【作者】 温亮； 张旺信； 刘欣； 梁艳娟； 张培培；

【Author】 Wen Liang;Zhang Wangxin;Liuxin;Liangyanjuan;zhangpeipei;Department of Medical Psychology ,Taishan Medical University;Baoji Vocational Technology College;

【机构】 泰山医学院医学心理学教研室； 陕西省宝鸡职业技术学院；

【摘要】 目的:以调查老年冠心病住院患者患病行为、家庭功能、应对方式为基础,探讨患者患病行为与患者家庭功能、应对方式之间的关系。方法:采用横断面研究法截取某医院143名冠心病住院患者为研究对象,应用患病行为问卷,家庭功能评定量表和医学应对方式问卷行为进行调查。结果:(1)老年冠心病住院患者其心理取向异常者68.8%;疾病信念异常者68.5%;疑病指数异常者59.4%;疾病确信异常者44.8%。(2)患者家庭功能良好者9.8%,一般者88.8%,较差者1.3%。(3)应对方式以回避型(t=11.066,P<0.01)和屈服型(t=12.663, P<0.01)为主。(4)相关分析显示患者家庭功能各因子与患病行为部分因子呈正相关(r=0.178～0.350,P<0.05);面对型应对方式与患病行为部分因子呈负相关(r=-0.212～-0.304, P<0.05);回避型应对方式与患病行为各因子均无显著相关;屈服型应对方式与患病行为部分因子呈正相关(r=0.187～0.226, P<0.05)。结论:(1)老年冠心病住院患者普遍存在异常患病行为。(2)患者家庭功能普遍一般。(3)应对方式多采取回避和屈服。(4)家庭功能越差患病行为越严重,以面对为主要应对方式的患者患病行为较少,以屈服为主要应对方式的患者患病行为较明显。医护人员、社区工作者及政府应对冠心病患者进行有针对性的心理干预、家庭治疗、健康教育及政策制定。更多还原

【Abstract】 Objective:On the basis of investigatingthe disease behavior, family function and coping style of elderly patients with coronary heart disease to explore the relationship between the patient’s behavior, family functioning and comping style.Method: Using the method of cross-sectional study to select 143 inpatients with coronary heart disease as the research object, and by means of prevalence questionnaire, family function rating scaleand medical coping questionnaire.Result:(1) The proportion of abnormal behavior psychological orientation dimension accounted for 68.8%. The proportion of abnormal disease belief dimension accounted for 68.5%.The number of suspicious index dimensions is 59.4%. The abnormal disease assurance dimensions accounted for 44.8%.(2)The patients with good family function accounted for 9.8%,the average accounting for 88.8%,the poorer 1.3%.(3)The avoidance(t=11.066,P<0.001) and yield(t=12.663, P<0.001) dominate the coping style.(4) Correlated analysis showed that patients’ family function factors were positively related to part of the factors of disease behavior(r=-0.212～-0.304, P<0.05). Facing coping style was negatively related to part of the factors of disease behavior(r=-0.212～-0.304, P<0.05). Avoiding coping style was no obvious correlation. And yielding coping style was positively related to part of the factors of disease behavior(r=0.187～0.226, P<0.05).Conclusion:(1)Many elderly patients with coronary heart disease have illness behavior.(2)The family function is generally moderate.(3)The patient’s coping style is more avoidance and yield.(4)The worse the family function, the more obvious illness behavior,patients who take avoidance as the main coping style have less obvious illness behaviors, and patients who take yield as the main coping style have more illness behaviors.Health care workers,relatives of patients, community workers and society all should have targeted psychological intervention, family therapy,health education and policy-making to the special group of coronary heart disease.更多还原