首页|稳定期慢性阻塞性肺疾病患者个人掌控感与应对方式的相关性分析

稳定期慢性阻塞性肺疾病患者个人掌控感与应对方式的相关性分析

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目的 调查稳定期慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者个人掌控感现状,分析其与应对方式的相关性,为制订针对性的干预和服务策略提供依据。方法 通过便利抽样纳入某三级甲等医院340例稳定期COPD患者为研究对象,采用一般资料调查问卷、个人掌控感量表(personal mastery scale,PMS)、社会支持评定量表、特质应对方式问卷进行调查。结果 340例稳定期COPD患者PMS得分(24。23±4。98)分、积极应对方式得分(35。71±6。43)分、消极应对方式得分(27。60±6。73)分。不同性别、年龄、文化程度、职业、医疗付费方式、长期居住地、家庭人均月收入、居住地周围医疗机构、病程、肺康复训练、合并症、抑郁、COPD患者自我评估测试(COPD assessment test,CAT)评分、改良版英国医学研究委员会呼吸问卷得分、肺功能分级、综合评估分级、过去1年急性加重次数、过去1年急性加重住院史、自理能力等级、社会支持等级的稳定期COPD患者PMS得分差异有统计学意义(均P<0。05);且性别、职业、CAT评分、综合评估分级、生活自理能力和社会支持是PMS独立影响因素(均P<0。05)。PMS与积极应对方式呈正相关(r=0。548,P<0。01),与消极应对呈负相关(r=-0。513,P<0。05)。结论 稳定期COPD患者PMS处于中等水平,且受多种因素影响,PMS与应对方式具有相关性。临床应重视评估患者的PMS,针对性制订干预措施,提高患者的积极应对方式,减少临床不良事件。
Correlation of Personal Mastery and Coping Style in Patients with Stable Chronic Obstructive Pulmonary Disease
Objective To explore the status quo of personal mastery among stable chronic obstructive pul-monary disease(COPD)patients,to analyze its correlation with coping styles,and to provide a basis for targeted interventions and service strategies.Methods By the convenience sampling method,340 stable COPD patients were selected,and a survey was conducted by general information questionnaires,the Per-sonal Mastery Scale(PMS),Social Support Rating Scale,and Trait Coping Style Questionnaire.Results The PMS score of the subjects was(24.23±4.98),with positive coping style score of(35.71±6.43)and negative coping style score of(27.60±6.73).Differences in PMS scores were statistically significant(all P<0.05)for gender,age,education level,occupation,healthcare payment method,long-term residence,av-erage monthly household income,proximity to medical institutions,disease duration,pulmonary rehabilita-tion training,comorbidities,depression,COPD Assessment Test(CAT)score,modified British medical re-search council score,pulmonary function classification,comprehensive assessment,frequency of acute exac-erbations in the past year,history of acute exacerbation hospitalization in the past year,self-care ability lev-el,as well as social support level among stable COPD patients.Gender,occupation,score,comprehensive as-sessment,self-care ability level,and social support were independent influencing factors for PMS(all P<0.05).PMS was positively correlated with positive coping style(r=0.548,P<0.01)and negatively corre-lated with negative coping style(r=-0.513,P<0.05).Conclusions The PMS of stable COPD patients is at a moderate level,influenced by various factors,and is correlated with coping styles.It is important to fo-cus on assessing the PMS of patients in clinical practice,develop targeted interventions,enhance positive coping strategies,and reduce adverse clinical events.

chronic obstructive pulmonary diseasepersonal masterycoping stylescorrelation analysis

何雅、曹学华、吕琴、刘珏杉、李晓云、陈君可

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四川省医学科学院四川省人民医院呼吸与危重症医学科,四川成都 610072

电子科技大学医学院,四川成都6100022

四川省人民医院妇科

四川省人民医院儿科

四川省人民医院骨科

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慢性阻塞性肺疾病 个人掌控感 应对方式 相关性分析

四川省卫生健康委医学科技项目

21PJ076

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(2)
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