肺移植患者术后医学应对模式与生存质量的现状及相关性摘要.PDF

临床与病理杂志 2017, 37(5) 1008 J Clin Path ol R e s doi: 10.3978/j.issn.2095-6959.2017.05.024 View this article at: /10.3978/j.issn.2095-6959.2017.05.024 肺移植患者术后医学应对模式与生存质量的现状及相关性 陈莹，阮亮，李平东，黄丹霞，宫玉翠 (广州医科大学附属第一医院胸外科，广州 510120) [摘　要] 目的：调查肺移植术后患者医学应对模式及生存质量现状，并分析其相关性。 方法：采用医学 应对模式问卷 (Medical Coping Mode Questionnaire ，MCMQ) 及简明健康问卷 (Short-Form Health Sur vey ，SF-36)对 30 例肺移植患者进行横断面调研。 结果：肺移植术后患者面对和屈服维度的评 分明显低于常模水平，回避维度评分明显高于常模水平；肺移植患者在SF-36各维度评分均明显低 于全国常模水平。相关性分析显示：肺移植术后患者生理职能、情感职能、社会功能、精神健康 和一般健康维度的评分与面对维度呈显著的正相关性。SF-36各维度评分与回避维度无明显相关； SF-36各维度与屈服均呈显著的负相关。 结论：肺移植术后患者生存质量明显低于常模水平，且对 疾病的应对模式是影响生存质量的重要因素。 [关键词] 肺移植；术后；生存质量；应对模式；相关性 Correlation of medical coping mode and current situation of quality of life of lung transplant postoperative patients CHEN Ying, RUAN Liang, LI Pingdong, HUANG Danxia, GONG Yucui (Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China) Abstract Objective: To research the medical coping mode and current situation of quality of life (QOL) of lung transplant postoperative patents and to analyze the correlation. Methods: Medical Coping Mode Questionnaire (MCMQ) and Short-Form Health Survey (SF-36) were used for a cross-sectional research on 30 lung transplant patients. Results: The scores of confrontation dimension and yield dimension of lung transplant postoperative patients were evidently lower than the norms, and the scor