文献类型：期刊文献

中文题名：慢性病患者医学应对方式与风险感知的关系及其相关因素分析

英文题名：Relationship between medical coping modes and risk perception in patients with chronic diseases and factors related to patients’ medical coping modes

作者：方蕾[1];崔宇红[1];许瑞[1];李芳[1];吉秀家[1]

第一作者：方蕾

机构：[1]甘肃中医药大学护理学院,兰州730000

第一机构：甘肃中医药大学护理学院

年份：2020

期号：12

起止页码：1792

中文期刊名：慢性病学杂志

外文期刊名：Chronic Pathematology Journal

基金：甘肃中医药大学科学研究与创新项目(KCYB2018-7)

语种：中文

中文关键词：慢性病;风险感知;医学应对方式;因素分析

外文关键词：Chronic diseases;Risk perception;Medical coping modes;Factor analysis

摘要：目的了解慢性病患者医学应对方式与风险感知的关系,分析医学应对方式的相关人口学因素,为降低慢性病患者风险感知水平和采取积极的医学应对方式提供理论依据。方法选取甘肃中医药大学附属医院收治的304例慢性病患者作为研究对象,均进行《慢性病患者风险感知结构问卷》和《医学应对方式问卷》填写,采用Pearson相关法分析风险感知与医学应对方式的相关性、方差分析探索慢性病患者服药依从性的影响因素。结果慢性病患者面对因子得分为(20.17±1.83)分,回避因子得分为(13.84±2.42)分,屈服因子得分为(13.36±1.48)分。风险感知总分与屈服呈负相关(r=-0.281,P<0.05);经济风险、身体诊疗风险和社会心理风险分别与回避呈正相关(r=0.151、0.180、0.161,P<0.05),与屈服呈负相关(r=-1.770、-0.282、-0.133,P<0.05)。不同年龄组的慢性病患者回避因子和屈服因子得分比较,差异有统计学意义(P<0.05);不同婚姻状况的慢性病患者屈服因子得分比较,差异有统计学意义(P<0.05);不同受教育程度、不同职业、不同医疗付费方式和不同家庭人均月收入的慢性病患者面对因子和屈服因子得分比较,差异有统计学意义(P<0.05)。结论医务人员应该在临床治疗的同时降低患者的负性情绪,提高患者治疗积极性;家庭和社区提高患者的社会支持系统;政府建立健全相关医疗保障制度,采取积极的应对方式,有效控制疾病的发展和预防,从而促进患者的自我管理效能,提高其生活质量。
Objective To understand the relationship between medical coping modes and risk perception of patients with chronic diseases,and to study the demographic factors related to medical coping modes,so as to provides a theoretical basis for reducing the risk perception level of patients with chronic diseases and taking active medical countermeasures.Methods Totally 304 chronic patients was interviewed by questionnaires in certain grade-three general hospital in Lanzhou.Research tools were the risk perception for chronic patients questionnaire and medical Coping Modes Questionnaire.Pearson correlation method was used to analyze the correlation between risk perception and medical coping styles,and analysis of variance was used to explore the factors affecting the compliance of patients with chronic diseases.Results The face factor score of chronic patients was 20.17±1.83,the avoidance factor score was 13.84±2.42,and the surrender factor score was 13.36±1.48.The total score of risk perception was negatively correlated with surrender factor(r=-0.281,P<0.05);economic risk,physical diagnosis and treatment risk and social psychological risk were positively correlated with avoidance(r=0.151,0.180,0.161,P<0.05),negatively correlated with surrender factor(r=-1.770,-0.282,-0.133,P<0.05).The avoidance factor and surrender factor were different in different age groups(P<0.05).There were statistical differences in the surrender factors among chronic patients with different marital status(P<0.05).There were statistical differences in the face factor and surrender factor of chronic patients with different education levels,different occupations,different medical payment methods and different family per capita monthly incomes(P<0.05).Conclusion Medical staff should reduce patients’negative emotions and improve patients’enthusiasm for treatment during clinical treatment;families and communities should improve patients’social support systems;the government should establish and improve relevant medical security systems and adopt positive response methods to effectively control the development and prevention,thereby promoting patients’self-management efficiency and improving their quality of life.