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128例新型冠状病毒肺炎患者医学应对方式及其影响因素研究
Medical coping modes and influencing factors of 128 patients with COVID-19

沈悦好 原志芳 王莹 马娜 王建慧 牛彦娥 朱雅楠 林辉 于泳 李伟 姚凯 李艳霞 于吉云 王琪 刘素彦 李硕 林梅

【摘要】目的 探讨新型冠状病毒肺炎患者医学应对方式与患者一般资料及社会支持之间的关 系。方法 采用便利抽样法,于 2020 年 1 月 28 日— 2020 年 2 月 20 日应用一般资料调查表和中文版医 学应对方式问卷对武汉市某定点医院的 128 例新型冠状病毒肺炎患者进行调查,应用 Pearson 单因素分 析和多重线性回归分析对新型冠状病毒肺炎患者基本情况与应对方式的关系进行分析。结果 新型 冠状病毒肺炎患者的面对维度和回避维度得分低于常模,而屈服维度高于常模,差异有统计学意义 (P<0.05)。支持利用度和复杂性是面对维度的影响因素(P<0.05),支持利用度和年龄是屈服维度的影响 因素(P<0.01),主观支持,疾病不确定感的复杂性维度以及患者家庭中确诊人数是回避维度的影响因素 (P< 0.01)。结论 新型冠状病毒肺炎患者医学应对方式较差,容易以消极的态度面对疾病,患者不愿 意面对疾病和向疾病屈服的倾向较大,且年龄越大的患者越不趋于向疾病屈服,家庭中确诊人数越多 的患者越不会回避疾病现状,而社会支持和利用度越高的患者医学应对方式更加合理。提醒医护人员 也应多关注患者应对新型冠状病毒肺炎的心理问题,提升其应对方式和方法。
【摘要】Objective To explore the relationships between medical coping modes of patients with COVID-19 and general information and social supports. Methods From January 28 to February 20,2020, a total of 128 patients in a designated hospital in Wuhan with novel coronavirus pneumonia were investigated using the General Information Questionnaire and the Chinese version of the Medical Coping Modes Questionnaire (MCMQ) by convenient sampling. Pearson univariate analysis and multiple linear regression were used to analyze the relationship between the basic situation of patients with novel coronavirus pneumonia and coping modes. Results The scores of the face dimension and avoidance dimension of patients with COVID-19 were lower than the norm model, while the yield dimension was higher than the norm model, and the differences were statistically significant (P< 0.05). Support utilization and complexity were influencing factors of the face dimension (P< 0.05). Support utilization and age were influencing factors of the yielding dimension (P< 0.01). Subjective support, the complexity dimension of disease uncertainty and the number of confirmed patients in the family were influencing factors of the avoidance dimension (P< 0.01). Conclusions Patients with COVID-19 have poor medical coping modes, and they are prone to face the disease with a negative attitude. Patients are unwilling to face the disease and the tendency to yield to the disease is greater. And the older the patients, the less likely they are to succumb to the disease. The more patients diagnosed in the family, the less likely they are to avoid the disease. Patients with higher social supports and utilization have a more reasonable medical coping mode. This reminds medical staff to pay more attention to the psychological problems of patients in coping with COVID-19 and improve their coping modes and methods.

【关键词】新型冠状病毒肺炎; 医学应对方式; 疾病不确定感
【关键词】COVID-19; Medical coping modes; Disease uncertainty