本文選題：慢性非萎縮性胃炎　切入點：生活質(zhì)量　出處：《錦州醫(yī)科大學》2017年碩士論文　論文類型：學位論文

【摘要】：目的通過調(diào)查慢性非萎縮性胃炎患者的一般資料、生活質(zhì)量、應對方式及自我效能,分析一般資料對生活質(zhì)量、應對方式、自我效能的影響,以及慢性非萎縮性胃炎患者生活質(zhì)量、應對方式和自我效能三者之間的相關(guān)性,為促進慢性非萎縮性胃炎患者采取積極的應對方式、提高自我效能水平提供科學依據(jù),從而達到提高患者生活質(zhì)量的目的。方法本研究采用便利抽樣的方法,選取在錦州市錦州醫(yī)科大學附屬第一醫(yī)院經(jīng)胃鏡室檢查確診為慢性非萎縮性胃炎患者為研究對象,采用一般資料調(diào)查表、健康狀況問卷(SF-36)、醫(yī)學應對方式問卷及一般自我效能感問卷進行調(diào)查。數(shù)據(jù)應用SPSS20.0進行統(tǒng)計分析,分別通過描述性分析、單因素分析、Pearson相關(guān)分析以及多元線性回歸分析的統(tǒng)計方法進行數(shù)據(jù)分析。結(jié)果1、非萎縮性胃炎患者自我效能得分為(2.54±0.64)分,低于全國常模(P0.05);應對方式得分分別為面對(16.55±3.90)分、回避(15.73±3.38)分、屈服(9.93±4.90)分,面對低于全國常模(P0.05),回避、屈服高于常模(P0.05);非萎縮性胃炎患者生活質(zhì)量總均分為(60.20±21.00)分,生活質(zhì)量八個維度得分均低于全國常模(P0.05)。2、非萎縮性胃炎自我效能在年齡、職業(yè)、文化程度、婚姻狀況、個人月收入、醫(yī)療費用支付方式上的差異均有統(tǒng)計學意義(P0.05);面對型應對方式在年齡、居住地、職業(yè)、文化程度、婚姻狀況、個人月收入、醫(yī)療費用支付方式上的差異均有統(tǒng)計學意義(P0.05),回避型應對方式在年齡、職業(yè)、文化程度、婚姻狀況、個人月收入、醫(yī)療費用支付方式上的差異均有統(tǒng)計學意義(P0.05),屈服型應對方式在年齡、職業(yè)、文化程度、婚姻狀況、個人月收入、醫(yī)療費用支付方式上的差異均有統(tǒng)計學意義(P0.05);非萎縮性胃炎患者生活質(zhì)量總得分在性別、年齡、職業(yè)、文化程度、婚姻狀況、個人月收入、醫(yī)療費用支付方式上的差異均有統(tǒng)計學意義(P0.05)。3、相關(guān)性分析結(jié)果顯示,非萎縮性胃炎患者的自我效能與生活質(zhì)量呈正相關(guān),面對型、回避型應對方式與生活質(zhì)量呈正相關(guān),屈服型應對方式與生活質(zhì)量呈負相關(guān),自我效能與面對型、回避型應對方式呈正相關(guān),自我效能與屈服型應對方式呈負相關(guān)。4、進一步多元逐步回歸分析結(jié)果顯示,文化程度、個人月收入對自我效能有正向預測作用,年齡對自我效能有負向預測作用;自我效能、個人月收入對面對型應對方式有正向預測作用,年齡對面對型應對方式有負向預測作用,自我效能、個人月收入對回避型應對方式有正向預測作用,自我效能、個人月收入對屈服型應對方式有負向預測作用,年齡對屈服型應對方式有正向預測作用;個人月收入、自我效能對生活質(zhì)量有正向預測作用,屈服型應對方式對生活質(zhì)量有負向預測作用。結(jié)論1、非萎縮性胃炎患者自我效能水平低于正常人群,與正常人群相比非萎縮性胃炎患者不趨于采用面對型及回避型的應對方式,更趨于采用屈服型應對方式,非萎縮性胃炎患者生活質(zhì)量水平低于正常人群。2、非萎縮性胃炎患者自我效能、應對方式、生活質(zhì)量受人口統(tǒng)計學的影響。3、自我效能水平越高,非萎縮性胃炎患者生活質(zhì)量越好。采取面對型及回避型應對方式的患者生活質(zhì)量水平更高,采取屈服型應對方式的患者生活質(zhì)量水平更低。積極的應對方式有利于患者的身心健康,消極的應對方式加重患者生理及心理上的負擔,降低患者生活水平。回避型應對方式對非萎縮性胃炎患者來說是不正面與疾病對抗的一種方式,是一種迂回、轉(zhuǎn)移疾病直接影響的方式,有利于患者緩解自身癥狀。4、非萎縮性胃炎患者的自我效能和應對方式能夠直接影響生活質(zhì)量,自我效能對應對方式也有影響,可以通過改變自我效能的方式而改變患者的應對方式,進而影響患者的生活質(zhì)量。
[Abstract]:The general information, investigation of chronic non atrophic gastritis patients' quality of life, coping style and self-efficacy, analysis of general information on the quality of life, coping style, self-efficacy, and chronic non atrophic gastritis patients' quality of life, the relationship between coping style and self efficacy of the three, to adopt positive coping style for patients with chronic non atrophic gastritis, provide a scientific basis for improving the level of self-efficacy, so as to improve the quality of life of patients. Methods this study used convenience sampling method, selected in Jinzhou Medical University in Jinzhou City, the First Affiliated Hospital of the gastroscope room examination confirmed the diagnosis of chronic non atrophic gastritis patients as the research object, the general information questionnaire, health status questionnaire (SF-36), medical coping style questionnaire and general self-efficacy questionnaire. Data should be carried out by SPSS20.0 Through statistical analysis, descriptive analysis, single factor analysis, Pearson correlation analysis and multivariate linear regression analysis statistical methods for data analysis. The results of 1 non atrophic gastritis patients self-efficacy score (2.54 + 0.64), lower than the national norm (P0.05); coping style scores were in the face of (16.55 + 3.90), avoid (15.73 + 3.38), yield (9.93 + 4.90) points, in the face of lower than the national norm (P0.05), avoidance, yield is higher than the norm (P0.05); the quality of life in patients with non atrophy gastritis total score (60.20 + 21), quality of life scores were