慢性非萎缩性胃炎患者生活质量、应对方式及自我效能的相关性研究

发布时间：2018-03-19 22:37

本文选题：慢性非萎缩性胃炎　切入点：生活质量　出处：《锦州医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的通过调查慢性非萎缩性胃炎患者的一般资料、生活质量、应对方式及自我效能,分析一般资料对生活质量、应对方式、自我效能的影响,以及慢性非萎缩性胃炎患者生活质量、应对方式和自我效能三者之间的相关性,为促进慢性非萎缩性胃炎患者采取积极的应对方式、提高自我效能水平提供科学依据,从而达到提高患者生活质量的目的。方法本研究采用便利抽样的方法,选取在锦州市锦州医科大学附属第一医院经胃镜室检查确诊为慢性非萎缩性胃炎患者为研究对象,采用一般资料调查表、健康状况问卷(SF-36)、医学应对方式问卷及一般自我效能感问卷进行调查。数据应用SPSS20.0进行统计分析,分别通过描述性分析、单因素分析、Pearson相关分析以及多元线性回归分析的统计方法进行数据分析。结果1、非萎缩性胃炎患者自我效能得分为(2.54±0.64)分,低于全国常模(P0.05);应对方式得分分别为面对(16.55±3.90)分、回避(15.73±3.38)分、屈服(9.93±4.90)分,面对低于全国常模(P0.05),回避、屈服高于常模(P0.05);非萎缩性胃炎患者生活质量总均分为(60.20±21.00)分,生活质量八个维度得分均低于全国常模(P0.05)。2、非萎缩性胃炎自我效能在年龄、职业、文化程度、婚姻状况、个人月收入、医疗费用支付方式上的差异均有统计学意义(P0.05);面对型应对方式在年龄、居住地、职业、文化程度、婚姻状况、个人月收入、医疗费用支付方式上的差异均有统计学意义(P0.05),回避型应对方式在年龄、职业、文化程度、婚姻状况、个人月收入、医疗费用支付方式上的差异均有统计学意义(P0.05),屈服型应对方式在年龄、职业、文化程度、婚姻状况、个人月收入、医疗费用支付方式上的差异均有统计学意义(P0.05);非萎缩性胃炎患者生活质量总得分在性别、年龄、职业、文化程度、婚姻状况、个人月收入、医疗费用支付方式上的差异均有统计学意义(P0.05)。3、相关性分析结果显示,非萎缩性胃炎患者的自我效能与生活质量呈正相关,面对型、回避型应对方式与生活质量呈正相关,屈服型应对方式与生活质量呈负相关,自我效能与面对型、回避型应对方式呈正相关,自我效能与屈服型应对方式呈负相关。4、进一步多元逐步回归分析结果显示,文化程度、个人月收入对自我效能有正向预测作用,年龄对自我效能有负向预测作用;自我效能、个人月收入对面对型应对方式有正向预测作用,年龄对面对型应对方式有负向预测作用,自我效能、个人月收入对回避型应对方式有正向预测作用,自我效能、个人月收入对屈服型应对方式有负向预测作用,年龄对屈服型应对方式有正向预测作用;个人月收入、自我效能对生活质量有正向预测作用,屈服型应对方式对生活质量有负向预测作用。结论1、非萎缩性胃炎患者自我效能水平低于正常人群,与正常人群相比非萎缩性胃炎患者不趋于采用面对型及回避型的应对方式,更趋于采用屈服型应对方式,非萎缩性胃炎患者生活质量水平低于正常人群。2、非萎缩性胃炎患者自我效能、应对方式、生活质量受人口统计学的影响。3、自我效能水平越高,非萎缩性胃炎患者生活质量越好。采取面对型及回避型应对方式的患者生活质量水平更高,采取屈服型应对方式的患者生活质量水平更低。积极的应对方式有利于患者的身心健康,消极的应对方式加重患者生理及心理上的负担,降低患者生活水平。回避型应对方式对非萎缩性胃炎患者来说是不正面与疾病对抗的一种方式,是一种迂回、转移疾病直接影响的方式,有利于患者缓解自身症状。4、非萎缩性胃炎患者的自我效能和应对方式能够直接影响生活质量,自我效能对应对方式也有影响,可以通过改变自我效能的方式而改变患者的应对方式,进而影响患者的生活质量。
[Abstract]:The general information, investigation of chronic non atrophic gastritis patients' quality of life, coping style and self-efficacy, analysis of general information on the quality of life, coping style, self-efficacy, and chronic non atrophic gastritis patients' quality of life, the relationship between coping style and self efficacy of the three, to adopt positive coping style for patients with chronic non atrophic gastritis, provide a scientific basis for improving the level of self-efficacy, so as to improve the quality of life of patients. Methods this study used convenience sampling method, selected in Jinzhou Medical University in Jinzhou City, the First Affiliated Hospital of the gastroscope room examination confirmed the diagnosis of chronic non atrophic gastritis patients as the research object, the general information questionnaire, health status questionnaire (SF-36), medical coping style questionnaire and general self-efficacy questionnaire. Data should be carried out by SPSS20.0 Through statistical analysis, descriptive analysis, single factor analysis, Pearson correlation analysis and multivariate linear regression analysis statistical methods for data analysis. The results of 1 non atrophic gastritis patients self-efficacy score (2.54 + 0.64), lower than the national norm (P0.05); coping style scores were in the face of (16.55 + 3.90), avoid (15.73 + 3.38), yield (9.93 + 4.90) points, in the face of lower than the national norm (P0.05), avoidance, yield is higher than the norm (P0.05); the quality of life in patients with non atrophy gastritis total score (60.20 + 21), quality of life scores were lower than the national eight the norm of.2 (P0.05), non atrophic