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土耳其多发性硬化症患者的心理社会适应与应对策略之间的关系

The Relationship Between Psychosocial Adjustment and Coping Strategies Among Patients With Multiple Sclerosis in Turkey.

作者信息

Okanli Ayse, Tanriverdi Derya, Ipek Coban Gülay, Asi Karakaş Sibel

机构信息

1 Ayse Okanli, PhD, Medeniyet University, Istanbul, Turkey.

2 Derya Tanriverdi, PhD, Gaziantep University, Gaziantep, Turkey.

出版信息

J Am Psychiatr Nurses Assoc. 2017 Mar/Apr;23(2):113-118. doi: 10.1177/1078390316680027. Epub 2016 Dec 1.

Abstract

BACKGROUND

Multiple sclerosis (MS) is a disease with significant psychosocial adjustment challenges.

OBJECTIVE

The objective of the study was to assess the psychosocial adjustment and coping strategies in patients with MS and to put forth the relationships between them.

DESIGN

The sample group comprised 85 outpatients with MS who were admitted to the Neurology Clinic of a university hospital for treatment between October 2007 and July 2008. Data were acquired via an information form and the Psychosocial Adjustment to Illness Scale and Coping Strategy Indicator.

RESULTS

It was determined that 55% of the patients had poor psychosocial adjustment levels. Statistically significant relationship was found between Psychosocial Adjustment to Illness Scale-Self-Report and problem solving as well as seeking social support coping strategies ( p < .01). Psychosocial adjustment got worse with decreasing problem-solving and seeking-social support coping strategies of patients.

CONCLUSIONS

The psychosocial adjustment to MS of patients is closely related with effective coping strategies. The results have emphasized the significant role of mental health and social services and coping strategies regarding the comprehensive care needs of these patients.

摘要

背景

多发性硬化症(MS)是一种面临重大心理社会适应挑战的疾病。

目的

本研究的目的是评估MS患者的心理社会适应情况及应对策略,并阐述两者之间的关系。

设计

样本组由85名MS门诊患者组成,这些患者于2007年10月至2008年7月间入住某大学医院神经科诊所接受治疗。数据通过一份信息表、疾病心理社会适应量表和应对策略指标获取。

结果

确定55%的患者心理社会适应水平较差。在疾病心理社会适应量表-自我报告与解决问题以及寻求社会支持应对策略之间发现了具有统计学意义的关系(p <.01)。随着患者解决问题和寻求社会支持应对策略的减少,心理社会适应情况变差。

结论

患者对MS的心理社会适应与有效的应对策略密切相关。结果强调了心理健康和社会服务以及应对策略在满足这些患者综合护理需求方面的重要作用。

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