CAJ | 학술논문

目的：探讨强直性脊柱炎（ankylesing spondyliti，AS）患者生存质量现状与医学应对方式状况及其影响因素。方法对在本院门诊就诊的200例AS患者进行生存质量和医学应对方式测评，了解AS患者生存质量和医学应对方式状况及其影响因素。结果 AS患者生存质量总分为（66.82±5.57）分，其中心理状态维度得分最低为（10.65±4.05）分；pearson相关分析结果显示：“面对”应对方式与生存质量总分及其社会功能维度呈正相关﹙r=0.18、r=0.13，均P<0.05﹚，“回避”应对方式与生存质量总分及其生理功能维度呈正相关﹙r=0.12、r=0.14，均P<0.05﹚，“屈服”应对方式与生存质量的生理功能维度呈负相关﹙r=-0.20，P<0.01﹚；回归分析结果显示：AS患者生存质量受病程、医学应对方式中的"面对"应对方式及医疗费用支付方式影响（均P<0.05）。结论 AS患者生存质量偏低，其高低与患者所采用的医学应对方式、病程及医疗费用支付方式有关，应针对患者的具体情况，实施有针对性的干预措施，指导患者采取积极、有效的医学应对方式，以提高其生存质量。
목적：탐토강직성척주염（ankylesing spondyliti，AS）환자생존질량현상여의학응대방식상황급기영향인소。방법대재본원문진취진적200례AS환자진행생존질량화의학응대방식측평，료해AS환자생존질량화의학응대방식상황급기영향인소。결과 AS환자생존질량총분위（66.82±5.57）분，기중심리상태유도득분최저위（10.65±4.05）분；pearson상관분석결과현시：“면대”응대방식여생존질량총분급기사회공능유도정정상관﹙r=0.18、r=0.13，균P<0.05﹚，“회피”응대방식여생존질량총분급기생리공능유도정정상관﹙r=0.12、r=0.14，균P<0.05﹚，“굴복”응대방식여생존질량적생리공능유도정부상관﹙r=-0.20，P<0.01﹚；회귀분석결과현시：AS환자생존질량수병정、의학응대방식중적"면대"응대방식급의료비용지부방식영향（균P<0.05）。결론 AS환자생존질량편저，기고저여환자소채용적의학응대방식、병정급의료비용지부방식유관，응침대환자적구체정황，실시유침대성적간예조시，지도환자채취적겁、유효적의학응대방식，이제고기생존질량。
Objective To investigate the influencing factors of ankylosing spondylitis(AS)patients’life quality and medical coping styles.Method Two hundred patients visiting at the outpatient department of our hospital took part in the assessment on AS life quality and medical coping styles to look into the living quality of AS patients and its medical coping methods and influencing factors.Results The total score on life quality was(66.82±5.57),among whose dimensions the psychological function was scored the lowest by(10.65±4.05). Pearson correlation analysis showed that the scores on confrontation of coping styles were positively related with the dimension of social function in life quality(r=0.18,r=0.13,P<0.05),the scores on the avoidance of coping style were positively related to the dimension of physiological function in the life quality(r=0.12,r=0.14,P<0.05),the scores on yielding in coping styles was negatively correlated to physiological function of the life quality(r=-0.20,P<0.05).Regression analysis results showed that the AS patients’life quality was impacted by the course of the disease,coping styles and modes for paying medical expenses(P<0.05).Conclusions The AS patients’life quality is low and it is related to their coping style,the course of the disease and modes for paying medical expenses.Medical personnel should implement targeted interventions to guide patients into taking correct medical coping styles according to the specific condition of patients,in order to improve their quality of life.