lower than the national eight the norm of.2 (P0.05), non atrophic gastritis self-efficacy in age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05); the face of coping style in age, residence, occupation, education level, marital status Personal monthly income, medical expenses, payment of the difference were statistically significant (P0.05), avoidant coping styles in age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05), yielding coping styles in age, occupation, education, marriage status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05); the total score of quality of life in patients with non atrophic gastritis in gender, age, occupation, education level, marital status, personal monthly income, medical expenses payment methods on the differences were statistically significant (P0.05.3), correlation analysis the results showed that non atrophic gastritis patients self-efficacy was positively associated with quality of life, in the face of type, were positively correlated to avoidant coping style and quality of life, yielding coping style and quality of life in a negative phase Closed, self efficacy and face type, avoidant coping style was positively correlated, self-efficacy and coping style was negatively correlated with the yield of.4, further multiple stepwise regression analysis showed that educational level, personal monthly income have a positive predictive effect on self-efficacy, age has a negative predictive effect on self-efficacy; self-efficacy, personal monthly income the opposite have a positive predictive effect on coping style, age opposite a negative predictor of coping self-efficacy, personal income has a positive predictive effect on avoidant coping style and self-efficacy, personal income has a negative effect on the yield of coping style, age has a positive predictive effect on the yield of coping style.; personal income, self-efficacy has a positive predictive effect on the quality of life, compromising coping style has a negative predictive effect on the quality of life. Conclusion 1, non atrophic gastritis patients The level of self-efficacy is lower than the normal population, compared with the normal population non atrophic gastritis patients do not tend to adopt facing coping style and avoidant, more by compromising coping style, quality of life of patients with non atrophic gastritis is lower than normal population.2, non atrophic gastritis patients self-efficacy, coping style, influence quality of life by.3 the population statistics, the level of self-efficacy is higher, non atrophic gastritis patients better quality of life. To face up to life quality of patients and avoidant coping styles of higher yielding coping styles take lower life quality of patients. Positive coping style is beneficial to patients' physical and mental health, negative coping style increased physiological and the psychological burden on patients, lowering the quality of life of patients. Avoidant coping style is not positive and against atrophy gastritis patients of non disease In a way, is a circuitous, metastatic disease directly affects the way, to alleviate their symptoms in patients with.4, non atrophic gastritis patients' self-efficacy and coping style can directly affect the quality of life, self-efficacy has influence on coping style, coping style can be changed by changing the patient's self efficacy the way, which affects the life quality of patients.

【學位授予單位】：錦州醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R473.5

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