[1]樊艳,郑访江,史晓伟,等.甲状腺功能减退症患者健康心理控制源和应对方式与自我管理行为的相关性分析[J].西部中医药,2023,36(09):91-96.[doi:10.12174/j.issn.2096-9600.2023.09.20]
　FAN Yan,ZHENG Fangjiang,SHI Xiaowei,et al.Correlation Analysis of Healthy Psychological Control Sources, Coping Styles and Self-management Behaviors in Patients with Hypothyroidism[J].Western Journal of Traditional Chinese Medicine,2023,36(09):91-96.[doi:10.12174/j.issn.2096-9600.2023.09.20]
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甲状腺功能减退症患者健康心理控制源和应对方式与自我管理行为的相关性分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
36
期数:
2023年09期
页码:
91-96
栏目:
出版日期:
2023-09-15

文章信息/Info

Title:
Correlation Analysis of Healthy Psychological Control Sources, Coping Styles and Self-management Behaviors in Patients with Hypothyroidism
作者:
樊艳1, 郑访江2, 史晓伟2, 祁琴3, 杨青平3
1.中国人民解放军第940医院，甘肃 兰州 730050
2.甘肃省中医院，甘肃 兰州 730050
3.甘肃省第三人民医院，甘肃 兰州 730000
Author(s):
FAN Yan1, ZHENG Fangjiang2, SHI Xiaowei2, QI Qin3, YANG Qingping3
1.Hospital 940 of PLA Joint Logistics Support Force, Lanzhou 730050, China
2.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
3.Gansu Province the Third People’s Hospital, Lanzhou 730000, China
关键词:
甲状腺功能减退症; 健康心理控制源; 应对方式; 自我管理行为
Keywords:
hypothyroidism; healthy psychological control sources; coping styles; self-management behaviors
分类号:
R259
DOI:
10.12174/j.issn.2096-9600.2023.09.20
文献标志码:
A
摘要:
目的探讨甲状腺功能减退症患者健康心理控制源和应对方式与自我管理行为的相关性。 方法采用一般情况调查问卷、多维度健康心理控制源量表、医学应对方式问卷以及慢性病自我管理研究测量表调查2019年1月至2021年12月甘肃省中医院、甘肃省第三人民医院内分泌科收治的甲状腺功能减退症患者共84例，分析患者健康心理控制源和应对方式与自我管理行为的相关性。 结果不同文化程度、不同家庭人均收入和不同医疗支付方式患者自我管理水平比较差异有统计学意义（P＜0.05）。不同年龄、性别、工作状况、婚姻状况和病程患者自我管理水平比较差异无统计学意义（P＞0.05）；面对、回避和屈服应对方式患者占比分别为33.33%（28/84）、20.24%（17/84）和46.43%（39/84），不同应对方式患者自我管理水平比较差异具有统计学意义（χ2=15.101，P=0.001）；控制源倾向为内控性、机遇性和倾向于有势力的他人者占比分别为30.95%（26/84）、23.81%（20/84）和45.24%（38/84）；不同倾向控制源患者自我管理能力比较差异具有统计学意义（χ2=11.747，P=0.003）；IHLC、PHLC、面对应对与患者的自我管理行为呈正相关（r=0.512，P＜0.05；r=0.315，P＜0.05；r=0.526，P＜0.05），而CHLC、回避应对、屈服应对与患者自我管理行为呈负相关（r=-0.254，P＜0.05；r=-0.426，P＜0.05；r=-0.284，P＜0.05）。 结论甲减患者自我管理行为处于中等偏低水平，健康心理控制源倾向于外部控制，多采取屈服和面对应对方式；医务人员应重视甲减患者的健康控制信念及患者对疾病的态度转变，在治疗过程中注意培养患者实施健康行为、控制病情的信心，从而提高其自我管理行为。
Abstract:
ObjectiveTo investigate the relationship between healthy psychological control sources, coping styles and self-management behaviors in patients with hypothyroidism. MethodsGeneral situation questionnaire, multimentional health locus of control scales (MHLC), medical coping modes questionnaire (MCMQ) and chronic disease self-management study measures (CDSMS) were adopted to investigate 84 patients admitted to endocrinology department of Gansu Provincial Hospital of Traditional Chinese Medicine, Gansu Province the Third People's Hospital between January, 2019 and December, 2021, and analyze the correlation of healthy psychological control sources, coping styles and self-management behaviors in patients. ResultsThe difference had statistical meaning in the comparisons of self-management levels among patients with different literacy levels, different per capita household incomes, and different healthcare payment methods (P<0.05). The difference was insignificant in the comparisons of self-management levels among patients with different age, gender, work status, marital status and the course of disease (P>0.05); the percentages of patients with confrontation, avoidance and submission coping styles were 33.33% (28/84), 20.24% (17/84) and 46.43% (39/84), and the difference had statistical meaning in the comparisons of self-management levels among patients with different coping models (χ2=15.101, P=0.001); the percentages of control sources tending to be internally controlled, opportunistic, and tending to be powerful others were 30.95% (26/84), 23.81% (20/84) and 45.24% (38/84) respectively, the difference has statistical meaning in self-management ability among patients with different tendency control sources (χ2=11.747, P=0.003); IHLC, PHLC and face coping were positively correlated with patients' self-management behaviors (r=0.512, P<0.05; r=0.315, P<0.05; r=0.526, P<0.05), while CHLC, avoidance coping and surrender coping were negatively related to patients' self-management behaviors (r=-0.254, P<0.05; r=-0.426, P<0.05; r=-0.284, P<0.05). ConclusionPatients with hypothyroidism are in medium-low level of self-management behaviors, healthy psychological control source tends towards external control, mostly adopting yielding and facing coping; medical staffs should attach importance to patients' healthy control beliefs and their attitude changes towards the diseases, and focus on cultivating the patients' confidence in the implementation of healthy behaviors and disease control, so as to improve their self-management behaviors

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备注/Memo

备注/Memo:
樊艳（1985—），女，主治医师。研究方向：内科常见疾病的预防。
更新日期/Last Update: 2023-09-15