慢性乙型肝炎患者主观幸福感状况及其影响因素分析

摘要

Objective To explore the chronic hepatitis B patients' subjective well-being(SWB) and its influencing factors. Methods A total of 123 inpatients with chronic hepatitis B were selected by the convenience sampling method to fill out Memorial University of New Foundland scale of happiness and social support rating scale(SSRS) and medical coping modes questionnaire(MCMQ). Results The level of SWB with chronic hepatitis B was moderate (21. 92 ± 2. 65); there were significant differences in SWB with regard to marital status and medical payment styles (P<0. 01). The level of SSRS and confrontation coping style showed positive correlation with SWB,while resignation and avoidance coping style showed negative correlation with SWB. The marital status,subjective support,confrontation,resignation and avoidance coping style all contributed to SWB. Conclusion Since chronic hepatitis B patients have lower sense of SWB,the nurses should take measures to increase their subjective support,instruct patients to adopt confrontation and avoid resignation and avoidance coping style to improve their SWB.%目的 探讨慢性乙型肝炎患者的主观幸福感水平及其影响因素.方法 采用便利抽样法抽取123例住院慢性乙型肝炎患者,运用纽芬兰纪念大学主观幸福感问卷、社会支持量表和医学应对问卷进行调查.结果 慢性乙型肝炎患者主观幸福感为中等水平[(21.92±2.65)分],不同婚姻状况、医疗费用支付方式的患者的主观幸福感得分差异均有统计学意义(均P＜0.01).慢性乙型肝炎患者的主观幸福感与社会支持、面对呈正相关,与屈服、回避呈负相关.婚姻状况、主观支持、面对、屈服和回避对其主观幸福感有影响.结论 慢性乙型肝炎患者的主观幸福感水平不高,医护人员应通过各种措施,增加患者的社会支持尤其是主观支持,指导患者采用积极的面对,尽量避免屈服和接受的心理,以提高其主观幸福感.