育龄期女性结核患者医学应对方式现状调查 及其影响因素

Survey on the Current Situation of Medical Coping Styles and Analysis of Influencing Factors in Reproductive-Age Female Tuberculosis Patients

摘要: 目的：探讨育龄期女性结核患者医学应对方式现状并分析其影响因素，为结核患者制定干预措施提供参考。方法：采用横断面研究设计，于2022年1月至10月便利选取成都市某传染病医院667例结核病患者。使用一般资料调查表、医学应对方式问卷及家庭关怀度指数问卷进行面对面调查。结果：回收有效问卷640份，育龄女性结核患者医学应对总分为(39.21 ± 6.27)分，家庭关怀度总分为(8.15 ± 2.69)分，社会支持总分为(38.77 ± 6.82)分。不同民族、文化程度、职业、个人月收入的患者医学应对方式总分差异有统计学意义(P < 0.05)。医学应对总分、屈服维度与家庭关怀度总分及各维度呈负相关(P < 0.05)。家庭关怀度、文化程度是医学应对方式的影响因素(P < 0.05)。结论：育龄女性结核患者的医学应对方式受家庭关怀度、文化程度等多因素影响。建议医护人员据此评估并制定个性化干预措施，以优化患者的应对行为，促进康复。

Abstract: Objective: To explore the current situation of medical coping styles among reproductive-age female tuberculosis (TB) patients and analyze its influencing factors, so as to provide a reference for formulating targeted intervention measures for TB patients. Methods: A total of 667 TB patients were selected from an infectious disease hospital in Chengdu from January to October 2022. General information questionnaire, Medical Coping Modes Questionnaire (MCMQ), and Family APGAR Index were used for data collection, and various statistical methods were applied for data analysis. Results: A total of 640 valid questionnaires were recovered. The total score of medical coping styles among reproductive-age female TB patients was (39.21 ± 6.27), the total score of family care was (8.15 ± 2.69), and the total score of social support was (38.77 ± 6.82). Significant differences in the total score of medical coping styles were observed among patients with different ethnicities, educational levels, occupations, and personal monthly incomes (P < 0.05). The total score of medical coping styles and the yielding dimension were negatively correlated with the total score of family care and its various dimensions (P < 0.05). Family care and educational level were identified as influencing factors of medical coping styles (P < 0.05). Conclusion: The medical coping styles of reproductive-age female TB patients are affected by multiple factors. Medical staff should formulate personalized intervention measures targeting different influencing factors to improve patients' coping styles and promote their rehabilitation.