128例2019冠状病毒病患者的医疗应对方式及影响因素

Yuehao Shen, Zhifang Yuan, Ying Wang, Na-na Ma, Jianhui Wang, Y. Niu, Ya-Ting Zhu, Hui-zhong Lin, Yongming Yu, Wei Li, K. Yao, Yan-xia Li, Jiyun Yu, Qi Wang, Suyan Liu, Shuo Li, Mei Lin
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引用次数: 1

摘要

目的探讨新冠肺炎患者医疗应对方式与一般信息和社会支持的关系。方法采用方便抽样的方法,对2020年1 - 2月武汉市某定点医院收治的128例新型冠状病毒感染的肺炎患者进行一般信息问卷和中文版《医疗应对方式问卷》调查。采用Pearson单因素分析和多元线性回归分析新型冠状病毒肺炎患者基本情况与应对方式的关系。结果2019冠状病毒肺炎患者面部维度和屈服维度得分低于常态模型,回避维度得分高于常态模型,差异均有统计学意义(P<0.05)。支持利用和复杂程度是影响面部维度的因素(P<0.05)。支架利用率和树龄是影响产量维数的因素(P<0.01)。主观支持度、疾病不确定性复杂性维度和家庭确诊人数是回避维度的影响因素(P<0.01)。结论新冠肺炎患者医疗应对方式较差,易以消极态度面对疾病。患者不愿面对疾病,向疾病屈服的倾向更大。患者年龄越大,死于这种疾病的可能性就越小。家庭中确诊的患者越多,他们就越不可能避免这种疾病。社会支持和社会利用程度越高的患者,其医疗应对方式越合理。这提醒医护人员在应对新冠肺炎时,要更加关注患者的心理问题,改进应对模式和方法。关键词:2019冠状病毒病;肺炎;医疗应对模式;疾病的不确定性
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical coping modes and influencing factors of 128 patients with COVID-2019
Objective To explore the relationships between medical coping modes of patients with COVID-2019 and general information and social supports. Methods From January to February 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 yield dimension of patients with COVID-2019 were lower than the norm model, while the avoidance 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-2019 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-2019 and improve their coping modes and methods. Key words: Corona virus disease 2019; Pneumonia; Medical coping modes; Disease uncertainty
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