参加住院康复项目的患者应对策略的性别差异。

Gender difference in coping strategies among patients enrolled in an inpatient rehabilitation program.

作者信息

Ninot Grégory, Fortes Marina, Poulain Magali, Brun Audrey, Desplan Jacques, Préfaut Christian, Varray Alain

机构信息

Laboratory Symbolic Process for Health and Sport, University of Montpellier I, Montpellier, France.

出版信息

Heart Lung. 2006 Mar-Apr;35(2):130-6. doi: 10.1016/j.hrtlng.2005.09.004.

DOI:10.1016/j.hrtlng.2005.09.004

PMID:16543043

Abstract

BACKGROUND

Previous research has not addressed gender differences in coping strategies among patients with mild to moderate chronic obstructive pulmonary disease (COPD) who are enrolled in inpatient and multidisciplinary rehabilitation programs.

METHODS

The coping strategies of 182 consecutive patients (61 women aged 61.1 years; 121 men aged 62.7 years) with mild to moderate COPD were assessed on admission and then at discharge after 29 days of pulmonary rehabilitation, using the Coping Inventory for Stressful Situations. A one-way analysis of variance for repeated measures was used to test the differences in coping scores.

RESULTS

During the rehabilitation program, problem-focused strategies increased (+2.54 [95% confidence interval: 1.41-3.67] with F=23.77, P<.0001), emotion-focused strategies decreased (-2.75 [95% confidence interval: -4.06, -1.45], F=15.37, P<.001), and avoidance strategies were differently (t=2.97, P<.05) influenced in women (+2.43 [95% confidence interval: .66-4.19]) compared with men (-1.30 [95% confidence interval: -2.82-.22]). The prevalence of COPD in women is increasing, and rehabilitation professionals need a greater awareness of how women cope differently than men with this disease.

摘要

背景

以往研究尚未探讨参加住院及多学科康复项目的轻至中度慢性阻塞性肺疾病（COPD）患者在应对策略上的性别差异。

方法

使用应激情境应对量表，对182例连续入选的轻至中度COPD患者（61名女性，年龄61.1岁；121名男性，年龄62.7岁）在入院时及接受29天肺部康复治疗后的出院时进行应对策略评估。采用重复测量的单因素方差分析来检验应对得分的差异。

结果

在康复项目期间，以问题为导向的策略增加（增加2.54[95%置信区间：1.41 - 3.67]，F = 23.77，P <.0001），以情绪为导向的策略减少（减少2.75[95%置信区间：-4.06，-1. – 45]，F = 15.37，P <.001），与男性（减少1.30[95%置信区间：-2.82 - 0.22]）相比，女性的回避策略受到不同影响（t = 2.97，P <.05）（增加2.43[95%置信区间：0.66 - 4.19]）。女性COPD的患病率正在上升，康复专业人员需要更加了解女性与男性在应对这种疾病时的不同方式。