响因素研究
ZHANG L.Sense of coherence and its influencing factors in patients with chronic obstructivepulmonary disease
作者:江艳,喻正浩,张力
- 单位:
- 430014 湖北省武汉市中心医院呼吸内科;通信作者:张力,E-mail:zhangli_787@126.com
- 单位(英文):
- Department of Respiratory Medicine,the Central Hospital of Wuhan,Wuhan 430014,China;Corresponding author:ZHANG Li,E-mail:zhangli_787@126.com
- 关键词:
- 慢性阻塞性肺疾病;心理一致感;社会支持;应对方式;影响因素分析;问卷调查
- 关键词(英文):
- Chronic obstructive pulmonary disease;Sense of coherence;Social support;Coping style;Root causeanalysis;Questionnaires
- 中图分类号:
- R 563.9
- DOI:
- DOI:10.3969/j.issn.1008-5971.2020.01.009
- 基金项目:
- 湖北省科技计划项目(2018CFC815);武汉市医学科研项目(WZ19C19)
摘要:
目的 分析慢性阻塞性肺疾病(COPD)患者心理一致感水平及其影响因素。方法 选取 2018 年 3—12 月武汉市中心医院和武汉大学中南医院呼吸内科收治的 COPD 患者 165 例,采用一般资料调查表、心理一致感量表(SOC-13)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)分别调查患者一般资料、心理一致感水平、社会支持水平及应对方式。SSRS 及其各维度评分、积极应对评分、消极应对评分与 COPD 患者 SOC-13 评分的相关性分析采用 Pearson 相关分析,比较不同一般资料 COPD 患者 SOC-13 评分,而 COPD 患者 SOC-13 评分的相关因素分析采用多元线性逐步回归分析。结果 (1)本次调查共发放 165 份调查问卷,有效回收率为 93.33%(154/165);本组 154 例患者 SOC-13 评分为(61.42±9.23)分。(2)Pearson 相关分析结果显示,SSRS 评分(r=0.428)、主观支持评分(r=0.418)、客观支持评分(r=0.464)、支持利用度评分(r=0.385)及积极应对评分(r=0.454)与 COPD患者 SOC-13 评分呈正相关(P<0.05),消极应对评分与 COPD 患者 SOC-13 评分呈负相关(r=-0.524,P<0.05)。(3)不同年龄、性别、文化程度、婚姻状况、病程、吸烟情况及有无宗教信仰的 COPD 患者 SOC-13 评分比较,差异无统计学意义(P>0.05);不同家庭人均月收入、肺功能分级及有无合并其他类型慢性病的 COPD 患者 SOC-13 评分比较,差异有统计学意义(P<0.05)。(4)多元线性逐步回归分析结果显示,SSRS 评分、消极应对评分、家庭人均月收入及肺功能分级与 COPD 患者 SOC-13 评分独立相关(P<0.05);拟合的回归方程 Y=69.074-0.394X 1 (消极应对评分)-0.269X 2 (肺功能分级)+0.216X 3 (SSRS 评分)+0.175X 4 (家庭人均月收入),差异有统计学意义(F=29.597,P=0.001;R 2 =0.443,调整R 2 =0.428)。结论 COPD患者心理一致感水平较低,而社会支持、消极应对、家庭人均月收入、肺功能分级是 COPD 患者心理一致感水平的影响因素。
英文摘要:
Objective To analyze the sense of coherence and its influencing factors in patients with chronicobstructive pulmonary disease(COPD). Methods From March to December 2018,a total of 165 patients with COPDwere selected in the Departments of Respiratory Medicine,the Central Hospital of Wuhan and Zhongnan Hospital of WuhanUniversity,general information,sense of coherence,social support and coping style was investigated by the GeneralInformation Questionnaire,Sense of Coherence Scale(SOC-13),Social Support Rating Scale(SSRS) and SimplifiedCoping Style Questionnaire(SCSQ),respectively. Pearson correlation analysis was used to analyze the correlations of SSRSand its each dimension score,positive coping score,negative coping score with SOC-13 score in patients with COPD,andSOC-13 score was compared in patients with different general information,moreover multiple linear stepwise regression analysiswas used to analyze the related factors of SOC-13 score in patients with COPD. Results (1)The effective response rate was93.33%(154/165),and the SOC-13 score of the 154 patients with COPD was(61.42±9.23).(2)Pearson correlationanalysis results showed that,SSRS score(r=0.428),subjective support score(r=0.418),objective support score(r=0.464),support utilization score(r=0.385)and positive coping score(r=0.454)was positively correlated with SOC-13 score inpatients with COPD,respectively(P<0.05),while negative coping score was negatively correlated with SOC-13 score inpatients with COPD(r=-0.524,P<0.05).(3)There was no statistically significant difference in SOC-13 score in patientswith different age,gender,education level,marriage status,course of disease or smoking status,as well as with religiousbelief or not(P>0.05);there was statistically significant difference in SOC-13 scores in patients with different family monthlyincome per person and pulmonary function grade,as well as with other types of chronic diseases or not,respectively (P<0.05). (4)Multivariate linear stepwise regression analysis results showed that,SSRS score,negative coping score,family monthly incomeper person and pulmonary function grade were independently related to SOC-13 score in patients with COPD(P<0.05),withstatistically significant difference in the fitted regression equation(F=29.597,P=0.001;R 2 =0.443,adjusted R 2 =0.428),that was Y=69.074-0.394X 1 (negative coping score)-0.269X 2 (pulmonary function grade)+0.216X 3 (SSRS score)+0.175X 4 (family monthly income per person). Conclusion Sense of coherence is relatively low in patients with COPD,social support,negative coping,family monthly income per person and pulmonary function grade are influencing factors of senseof coherence in patients with COPD.
参考文献: