摘要目的：探讨乙肝肝硬化患者认知闭合需要与其疾病应对方式的关系。方法采用认知闭合需要量表和医学应对方式问卷对217例乙肝肝硬化患者进行问卷调查。结果乙肝肝硬化患者认知闭合需要总分（217.65±31.23）分；疾病应对方式：面对（18.87±2.49）分，屈服（13.21±1.53）分，回避（17.63±2.27）分。乙肝肝硬化患者面对评分与认知闭合需要总分和各维度得分均显著负相关（r=-0.421、-0.387、-0.405，P＜0.05）；屈服和回避评分与认知闭合需要总分和各维度得分均显著正相关（r=0.343～0.432，P＜0.05）。不同家庭收入、付款方式、病程患者面对、屈服、回避3种疾病应对方式比较，差异均有统计学意义（t=-3.080～3.490，P＜0.05）。多元线性回归分析发现，认知闭合需要为疾病应对方式的影响因素。结论乙肝肝硬化患者认知闭合需要处于较高水平，影响患者的疾病应对方式。

abstractsObjective To explore the correlation between the need for cognitive closure and the way of coping with the disease in patients with hepatitis B cirrhosis. Methods 217 patients with hepatitis B cirrhosis were questionnaired by the Need for Cognitive Closure Scale and the Medical Coping Style Questionnaire (Chinese version). Results The total score of need for cognitive closure in separation and conversion disorder patients was (217.65 ± 31.23) points. The scores of face, yield and avoidance in the coping style were respectively (18.87±2.49) points,(13.21±1.53) points and (17.63±2.27) points. The score of face was significantly negatively correlated with the total score and all dimension scores of the need for cognitive closure(r=-0.421,-0.387,-0.405, P<0.05);the scores of yield and avoidance were positively correlated with the total score and all dimension scores of the need for cognitive closure (r=0.343-0.432, P<0.05). There were significant difference of the way of coping with the disease in the patients with different family income, payment method, course of disease (t=-3.080-3.490, P<0.05). Multiple regression analysis showed need for cognitive closure was influencing factor of way of coping with the disease in patients with hepatitis B cirrhosis. Conclusions The level of need for cognitive closure is in the high level in patients with hepatitis B cirrhosis, and influencing the way of coping with the disease.