gastritis self-efficacy in age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05); the face of coping style in age, residence, occupation, education level, marital status Personal monthly income, medical expenses, payment of the difference were statistically significant (P0.05), avoidant coping styles in age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05), yielding coping styles in age, occupation, education, marriage status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05); the total score of quality of life in patients with non atrophic gastritis in gender, age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05.3), correlation analysis the results showed that non atrophic gastritis patients self-efficacy was positively associated with quality of life, in the face of type, were positively correlated to avoidant coping style and quality of life, yielding coping style and quality of life in a negative phase Closed, self efficacy and face type, avoidant coping style was positively correlated, self-efficacy and coping style was negatively correlated with the yield of.4, further multiple stepwise regression analysis showed that educational level, personal monthly income have a positive predictive effect on self-efficacy, age has a negative predictive effect on self-efficacy; self-efficacy, personal monthly income the opposite have a positive predictive effect on coping style, age opposite a negative predictor of coping self-efficacy, personal income has a positive predictive effect on avoidant coping style and self-efficacy, personal income has a negative effect on the yield of coping style, age has a positive predictive effect on the yield of coping style.; personal income, self-efficacy has a positive predictive effect on the quality of life, compromising coping style has a negative predictive effect on the quality of life. Conclusion 1, non atrophic gastritis patients The level of self-efficacy is lower than the normal population, compared with the normal population non atrophic gastritis patients do not tend to adopt facing coping style and avoidant, more by compromising coping style, quality of life of patients with non atrophic gastritis is lower than normal population.2, non atrophic gastritis patients self-efficacy, coping style, influence quality of life by.3 the population statistics, the level of self-efficacy is higher, non atrophic gastritis patients better quality of life. To face up to life quality of patients and avoidant coping styles of higher yielding coping styles take lower life quality of patients. Positive coping style is beneficial to patients' physical and mental health, negative coping style increased physiological and the psychological burden on patients, lowering the quality of life of patients. Avoidant coping style is not positive and against atrophy gastritis patients of non disease In a way, is a circuitous, metastatic disease directly affects the way, to alleviate their symptoms in patients with.4, non atrophic gastritis patients' self-efficacy and coping style can directly affect the quality of life, self-efficacy has influence on coping style, coping style can be changed by changing the patient's self efficacy the way, which affects the life quality of patients.

【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R473.5

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