摘要
目的了解慢性功能性便秘患者抑郁情绪的发生与应对方式的相关性。方法采用抑郁自评量表（SDS）、应对方式量表对115名慢性功能性便秘患者进行调查。结果共发放问卷115份，收回有效问卷100份，有效回收率87．0％。58％的调查对象处于不同程度的抑郁状态，SDS评分为（46．46±9．13）分，与中国常模比较差异有统计学意义（t=4．37，P〈0．01）；慢性功能性便秘患者多采用幻想、自责、退避等消极的应对方式，较少使用解决问题、求助等积极应对方式。抑郁组与非抑郁组应对方式比较差异有统计学意义（t值分别为12．59，8．72，8．67，4．17，3．82，4．38；P均〈0．01）。抑郁与解决问题、求助因子呈负相关（r值分别为-0．676，-0．579；P均〈0．01），与自责、合理化因子呈正相关（r值分别为0．863，0．338；P均〈0．01）。结论慢性功能性便秘患者存在不同程度的抑郁情绪，与应对方式有一定相关性，护士应根据患者的个体差异给予心理支持，以减轻患者的负性情绪，提高治疗效果，减少不良事件发生。
Objective To study the correlation of depression and coping style in chronic functional constipation patients. Methods Totals of 115 patients with chronic functional constipation were investigated by Self-Rating Depression Scale （SDS） and the Coping Inventory. Results Results showed that 58% of the respondents were in the different degree of depression, and the SDS score of patients were significantly higher than that of Chinese norm （ t = 4.37, P 〈 0.01 ）. Patients with chronic functional constipation mostly took the negative coping styles such as fantasy, self-blame, and avoidance, while patients took positive coping style such as problem solving, help seeking and others were rarely. The copying styles of depression group and nordepression group had significant differences （P 〈 0.01 ）. Depression was negatively correlated with problem solving, help factor （ r = - 0. 676, - 0. 579; P 〈 0.01 ）, while it was positively correlated with remorse, rationalization factor （ r = 0.863, 0.338 ;P 〈 0.01 ）. Conclusions Chronic functional constipation patients have varying degrees of depression, which is correlated with coping style. The nurse should give psychological support basing on individual differences to alleviate their negative emotions, improve therapeutic effect and reduce the incidence of adverse events.
出处
《中华现代护理杂志》
2012年第30期3651-3653,共3页
Chinese Journal of Modern Nursing
关键词
抑郁
慢性功能性便秘
应对方式
Depression
Chronic functional constipation
Coping style
