摘要目的 探讨应对方式在应对资源与支气管哮喘患者身心健康关系中的作用.方法 使用一般自我效能感量表(GSES)、内控性、有势力的他人及机遇昔表(IPC量表)、社会支持评定量表(SSRS)、防御方式问卷(DSQ)、特质应对方式问卷(TCSQ)及健康状况调查问卷(SF-36中文版)对184名住院支气管哮喘患者进行了调查分析.结果 一般自我效能感(r=0.356)、内控性(r=0.208)、有势力的他人(r=0.341)、相遇(r=-0.340)、主观支持(r=0.201)、客观支持(r=-0.160)、不成熟的(r=-0.429)、中间型防御方式(r=-0.257)、掩饰度(r=-0.160),积极应对(r=0.231)以及消极应对(r=-0.505)均与精神健康总评有着显著的相关关系(均P<0.05);躯体健康总评仅与一般自我效能感(r=0.175)、机遇(r=-0.150)、消极应对方式(r=-0.359)、不成熟的(r=-0.256)及中间型防御方式(r=-0.146)显著相关(均P<0.05);消极应对是躯体健康总评(t=5.189)及精神健康总评(t=6.758)的有效预测指标(均P<0.01);一般自我效能感、有势力的他人、对社会支持的利用度均可通过消极应对对患者的躯体及精神健康产生影响.结论 消极应对不仅对支气管哮喘患者的躯体及精神健康产生直接的影响,同时还可作为自我效能感、控制感及社会支持的中介变量从而对患者的健康产生作用.

abstractsObjective To study the role of coping styles in the relationship between coping resources and psychosomatic health in patients with asthma. Methods 184 adult patients with asthma were investigated with General Serf-Efficacy Scale (GSES), Internality, Powerful Others, and Chance Scale (IPC), Social Support Rat-ing Scale (SSRS), Defensive Style Questionnaire (DSQ), Trait Coping Style Questionnaire (TCSQ) and Short Form 36 Health Survey Questionnaire (SF-36). Results Significant correlation between self-efficacy (r=0.356),locus of control(Ir=0.208, Pr=0.341, Cr=-0.349) ,subjective(r=0.201) and objective(r=0.189)social support, immature and middle ( r = - 0. 257 ) defensive styles and coping styles ( PCr = 0.231, NCr =-0.505 ) with Mental Component Summary (MCS) was found (all P <0.05), but Physical Component Summary (PCS) was only related to self-efficacy( r=0. 175) ,chance(r=0.150),immature(r=-0.256) and middle de-fensive Styles and negtive coping styles (all P < 0.05). PCS (t = - 5.189) and MCS (t = - 6. 758) could be predic-ted effectively by negative coping style (all P<0.01). Moreover, self-efficacy, powerful others and the use of so-cial support could had an effect on the health of patients through negative coping style. Conclusion Negative coping style could not only have a direct effect on the health of asthma patients but also be a mediator between self-efficacy, locus of control, social support and the health of patients.