摘要
目的了解结核病患者医学应对方式及其影响因素,为制定结核病患者的临床护理策略提供依据。方法采用一般情况问卷和中文版医学应对问卷(MCMQ)对长沙市某三甲综合医院结核病区402例住院结核病患者进行调查,并分析结核病患者医学应对方式现状及其影响因素。结果结核病患者面对、回避、屈服维度得分分别为(18.91±3.05)、(15.49±2.62)、(10.00±3.01)分,与国内常模相比,结核病患者面对维度得分较低(P<0.05),回避、屈服维度得分较高(P<0.01)。对结核病患者应对方式中面对维度有影响的因素有:居住地(城镇居住者得分较高,b=1.01,P=0.036)、是否参加结核病教育讲座(参加者得分较高,b=1.71,P=0.001)、对病情了解程度(对病情了解程度越高者得分越高,b=0.55,P<0.001);对回避维度影响有统计学意义的因素是:居住方式(独居者得分较高,b=1.19,P=0.004);对屈服维度影响有统计学意义的因素有:结核病病程(病程长者得分高,b=0.53,P=0.008)、文化程度(文化程度高者得分较低,b=-0.35,P=0.047)、因结核病住院次数(住院次数多得分高,b=0.58,P=0.002)等。结论结核病患者趋向于选择回避和屈服应对方式。结核病患者医学应对方式受居住地、文化程度等人口学因素和结核病病程、住院次数等疾病因素的影响。
Objective To understand medical coping mode and its influencing factors among patients with tuberculosis(TB),and provide evidence for the development of clinical nursing strategies for TB patients.Methods General questionnaire and medical coping mode questionnaire(MCMQ)were used to investigate 402 TB patients in tuberculosis unit of a tertiary first-class hospital in Changsha,medical coping mode and its influencing factors among TB patients were analyzed.Results The scores of confrontation,avoidance,and acceptance-resignation dimensions of TB patients were(18.91±3.05),(15.49±2.62),and(10.00±3.01)respectively,score of confrontation dimension was statistically lower than domestic norm(P<0.05),but score of avoidance and acceptance-resignation dimensions were statistically higher than domestic norm(P<0.01).Factors influencing confrontation coping mode of TB patients were residence(city and town residents had a higher score,b=1.01,P=0.036),whether attending lecture on tuberculosis education(participants scored higher,b=1.71,P=0.001),and degree of understanding the disease conditions(the more understanding,the higher the score,b=0.55,P<0.001);factors that had significant influence on the avoidance dimension was the way of living(leading solitary life had a higher score,b=1.19,P=0.004);factors influencing acceptance-resignation of TB patients were course of tuberculosis(long duration scored higher,b=0.53,P=0.008),education degree(higher education level had lower score,b=-0.35,P=0.047),times of hospitalization due to tuberculosis(more hospitalization scored higher,b=0.58,P=0.002)and so on.Conclusion TB patients are prone to take avoidance and acceptance-resignation coping mode.The coping mode of TB patients is influenced by both demographic factors and disease factors such as residence,education level,the course of disease,times of hospitalization due to tuberculosis and so on.
作者
姜顾礼
汤慧
王一任
刘鹤群
牟菁
彭小宁
曾小敏
JIANG Gu-li;TANG Hui;WANG Yi-ren;LIU He-qun;MU Jing;PENG Xiao-ning;ZENG Xiao-min(Xiangya School of Public Health,Central South University,Changsha 410078,China;Changsha Central Hospital,Changsha 410004,China;Hunan Normal University School of Medicine,Changsha 410013,China)
出处
《中国感染控制杂志》
CAS
北大核心
2018年第5期385-390,共6页
Chinese Journal of Infection Control
基金
湖南省哲学社会科学基金项目(14YBA395)
中南大学研究生教育教学改革与研究项目(2017JG06)
关键词
结核病
医学应对方式
影响因素
tuberculosis
medical coping mode
influencing factor
作者简介
姜顾礼(1992-),女(汉族),湖南省永州人,硕士研究生,主要从事流行病与医学统计学方法应用研究。;[通信作者]曾小敏,E-mail:zxiaomin@csu.edu.cn
