| 汪永华,孙 层,崔 婷,刘 雁,张 欢,思娇娇,杨 会.炎症性肠病患者希望水平与应对方式、心理韧性和社会支持的关系研究[J].,2021,(20):3937-3940 |
| 炎症性肠病患者希望水平与应对方式、心理韧性和社会支持的关系研究 |
| Study the Relationship between Hope Level and Coping Style, Psychological Resilience and Social Support in Patients with Inflammatory Bowel Disease |
| 投稿时间：2021-03-28 修订日期：2021-04-23 |
| DOI：10.13241/j.cnki.pmb.2021.20.027 |
| 中文关键词: 炎症性肠病 希望水平 应对方式 心理韧性 社会支持 |
| 英文关键词: Inflammatory bowel disease Hope level Coping style Psychological resilience Social support |
| 基金项目:陕西省科学技术厅重点研发计划一般项目（2021SF-348） |
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| 中文摘要: |
| 摘要 目的：研究炎症性肠病（IBD）患者希望水平与应对方式、心理韧性和社会支持的关系。方法：选取我院于2018年10月~2020年10月期间收治的IBD患者137例。采用Herth希望量表（HHI）评价患者希望水平；采用医学应对方式问卷（MCMQ）评估患者面对疾病时所选取的应对方式；采用心理韧性量表（CD-RISC）对患者心理韧性进行评估；采用社会支持评定量表（SSRS）评价患者社会支持情况。将上述评分与国内常模进行对比，采用Pearson相关性分析IBD患者希望水平与应对方式、心理韧性和社会支持的关系。结果：IBD患者与他人保持亲密的态度关系、现实和未来的积极态度、采取积极的行动评分及总分均低于国内常模（P<0.05）。IBD患者面对评分低于国内常模，回避、屈服评分均高于国内常模（P<0.05）。IBD患者力量、乐观和坚韧评分均低于国内常模（P<0.05）。IBD患者主观支持、客观支持和对社会支持的利用度评分均低于国内常模（P<0.05）。Pearson相关性分析结果显示，HHI总分与面对、力量、乐观、坚韧、主观支持、客观支持和对社会支持的利用度呈正相关，而与回避、屈服呈负相关（P<0.05）。结论：大多数IBD患者处于中等希望水平，良好的应对方式、心理韧性和社会支持有助于患者希望水平的提高。 |
| 英文摘要: |
| ABSTRACT Objective: To study the relationship between hope level and coping style, psychological resilience and social support in patients with inflammatory bowel disease (IBD). Methods: 137 patients with IBD in our hospital from October 2018 to October 2020 were selected. Herth Hope Scale (HHI) was used to evaluate the hope level of patients. The Medical Coping Style Questionnaire (MCMQ) was used to evaluate the coping style of patients. The psychological resilience of the patients was evaluated by the psychological resilience Scale(CD-RISC). Social support rating scale (SSRS) was used to evaluate the social support of patients. Compared the above scores with the domestic norm, Pearson correlation was used to analyze the relationship between hope level and coping style, psychological resilience and social support. Results: The scores of maintaining close relationship with others, positive attitude towards reality and future, taking positive action and total score of IBD patients were lower than those of the domestic norm(P<0.05). The face score of patients with IBD was lower than that of the domestic norm, and the avoidance and yield scores were higher than those of the domestic norm (P<0.05). The patients with IBD' strength, optimism and tenacity scores were lower than those of the domestic norm (P<0.05). The scores of subjective support, objective support and utilization of social support of patients with IBD were lower than those of domestic norm (P<0.05). Pearson correlation analysis showed that HHI total score was positively correlated with face, strength, optimism, tenacity, subjective support, objective support and utilization of social support, and negatively correlated with avoidance and yield(P<0.05). Conclusion: Most patients with IBD are in the middle hope level, and good coping style, psychological resilience and social support are helpful to improve the level of hope. |
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