垂体瘤术后病人应对方式、希望水平与生活质量的结构方程模型

发布时间：2019-02-25 07:48

【摘要】：[目的]探讨垂体瘤术后病人应对方式、希望水平与生活质量的关系。[方法]选取2010年1月—2014年10月在苏州大学附属第一医院接受垂体瘤手术后病人409例,采用自制垂体瘤术后一般资料调查表、健康状况调查问卷(SF-36中文版)、医学应对问卷、Herth希望指数量表进行调查,并建立垂体瘤术后病人应对方式、希望水平与生活质量关系的结构方程模型。[结果]垂体瘤术后病人应对方式面对、回避、屈服评分分别为(18.22±3.90)分、(17.35±3.32)分、(9.27±2.39)分;希望水平评分为(34.39±3.21)分;生活质量的8个维度躯体功能、躯体角色、躯体疼痛、总健康、生命力、社会功能、情感角色、心理健康评分分别是(84.59±11.69)分、(33.44±12.33)分、(43.97±10.90)分、(45.53±12.29)分、(53.64±11.45)分、(57.97±18.13)分、(41.73±17.86)分、(53.57±11.40)分;面对维度对希望水平之间有正向效应(β=0.053,P0.01),对生活质量有直接的正向效应(β=0.491,P0.01);屈服维度评分对希望水平有直接负向效应(β=-0.049,P0.05),对生活质量有直接的负向效应(β=-1.456,P0.01);希望水平对生活质量有直接正向效应(β=1.512,P0.01)。[结论]垂体瘤术后病人的希望水平可直接影响生活质量,应对方式对生活质量有直接或间接影响。
[Abstract]:Objective: to explore the relationship between coping style, level of hope and quality of life of postoperative patients with pituitary adenoma. [methods] A total of 409 patients were selected from January 2010 to October 2014 in the first affiliated Hospital of Suzhou University after pituitary adenoma surgery. The questionnaire of general information on postoperative pituitary adenoma and the health status questionnaire (SF-36 Chinese version) were used. The medical coping questionnaire and Herth hope index scale were investigated and the structural equation model of coping style, level of hope and quality of life (QOL) of patients with pituitary adenoma was established. [results] the coping style, avoidance and yield score were (18.22 卤3.90), (17.35 卤3.32), (9.27 卤2.39), (34.39 卤3.21) and (34.39 卤3.21), respectively. The scores of physical function, physical role, somatic pain, total health, vitality, social function, emotional role and mental health were (84.59 卤11.69) and (33.44 卤12.33), respectively. (43.97 卤10.90), (45.53 卤12.29), (53.64 卤11.45), (57.97 卤18.13), (41.73 卤17.86), (53.57 卤11.40); The face dimension had positive effect on the level of hope (尾 = 0.053, P0.01) and a direct positive effect on the quality of life (尾 = 0.491, P0.01). The yield dimension score had a direct negative effect on the level of hope (尾 = -0.049) and a direct negative effect on the quality of life (尾 = -1.456mP0.01). The level of hope has direct positive effect on quality of life (尾 = 1.512 P 0.01). [conclusion] the level of hope can directly affect the quality of life, and the coping style has direct or indirect effect on the quality of life.
【作者单位】：苏州大学附属第一医院;苏州大学护理学院;
【分类号】：R473.73

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