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突发性聋患者应对方式的相关因素。

Related factors to the coping style of patients with sudden sensorineural hearing loss.

机构信息

First Affiliated Hospital of Soochow University, Suzhou 215006, China.

School of Nursing, Medical College of Soochow University, Suzhou 215006, China.

出版信息

Int Health. 2023 Mar 1;15(2):198-206. doi: 10.1093/inthealth/ihac046.

Abstract

BACKGROUND

Coping style can affect the patient's physical and mental health management. Therefore this study aimed to identify factors related to the coping style of young and middle-aged sudden sensorineural hearing loss (SSNHL) patients to provide reference for clinical nursing practice.

METHODS

A cross-sectional study was conducted on young and middle-aged SSNHL patients hospitalized in the otolaryngology departments of four hospitals in Suzhou City, China. A paper-based self-administered questionnaire investigated the patient's coping style and related factors. Multiple linear stepwise regression analysed the effective related factors in patients' coping styles.

RESULTS

Among 872 patients, 866 completed the survey, with an average age of 37.27 y. Factors related to the coping style of these patients included gender, chronic diseases, history of trauma, social support and type D personality (p<0.05). Female patients adopt more negative coping styles than male patients. Patients with chronic diseases or a history of trauma had more positive coping styles. Higher social support scores were related to improvements in coping style. Patients with type D personality were more likely to adopt negative coping styles.

CONCLUSIONS

This study suggests that psychological assessment of patients, chronic diseases, history of trauma, social support and type D personality may benefit the understanding of these patients' coping styles and, as a consequence, may improve their stress management.

摘要

背景

应对方式会影响患者的身心健康管理。因此,本研究旨在确定与中青年突发性聋患者应对方式相关的因素,为临床护理实践提供参考。

方法

采用横断面研究,对中国苏州市 4 家医院耳鼻喉科住院的中青年突发性聋患者进行问卷调查,了解患者的应对方式及相关因素。采用多元线性逐步回归分析患者应对方式的有效相关因素。

结果

共纳入 872 例患者,最终完成调查 866 例,平均年龄为 37.27 岁。与患者应对方式相关的因素包括性别、慢性疾病、外伤史、社会支持和 D 型人格(p<0.05)。女性患者比男性患者采用更多的消极应对方式。患有慢性疾病或有外伤史的患者采用更积极的应对方式。较高的社会支持评分与应对方式的改善有关。具有 D 型人格的患者更倾向于采用消极的应对方式。

结论

本研究提示,对患者进行心理评估、了解慢性疾病、外伤史、社会支持和 D 型人格等因素,可能有助于理解这些患者的应对方式,从而改善他们的压力管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d49c/9977213/0b1eff7efb5e/ihac046fig1.jpg

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