社区老年慢性病患者疾病应对方式与健康功能损失程度的相关性

发布时间：2018-07-06 06:32

本文选题：应对方式 + 健康功能损失　；参考：《中国老年学杂志》2017年13期

【摘要】：目的探讨老年慢性病(老慢病)患者疾病应对方式与健康功能损失程度的相互关系。方法采用医学应对问卷量表和疾病影响程度量表对社区140例老慢病患者进行调查。结果老慢病患者疾病应对方式中面对得分最高为(20.25±2.34)分,其次为回避(13.72±1.61)分、屈服(9.26±2.23)分。老慢病患者健康功能损失得分前3位为:娱乐消遣(51.74±9.45)分,家务管理(48.97±8.82)分,躯体功能(42.19±6.05)分。面对与娱乐消遣、躯体功能、饮食损失得分呈显著负相关(P0.01),屈服与娱乐消遣、睡眠休息、社会心理损失失分呈显著正相关(P0.01)。结论社区老慢病患者疾病应对方式中以面对为主的人群能减少疾病对部分健康功能带来的负面影响,以消极应对方式为主的人群其健康功能更易受到疾病带来的不利影响。社区工作人员为老慢病人群提供健康服务时应重点关注采取消极应对疾病的老年人,以帮助其积极面对疾病,减少健康功能损失程度,促进生活质量的提高。
[Abstract]:Objective to investigate the relationship between disease coping style and health function loss in elderly patients with chronic diseases (chronic diseases). Methods 140 elderly patients with chronic diseases were investigated by medical coping questionnaire and disease impact scale. Results the highest score of coping style was (20.25 卤2.34), the second was avoidance (13.72 卤1.61), the other was yield (9.26 卤2.23). The first three points of health function loss of the elderly patients with chronic diseases were entertainment (51.74 卤9.45), household management (48.97 卤8.82), somatic function (42.19 卤6.05). The scores of face and recreation, body function, diet loss were significantly negative (P0.01), and yield was positively correlated with recreation, sleep rest, social and psychological loss (P0.01). Conclusion among the coping styles of the elderly patients with chronic diseases in the community, the population mainly facing the disease can reduce the negative effects of the disease on some health functions, and the health function of the people with the negative coping style is more vulnerable to the adverse effects of the disease. Community workers should pay more attention to the elderly who take a negative response to the disease, so as to help them to face the disease positively, reduce the loss of health function and promote the improvement of the quality of life.
【作者单位】：辽宁医学院附属第一医院;
【分类号】：R592

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