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目的探讨急性心肌梗死(AMI)合并糖尿病(DM)患者入院期间应对方式与生活质量的相互关系及影响,为制定提高患者生活质量的措施提供依据。方法选取2014年10月—2015年9月,沧州市人民医院心内科住院的354例AMI合并DM患者为研究对象。采用心肌梗死多维度量表(MIDAS)、医学应对问卷(MCMQ)对研究对象的生活质量和应对方式进行调查,并记录患者的人口学资料和临床资料。采用SPSS 17.0软件,计量资料采用t检验及方差分析,进行多元回归分析,采用Pearson相关分析,P<0.05为差异有统计学意义。结果 AMI合并DM患者生活质量与屈服应对方式呈正相关(r=0.642,P=0.01);年龄、治疗方式、居住状态、医疗保险、屈服因素影响AMI合并DM患者生活质量(t=25.661、3.525、2.675、2.599、2.089,P=0.000、0.000、0.008、0.010、0.037)。结论屈服应对方式与AMI合并DM患者的生活质量相关,并对患者的生活质量有重要影响。
Objective To investigate the relationship between coping styles and quality of life in patients with acute myocardial infarction (AMI) and diabetes mellitus (DM) during admission and provide the basis for making measures to improve the quality of life of patients. Methods From October 2014 to September 2015, 354 patients with AMI and DM hospitalized in Department of Cardiology, Cangzhou People’s Hospital were enrolled. Using the multi-dimensional scale of myocardial infarction (MIDAS) and the medical response questionnaire (MCMQ), the quality of life and coping style of the subjects were investigated and the demographic and clinical data of the patients were recorded. Using SPSS 17.0 software, measurement data using t test and analysis of variance, multiple regression analysis, using Pearson correlation analysis, P <0.05 for the difference was statistically significant. Results The quality of life of AMI patients with AMI was positively correlated with the yield response (r = 0.642, P = 0.01). The age, treatment, living status, medical insurance and yield factors affected the quality of life of AMI patients with DM (t = 25.661,3.525, 2.599, 2.089, P = 0.000, 0.000, 0.008, 0.010, 0.037). CONCLUSION: The mode of yielding response is related to the quality of life of AMI patients with AMI and has a significant impact on the quality of life of patients.