冠心病患者PCI后应对方式与生活质量的相关性研究

摘要

Objective To explore the correlation of coping style with quality of life ( QOL) in patients with coronary heart disease ( CHD ) who underwent percutaneous coronary intervention ( PCI ) .Methods A total of 126 CHD patients who underwent PCI were enrolled in the study .Sixty months after the patients had undergone PCI ,the patients′QOL was evaluated by SF-8 health survey(SF-8) and Seattle angina questionnaire(SAQ) while the patients′medical coping style was evaluated by medical coping modes questionnaire ( MCMQ ) .Results The major medical coping style of CHD patients after PCI was confrontation ,and avoidance was in the second place ,the scores of CHD patients were higher than those of the normal ( P<0 .05 ) ,and acceptance was in the third place .The scores of avoid-ance correlated negatively with physical role ,bodily pain and role emotion evaluated by SF-8 as well as correlated neg-atively with the dimensions of physical limitation and disease perception evaluated by SAQ ( P<0.05);The scores of acceptance correlated negatively with the dimensions of general health ,social function and role emotion evaluated by SF-8 while correlated negatively with the dimensions of angina frequency and disease perception evaluated by SAQ ( P<0 .05 ) .Conclusion The coping style of CHD patients tends to be passive after PCI , and the passive coping style might lead to poor QOL .%目的探讨冠心病患者经皮冠状动脉介入治疗（ PCI ）后应对方式与生活质量的相关性。方法120例冠心病患者，施行PCI 6个月后用医学结局量表（ SF-8）和西雅图心绞痛症状量表（ SAQ）调查患者生活质量，应用医学应对量表（ MCMQ ）调查患者医学应对方式。结果冠心病患者PCI后的医学应对方式以面对为主，其次是回避，其维度得分高于常模（P＜0．05），最少采用的方式是屈服；回避与SF-8中的躯体角色、机体疼痛、情感角色维度及与SAQ中的躯体活动受限、疾病认知程度维度呈负相关（ P＜0．05）；屈服与SF-8中的一般健康状况、社会功能、情感角色维度及与SAQ中的心绞痛发作状态、疾病认知程度呈负相关（ P＜0．05）。结论冠心病患者PCI后的应对方式倾向于消极应对，而消极应对对生活质量会产生不利的影响。