CAJ | 학술논문

目的通过各型脊柱侧凸患者医学应对水平的调查,为临床护土心理护理提供依据.方法本组124例脊柱侧凸患者,其中特发性脊柱侧凸患者(A组)59例,先天性脊柱侧凸患者(B组)65例,采用国际上医学应对方式问卷(MCMQ)进行调查.结果在医学应对方式3个因素面对、回避、屈服中A组分别为(18.66±3.13),(16.46±2.89),(10.63±2.78);B组分别为(18.97±3.97),(16.57±2.84),(10.75±2.54).两组比较,A组均值低于B组,其中而对值有统汁学意义(P<0.01),回避、屈服值无统计学意义(P>0.05).在进一步对个体应对研究,A组与B组在面对、回避的构成比无统计学意义(P>0.05);在屈服的构成比有统计学意义(P<0.05).结论不同类型脊柱侧凸患者医学应对水平存在差异,临床护士在同手术期护理过程中要综合评估患者的医学应对水平,特别要注意特发性脊柱侧凸患者心理反应的复杂性,用有效的心理治疗方法减少或消除消极应对,使患者在健康的心理状态下接受手术治疗.
목적 통과각형척주측철환자의학응대수평적조사,위림상호토심리호리제공의거.방법 본조124례척주측철환자,기중특발성척주측철환자(A조)59례,선천성척주측철환자(B조)65례,채용국제상의학응대방식문권(MCMQ)진행조사.결과 재의학응대방식3개인소면대、회피、굴복중A조분별위(18.66±3.13),(16.46±2.89),(10.63±2.78);B조분별위(18.97±3.97),(16.57±2.84),(10.75±2.54).량조비교,A조균치저우B조,기중이대치유통즙학의의(P<0.01),회피、굴복치무통계학의의(P>0.05).재진일보대개체응대연구,A조여B조재면대、회피적구성비무통계학의의(P>0.05);재굴복적구성비유통계학의의(P<0.05).결론 불동류형척주측철환자의학응대수평존재차이,림상호사재동수술기호리과정중요종합평고환자적의학응대수평,특별요주의특발성척주측철환자심리반응적복잡성,용유효적심리치료방법감소혹소제소겁응대,사환자재건강적심리상태하접수수술치료.
Objective To provide the evidence for clinical psycho-nursing through surveying the Medical Coping Questionnaire (MCMQ) of different-scoliosis patients.Methods 124 scoliosis patients were investigated with MCMQ charts,with 59 cases of idiopathic-scoliosis(group A)and 65 cases of congenital-scoliosis (group B).Results MCMQ composed of confrontment,avoidance and resignation.The scores of confrontmcnt,avoidance and resignation were (18.66±3.13),(16.46±2.89) and (10.63±2.78)in group A,and(18.97±3.97),(16.57±2.84) and (10.75±2.54) in group B.The average score of the three subjects in group A was less than that in group B,and there was a significant difference in confrontment(P<0.01),but no significant difference in avoidance and resignation(P>0.05).Further investigating the three subjects in group A,the difference was significant in resignation(P<0.05),but not significant in confrontment and avoidance (P>0.05) when compared to group B.Conclusions The results of MCMQ in difierent scoliosis are different.The clinical nurses must evaluale the medical coping level.and specially be careful for the complexity of psychological reaction in idiopathic-scoliosis patients.It is to reduce or eliminate the inactivecoping through effective method of psychological therapy,thereby making the patients receive the operation therapy in the healthy state of psychology.