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目的探讨良性前列腺增生症(benign prostate hyperplasia,BPH)病人应对方式及其与生活质量的相关性。方法于2010年3月～2011年1月对合肥市7所医院120例BPH住院病人在行经尿道前列腺电切术前1～2 d进行医学应对方式问卷(MCMQ)和生活质量普适性量表SF-36调查。结果 BPH病人回避应对方式得分高于一般病人常模(P<0.001),屈服应对得分低于一般病人常模(P=0.003),面对应对得分与常模比较差异无统计学意义(P=0.710)。屈服应对方式与病人生活质量呈负相关(P<0.01),回避应对方式仅与生理健康方面呈较弱负相关。结论 BPH病人相对于一般临床病人更倾向于采用回避应对方式,较少采用屈服应对策略,屈服应对方式的病人生活质量较低。
Objective To investigate the coping style of patients with benign prostatic hyperplasia (BPH) and their correlation with quality of life. Methods From March 2010 to January 2011, 120 BPH inpatients from 7 hospitals in Hefei City were assessed with the questionnaire of medical coping style (MCMQ) and quality of life universal scale 1 ~ 2 days before transurethral resection of the prostate SF-36 survey. Results The score of avoidance coping in BPH patients was higher than that of common patients (P <0.001), and the yield response scores were lower than those of common patients (P = 0.003). There was no significant difference between coping scores and norm (P = 0.710). There was a negative correlation between yield response and patient quality of life (P <0.01). Avoid coping style was only weakly negatively correlated with physical health. Conclusions Patients with BPH are more likely to adopt avoidance coping than general clinical patients, less coping with yield, and patients with yield coping are less likely to have quality of life.