应对方式管理对哈尼族、彝族冠心病伴抑郁障碍患者生存质量的影响

胥勇; 马晓林; 李卫

doi:10.13201/j.issn.1001-1439.2016.08.006

应对方式管理对哈尼族、彝族冠心病伴抑郁障碍患者生存质量的影响

- 云南省红河哈尼族、彝族自治州第一人民医院心内科(云南蒙自, 661199)

详细信息

通讯作者: 胥勇,E-mail:xuyongyx@126.com

中图分类号: R541.4

收稿日期: 2016-03-30

The Effect of Coping style management on Quality of Life in Hani and Yi coronary heart disease patients with depressive disorder

- Department of Cardiology, Yunnan Honghe Hani and Yi Autonomous Prefecture First People's Hospital, Mengzi, Yunnan, 661100, China

More Information

Corresponding author: XU Yong, E-mail: xuyongyx@126.com

Received Date: 30 March 2016

摘要

摘要: 目的: 了解红河州哈尼族、彝族冠心病患者合并抑郁障碍的发病情况及其所采取的应对方式的现况,探讨应对方式管理对哈尼族、彝族冠心病患者抑郁情绪与生存质量的影响。方法: 应用一般情况调查表、综合性医院抑郁量表(HAD)、医学应对问卷(MCMQ)、健康状况问卷(SF-36)对204例哈尼族、彝族冠心病患者进行调查研究。将伴抑郁障碍的78例患者随机分为对照组38例,研究组40例,对研究组进行应对方式管理干预,比较干预前后两组患者的生存质量及抑郁情绪。结果: ①红河州哈尼族、彝族冠心病患者抑郁障碍的患病率为38.24%。②与不伴抑郁障碍组相比,哈尼族、彝族冠心病伴抑郁障碍的患者更多使用的是消极的应对方式,差异具有统计学意义(P<0.01)。③进行应对方式管理干预后研究组生存质量较前提高、亦明显高于对照组,差异有统计学意义(P<0.01)。结论: 红河州哈尼族、彝族冠心病患者伴发抑郁障碍有较高的患病率。冠心病伴发抑郁障碍可使哈尼族、彝族冠心病患者生存质量下降。对伴有抑郁障碍的患者进行应对方式的管理干预,可提高冠心病患者的生存质量及身心健康水平。
- 抑郁障碍 /
- 冠心病 /
- 生存质量 /
- 应对方式 /
- 哈尼族 /
- 彝族
Abstract: Objective: To explore the effect of coping style on depression and quality of life in Hani and Yi patients with coronary heart disease(CHD).Method: The investigation based on 204 Hani and Yi patients with CHD by using the general condition questionnaire including HAD,MCMQ,SF-36.The 78 depressive disorder Patients were randomly divided into control and study groups.Intervention study group were given the coping style management.Result::① The rate of Honghe Hani and Yi coronary heart disease patients with depressive disorder was 38.24%.③ Hani and Yi coronary heart disease patients with depressive disorder were negative coping style compared with the non depressive disorder group(P<0.01).③ The quality of life of the study group was improved compared with the former research after the intervention,and also significantly higher than control group(P<0.01).Conclusion::The Hani and Yi of depressive disorder in patients with CHD have higher prevalence.Hani and Yi CHD with depressive disorder can decrease the quality of life of patients.Management intervention on coping style of patients with depressive disorder,can improve the quality of life and physical and mental health of patients with CHD.
- depressive disorder /
- coronary heart disease /
- quality of life /
- coping style /
- Hani /
- Yi

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参考文献(12)

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