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克罗恩病患者应对方式现状及其相关影响因素分析

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目的:探究克罗恩病患者应对方式现状及其相关影响因素.方法:选取2021年4月至2022年12月我院收治的80例克罗恩病患者,采用简易应对方式问卷评估患者的应对方式,并收集相关资料,采用多因素Logistic回归分析影响克罗恩病患者应对方式的因素.结果:80例患者中有29例患者消极应对,发生率为36.25%;有51例患者积极应对,发生率63.75%.文化程度、简化克罗恩病活动指数(CDAI)评分、不良心理、社会支持度、D型人格与克罗恩病患者消极应对有关(P<0.05);性别、年龄、家族史、工作状况、家庭人均月收入、居住地、婚姻状况与克罗恩病患者消极应对无关,差异无统计学意义(P>0.05).多因素Logistic回归分析结果显示,文化程度高中及以下(OR=2.945,95%CI:1.139~7.614)、CDAI评分较高(OR=11.999,95%CI:4.387~32.815)、有不良心理(OR=5.950,95%CI:2.180~16.239)、社会支持度低下(OR=3.598,95%CI:1.370~9.448)、D型人格(OR=3.208,95%CI:1.118-8.904)是克罗恩病患者消极应对的危险因素(P<0.05).结论:克罗恩病患者消极应对的发生率较高,与患者文化程度高中及以下、CDAI评分较高、有不良心理、社会支持度低下、D型人格等因素有关,临床可据此采取措施来促使患者积极应对疾病.
Analysis of coping styles of patients with Crohn's disease and its related influencing factors
Objective:To investigate the current situation of coping styles in Crohn's disease patients and its related influencing factors.Methods:A total of 80 patients with Crohn's disease admitted to our hospital from Apri 2021 to Dec 2022 were selected to evaluate their coping styles with a simple coping style questionnaire,and relevant data were collected.The factors affecting the coping styles of Crohn's disease were analyzed by multivariable logistic regression.Results:Among the 80 patients,29 cases were negative coping,the incidence was 36.25% .There were 51 patients with positive coping(63.75% ).Educational level,simplified Crohn's disease activity index(CDAI)score,adverse psychology,social support and type D personality were associated with negative coping(P<0.05).Gender,age,family history,working status,monthly family income,place of residence,and marital status were not associated with negative coping in patients with Crohn's disease(P>0.05).Multivariable logistic regression analysis showed that education level of high school or below(OR=2.945,95% CI:1.139-7.614),higher CDAI score(OR=11.999,95% CI:4.387-32.815),poor psychology(OR=5.950,95% CI:2.180-16.239),low social support(OR=3.598,95% CI:1.370-9.448)and type D personality(OR=3.208,95% CI:1.118-8.904)were risk factors for negative coping in patients with Crohn's disease(P<0.05).Conclusions:The incidence of negative coping in patients with Crohn's disease is higher,which is related to high school education or below,high CDAI score,poor psychology,low social support,and type D personality.Therefore,clinical measures can be taken to promote patients to actively cope with the disease.

Crohn's diseasecoping styleanxietydepressionsocial support degree

翟慧兰、李雪芹、付珊、徐双双、江璐

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南昌大学第二附属医院消化科,江西 南昌 332200

克罗恩病 应对方式 焦虑 抑郁 社会支持度

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(1)
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