CAJ | 학술논문

目的：探讨银屑病患者的应对方式及其与生活质量的相关性，了解银屑病患者的心理行为特点，为合理治疗提供依据.方法对湖南省长沙市、常德市3所医院皮肤科的144例银屑病住院患者进行问卷调查，内容包括患病情况、应对方式和生活质量.结果银屑病患者“面对”、“回避”、“屈服”的得分均高于常模；患者的年龄、性别、受教育水平、职业、收入等社会人口学特征，以及出血、瘙痒程度、皮损部位、发病年龄、患病时间、家族史、被拒绝的经历等病情特点均会影响其应对方式(P＜0．05)；疾病严重度、屈服、面对得分与生活质量得分呈正相关(P＜0．05).结论银屑病对患者是一个很大的应激，患者的应对方式受到社会人口学特征和患病情况的影响，并在一定程度上影响了患者的生活质量.
목적：탐토은설병환자적응대방식급기여생활질량적상관성，료해은설병환자적심리행위특점，위합리치료제공의거.방법대호남성장사시、상덕시3소의원피부과적144례은설병주원환자진행문권조사，내용포괄환병정황、응대방식화생활질량.결과은설병환자“면대”、“회피”、“굴복”적득분균고우상모；환자적년령、성별、수교육수평、직업、수입등사회인구학특정，이급출혈、소양정도、피손부위、발병년령、환병시간、가족사、피거절적경력등병정특점균회영향기응대방식(P＜0．05)；질병엄중도、굴복、면대득분여생활질량득분정정상관(P＜0．05).결론은설병대환자시일개흔대적응격，환자적응대방식수도사회인구학특정화환병정황적영향，병재일정정도상영향료환자적생활질량.
Objective To investigate the coping style of patients with psoriasis,and the correlation with quality of life,understand the psychological behavior feature and provide evidence for suitable treatment. Methods 144 inpatients with psoriasis from 3 hospitals in Changsha and Changde were surveyed.Survey information consists of patient’s condition,coping style,and quality of life.Results The scores of “face”,“evasive”,“yield”of psoriasis patients were higher than the norm.The age,gender,education level,occupa-tion,income and other demographic features and bleeding,pruritus,skin damaged position,age of onset,du-ration of disease,family history,been rejected could affect the coping styles of patients(P<0.05).Positive correlations were found between the scores of severity of disease,yield and face(P<0.05).Conclusion Psoriasis is a big stress to patients;the coping style were affected by the socio-demographic characteristics and patients condition,and thus affect the quality of life.