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[癔球症患者的压力、应对策略与生活质量]

[Stress, coping strategies and quality of life in patients with globus].

作者信息

Zhang Y M, Liu W

机构信息

Department of Gastroenterology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2021 Sep 1;60(9):817-821. doi: 10.3760/cma.j.cn112138-20200928-00844.

Abstract

To explore the associations of stress, coping strategies and quality of life in globus patients. A total of 180 patients diagnosed with globus were retrospectively analyzed between September 2018 to July 2020 in the First Affiliated Hospital of Zhengzhou University.The questionnaire included baseline characteristics and assessment scales. Quality of life was measured by short-form health survey-36 (SF-36), which included physical composite score (PCS) and mental composite score (MCS). Perceived stress was measured by perceived stress scale 10 (PSS-10). The coping strategy was evaluated by medical coping modes questionnaire (MCMQ). We analyzed the relationship between baseline characteristics, stress, coping strategies, and quality of life, and the influential factors of quality of life. PCS was affected by the number of previous chronic illness, age, stress, confrontation, and avoidance (=3.647, =-0.263, -0.634, 0.249, -0.329, all <0.05). MCS was related to monthly income, marital status, stress, confrontation, and resignation (=1.963, 5.764, =-0.312, 0.384, -0.360, all <0.05). Based on the data of multiple linear regression analysis, stress was negatively correlated with both PCS and MCS (=-3.883, -9.708, all <0.01), confrontation was positively correlated with both PCS and MCS (=2.030, 2.798, =0.044, 0.006), and resignation was negatively correlated with MCS (=-1.585, =0.025). Besides, age was negatively correlated with PCS (=-2.736, =0.007), and monthly income was positively correlated with MCS (=2.497, =0.013). Aging, low income, over stress, resignation rather than confrontation as a coping style impair the quality of life in globus patients.

摘要

探讨癔球症患者压力、应对策略与生活质量之间的关联。对2018年9月至2020年7月在郑州大学第一附属医院确诊为癔球症的180例患者进行回顾性分析。调查问卷包括基线特征和评估量表。生活质量采用简明健康调查量表36(SF-36)进行测量,该量表包括生理综合评分(PCS)和心理综合评分(MCS)。感知压力采用感知压力量表10(PSS-10)进行测量。应对策略通过医学应对方式问卷(MCMQ)进行评估。我们分析了基线特征、压力、应对策略和生活质量之间的关系,以及生活质量的影响因素。PCS受既往慢性病数量、年龄、压力、面对和回避的影响(=3.647,=-0.263,-0.634,0.249,-0.329,均<0.05)。MCS与月收入、婚姻状况、压力、面对和屈服有关(=1.963,5.764,=-0.312,0.384,-0.360,均<0.05)。基于多元线性回归分析数据,压力与PCS和MCS均呈负相关(=-3.883,-9.708,均<0.01),面对与PCS和MCS均呈正相关(=2.030,2.798,=0.044,0.006),屈服与MCS呈负相关(=-1.585,=0.025)。此外,年龄与PCS呈负相关(=-2.736,=0.007),月收入与MCS呈正相关(=2.497,=0.013)。衰老、低收入、压力过大、采用屈服而非面对的应对方式会损害癔球症患者的生活质量。

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