Harrer M E, Mosheim R, Richter R, Walter M H, Kemmler G
Klinik für Medizinische Psychologie und Psychotherapie, Universität Innsbruck.
Psychother Psychosom Med Psychol. 1993 Mar-Apr;43(3-4):121-32.
Widening the focus from survival time to the "quality of survival" this cross-sectional study was designed to find correlations between coping strategies, quality of life, sociodemographic and medical data. 61 patients (31 women, 30 men; mean age 41 [22-74] with Hodgkin's disease receiving no treatment since 1 month to 16 years (mean 5 years) were assessed for coping and quality of life. Two standardized questionnaires were used: "Freiburg Questionnaire of Coping with Chronic Illness" (FKV 102) and "Questions for Life Satisfaction" (FLZ). Coping strategies were evaluated. The most used strategies were compliance strategies and trust in doctors. Some coping strategies correlated significantly with age, sex, marital status, education, and medical data as B symptoms and occurrence of recidivs. The scores for life satisfaction were absolutely high in comparison with postoesophagectomy patients and healthy controls from other studies. Life satisfaction was correlated with age, B symptoms and type of therapy. These correlations and correlations between FKV and FLZ were discussed and basic problems were reflected.
这项横断面研究将关注点从生存时间拓宽至“生存质量”,旨在找出应对策略、生活质量、社会人口统计学数据与医学数据之间的关联。对61例霍奇金病患者(31名女性,30名男性;平均年龄41岁[22 - 74岁])进行了评估,这些患者自确诊后1个月至16年(平均5年)未接受治疗,评估内容包括应对方式和生活质量。使用了两份标准化问卷:“弗莱堡慢性病应对问卷”(FKV 102)和“生活满意度问卷”(FLZ)。对应对策略进行了评估。最常用的策略是依从策略和对医生的信任。一些应对策略与年龄、性别、婚姻状况、教育程度以及医学数据(如B症状和复发情况)显著相关。与其他研究中的食管切除术后患者和健康对照相比,生活满意度得分绝对较高。生活满意度与年龄、B症状和治疗类型相关。对这些关联以及FKV和FLZ之间的关联进行了讨论,并反映了一些基本问题。