CAJ | 학술논문

目的：探讨老年稳定期慢性阻塞性肺病（Chronic obstructive pulmonary disease ，COPD）患者家庭关系、应对方式与自尊的关系。方法采用Rosenberg自尊量表、医学应对问卷及家庭亲密度适应性量表，对352例老年稳定期COPD患者进行调查。结果男性患者的理想亲密度、理想适应度及实际适应度较女性患者低（ P＜0．05），而亲密不满意度高于女性患者。吸烟患者理想亲密度、实际适应度低于非吸烟患者，而适应不满意度高于非吸烟患者。自尊与面对成正相关，与屈服成负相关。自尊与理想亲密度、实际亲密度、实际适应度呈正相关（P＜0．05），与亲密不满意度及适应不满意度呈负相关。面对与实际亲密度、实际适应度呈正相关，与适应不满意度呈负相关。屈服与亲密不满意度、适应不满意度呈正相关，与实际亲密度、实际适应度呈负相关。回避与亲密不满意度、适应不满意度呈正相关，与理想亲密度呈负相关。结论医护人员可引导老年稳定期COPD患者采取积极的应对方式，减缓压力，发挥其家庭功能，提高患者的自尊水平，改善患者的生活质量。
목적：탐토노년은정기만성조새성폐병（Chronic obstructive pulmonary disease ，COPD）환자가정관계、응대방식여자존적관계。방법채용Rosenberg자존량표、의학응대문권급가정친밀도괄응성량표，대352례노년은정기COPD환자진행조사。결과남성환자적이상친밀도、이상괄응도급실제괄응도교녀성환자저（ P＜0．05），이친밀불만의도고우녀성환자。흡연환자이상친밀도、실제괄응도저우비흡연환자，이괄응불만의도고우비흡연환자。자존여면대성정상관，여굴복성부상관。자존여이상친밀도、실제친밀도、실제괄응도정정상관（P＜0．05），여친밀불만의도급괄응불만의도정부상관。면대여실제친밀도、실제괄응도정정상관，여괄응불만의도정부상관。굴복여친밀불만의도、괄응불만의도정정상관，여실제친밀도、실제괄응도정부상관。회피여친밀불만의도、괄응불만의도정정상관，여이상친밀도정부상관。결론의호인원가인도노년은정기COPD환자채취적겁적응대방식，감완압력，발휘기가정공능，제고환자적자존수평，개선환자적생활질량。
Objective To ascertain the correlation of family cohesion ,coping style and self-esteem for stable eld-erly COPD patients .Method By applying the Rosenberg self-esteem scale ,medical enquires and family cohesion ,re-sults from 352 stable elderly COPD patients were recorded and analyzed .Result The ideal cohesion ,ideal adaptation and real adaption in male patients was lower than that of in female patients (P<0 .05) ,and unsatisfactory rate of co-hesion was higher .The ideal cohesion and ideal adaptation in smoking patients was lower than that of non-smoking patients ,and unsatisfactory rate of cohesion was higher than that of non-smoking patients .Self-esteem was in posi-tive correlation with confront and in negative correlation with yield .Self-esteem was in positive correlation with ideal cohesion ,real cohesion and ideal adaptation(P<0 .05) ,and in negative correlation with unsatisfactory rate .Con-front was in positive correlation with real cohesion and real adaptation (P<0 .05) .Negative correlation with unsatis-factory rate .Faced with real intimacy ,real fitness is positively correlated with the degree of adaptation .Avoidance and intimate dissatisfaction ,adapt dissatisfaction was positively correlated ,and negatively correlated with the ideal of intimacy .Conclusion Medical workers should help stable elderly COPD patients take active coping style ,relieve stress ,improve family cohesion ,increase self-esteem level and finally improve quality of life .