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骨质疏松症患者治疗中所偏好的应对策略及疾病所致困难的分析。

Coping Strategies Preferred by Patients Treated for Osteoporosis and Analysis of the Difficulties Resulting from the Disease.

机构信息

Department of Medical Informatics and Statistics with e-Health Lab, Medical University of Lublin, 20-059 Lublin, Poland.

School of Public Health, Centre of Postgraduate Medical Education of Warsaw, 01-826 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 May 6;19(9):5677. doi: 10.3390/ijerph19095677.

Abstract

Osteoporosis has been recognized as a civilization disease. This chronic condition needs a long-term management plan with a holistic approach to patients. The specificity of the patient's response to the disease and coping strategies are very important in the treatment process. The aim of this research was to analyze the strategies of coping with disease preferred by patients treated for osteoporosis, and to determine the relationship between the self-assessment of patients' health, time of treatment, sociodemographic variables, and strategies of coping with a chronic disease such as osteoporosis. The study was conducted from August 2016 to July 2018 at an osteoporosis clinic in eastern Poland. Coping Orientations to Problems Experienced (COPE) by C.S. Carver, M. F. Scheier, and J. K. Weintraub in the Polish adaptation and our own questionnaire were used. The study participants were 312 patients treated for osteoporosis. The respondents treated in the osteoporosis clinic used the strategies of seeking support and focusing on emotions to the greatest extent, and avoidance strategies the least. Sociodemographic features and self-assessment of health condition significantly differentiate the strategies of coping with the disease. The analysis showed that the higher the assessment of the individual perception of one's own health, the more often the respondents used active coping strategies.

摘要

骨质疏松症已被认为是一种文明病。这种慢性病需要通过整体方法为患者制定长期管理计划。患者对疾病的反应和应对策略的特殊性在治疗过程中非常重要。本研究旨在分析接受骨质疏松症治疗的患者首选的疾病应对策略,并确定患者健康自我评估、治疗时间、社会人口统计学变量与骨质疏松症等慢性病应对策略之间的关系。该研究于 2016 年 8 月至 2018 年 7 月在波兰东部的一家骨质疏松症诊所进行。使用了 C.S. Carver、M.F. Scheier 和 J.K. Weintraub 的波兰适应性应对取向问题经验量表(COPE)和我们自己的问卷。研究参与者为 312 名接受骨质疏松症治疗的患者。在骨质疏松症诊所接受治疗的受访者最常使用寻求支持和关注情绪的策略,而最不常使用回避策略。社会人口学特征和健康状况自我评估显著区分了疾病应对策略。分析表明,个体对自身健康状况的评估越高,受访者越常使用积极的应对策略。

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本文引用的文献

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The epidemiology of osteoporosis.骨质疏松症的流行病学。
Br Med Bull. 2020 May 15;133(1):105-117. doi: 10.1093/bmb/ldaa005.
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Overview of treatment approaches to osteoporosis.骨质疏松症治疗方法概述。
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Osteoporosis: Current Concepts.骨质疏松症:当前概念
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