应对策略和社会支持对提高哮喘患者生活质量的作用*

心理与行为研究 ›› 2009, Vol. 7 ›› Issue (4): 247-252.

应对策略和社会支持对提高哮喘患者生活质量的作用^*

孙宏伟¹,王建平²,王艳郁¹,宋玉萍¹,杨智辉²

1 潍坊医学院,潍坊 261053;
2 北京师范大学心理学院,北京 100083

收稿日期:2009-01-06 出版日期:2009-12-20 发布日期:2015-01-21
作者简介:孙宏伟,男,潍坊医学院教授。Email: sunhw@wfmc.edu.cn。
基金资助:
本研究得到教育部人文社会科学研究07JAXLX005一般项目和山东省教育厅科技计划J07YE03项目的资助

ROLE OF COPING STYLES AND SOCIAL SUPPORT IN THE INCREASE OF QUALITY OF LIFE THROUGH PSYCHOLOGICAL INTERVENTION IN PATIENTS WITH ASTHMA

Sun Hongwei¹,Wang Jianping²,Wang Yanyu¹,Song Yuping¹,Yang Zhihui²

1 Weifang Medical College, Weifang 261053;
2 Department of Psychology of Beijing Normal University, Beijing 10083

Received:2009-01-06 Online:2009-12-20 Published:2015-01-21

摘要/Abstract

摘要： 探讨应对策略及社会支持在心理干预对哮喘患者生活质量提高中的作用。采用随机对照的方法,将374名哮喘患者分为实验组（228人）及对照组（146人）,实验组除进行常规的药物治疗外,配合以系统的心理干预方法。选用生活质量问卷、医用应对问卷及社会支持评定量表对治疗前后的生活质量状况、应对策略及社会支持水平进行测量。治疗后,在生活质量总分及各维度、社会支持总分以及对社会支持的利用度上,实验组和对照组得分都有所提高,但实验组提高的分值要显著大于对照组;在回避应对上,实验组和对照组都有所降低,但对照组的降低程度要显著大于实验组,在屈服应对上,实验组和对照组也都有所降低,但实验组的降低程度要显著大于对照组。多元逐步回归分析的结果显示,屈服的降低和对社会支持利用度的提高能够显著预测哮喘患者生活质量的提高。

关键词: 哮喘, 心理干预, 生活质量, 应对策略, 社会支持

Abstract: To explore the role of coping styles and social support in the increase of quality of life through psychological intervention in patients with asthma. 374 asthma patients were randomly assigned to study group and control group. Two groups were all taken chemotherapy and the study group was carried on systematic psychological intervention else. Asthma Quality of Life Questionnaire(AQLQ), Medical Coping Modes Questionnaire(MCMQ)and Social Support Rating Scale(SSRS)were measured two times before and after the chemotherapy. After chemotherapy, the scores of every aspect of quality of life and the use of social support in two groups were all higher than before, but the change of study group was more significant than the control. Though the score of avoidance coping style was lower after psychological intervention, the change in control group was more significant. But for resignation coping style, the study group changed increasingly. Regression analysis revealed that the decrease of resignation and the increase of social support could predict the change of quality of life effectively.

Key words: asthma, psychological intervention, quality of life, coping styles, social support

中图分类号:

R395.1

孙宏伟,王建平,王艳郁,宋玉萍,杨智辉. 应对策略和社会支持对提高哮喘患者生活质量的作用^*[J]. 心理与行为研究, 2009, 7(4): 247-252.

Sun Hongwei,Wang Jianping,Wang Yanyu,Song Yuping,Yang Zhihui. ROLE OF COPING STYLES AND SOCIAL SUPPORT IN THE INCREASE OF QUALITY OF LIFE THROUGH PSYCHOLOGICAL INTERVENTION IN PATIENTS WITH ASTHMA[J]. Studies of Psychology and Behavior, 2009, 7(4): 247-252.

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