CAJ | 학술논문

目的：了解重型肝炎患者简易应对方式及影响因素，探讨相应的干预措施。方法选取83例重型肝炎患者作为观察组，83例正常人群作为对照组，给两组调查对象发放简易应对方式自评量表，对调查结果进行分析。结果两组的积极、消极应对方式评分比较，差异有统计学意义(P<0.01)。农民的积极应对方式评分为(1.09±0.47)分，低于其他职业的(1.39±0.41)分；消极应对方式评分为(2.16±0.31)分，高于其他职业的(1.69±0.47)分，差异有统计学意义(P<0.01)。高中及以下学历患者的积极应对方式评分为(1.13±0.41)分，低于中专及以上学历患者的(1.55±0.38)分；消极应对方式评分为(2.06±0.38)分，高于中专及以上学历患者的(1.50±0.47)分，差异有统计学意义(P<0.01)。结论重型肝炎患者主要应用消极应对方式，尤其以农民、高中及以下学历患者最为明显，在重型肝炎患者住院期间，医护人员应实施相应的干预措施，以提高其应用积极应对方式，改善其不良心理状况，提高其生存质量。
목적：료해중형간염환자간역응대방식급영향인소，탐토상응적간예조시。방법선취83례중형간염환자작위관찰조，83례정상인군작위대조조，급량조조사대상발방간역응대방식자평량표，대조사결과진행분석。결과량조적적겁、소겁응대방식평분비교，차이유통계학의의(P<0.01)。농민적적겁응대방식평분위(1.09±0.47)분，저우기타직업적(1.39±0.41)분；소겁응대방식평분위(2.16±0.31)분，고우기타직업적(1.69±0.47)분，차이유통계학의의(P<0.01)。고중급이하학력환자적적겁응대방식평분위(1.13±0.41)분，저우중전급이상학력환자적(1.55±0.38)분；소겁응대방식평분위(2.06±0.38)분，고우중전급이상학력환자적(1.50±0.47)분，차이유통계학의의(P<0.01)。결론중형간염환자주요응용소겁응대방식，우기이농민、고중급이하학력환자최위명현，재중형간염환자주원기간，의호인원응실시상응적간예조시，이제고기응용적겁응대방식，개선기불양심리상황，제고기생존질량。
Objective To understand the coping style and influencing factors of patients with severe hepatitis and dis-cuss relevant intervention measure. Methods 83 cases of patients with severe hepatitis were selected as observation group,83 cases of normal people were selected as control group,simple coping style self-rating depression scales were distributed to all research objects and the survey result was analyzed. Results Score of positve coping dimension and negative coping dimenstion in two groups was compared respectively,with statistical difference (P<0.01).Positve coping dimension score of the farmer was(1.09±0.47)points,lower than that of other occupation[(1.39±0.41)points],negative cop-ing dimenstion score of the farmer was (2.16±0.31)points,higher than that of other occupation [(1.69±0.47)points],with statistical difference(P<0.01).The positve coping dimension score of the patient got degree under senior high school was (1.13±0.41)points,lower than that of the patient got degree above technical secondary school [(1.55±0.38)points],the negetive coping dimension score of the patient got degree under senior high school was (2.06±0.38)points,higher than that of the patient got degree above technical secondary school [(1.50±0.47)points],with statistical difference (P<0.01). Conclusion Severe hepatitis patients mainly take negetive coping style,the farmers and the patients got degree under senior high school are especially obvious,coping style is related to patient’s occupation and education background.Dur-ing the hospitalization of severe hepatitis patients,the medical workers should carry out relevant intervention measure to increase evere hepatitis patients’positive coping style,improve their psychologic status,enhance their quality of life.