国际口腔医学杂志 ›› 2019, Vol. 46 ›› Issue (3): 282-286.doi: 10.7518/gjkq.2019037

• 论著 • 上一篇    下一篇

有症状型口腔扁平苔藓患者生存质量与应对策略的评价和相关分析

秦帅华,李新明(),李文鹿   

  1. 郑州大学第一附属医院口腔颌面外科 郑州 450052
  • 收稿日期:2018-08-16 修回日期:2019-01-12 出版日期:2019-05-01 发布日期:2019-06-05
  • 通讯作者: 李新明
  • 作者简介:秦帅华,住院医师,硕士,Email:1587674291@qq.com
  • 基金资助:
    国家自然科学基金(81402578)

Evaluation and correlation analysis of quality of life and coping strategies in patients with symptomatic oral lichen planus

Shuaihua Qin,Xinming Li(),Wenlu Li   

  1. Dept. of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2018-08-16 Revised:2019-01-12 Online:2019-05-01 Published:2019-06-05
  • Contact: Xinming Li
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81402578)

摘要:

目的 探讨有症状型口腔扁平苔藓(OLP)患者的医学应对策略与健康相关生存质量(HRQOL)之间的关联。方法 采用医学应对策略问卷和14条目口腔健康影响程度量表(OHIP-14)对符合纳入标准的134例有症状型OLP患者进行研究,将获得的数据纳入统计学软件中进行相关分析。结果 在生存质量问卷调查中,生理性疼痛(66.94±27.36)分、心理不适(62.30±31.65)分、功能限制(61.69±26.96)分是有症状型OLP患者得分最高的3个领域;在医学应对问卷调查中,回避和屈服2种应对策略得分均高于常模(P<0.05),面对维度得分低于常模(P<0.05);相关性分析显示面对及回避维度与生存质量部分领域呈显著负相关(P<0.05),屈服维度与生存质量大部分生存质量领域呈正相关(P<0.05)。结论 生理性疼痛和心理不适是有症状型OLP患者受影响最大的领域,有症状型OLP患者的生存质量越低,其可能更倾向于选择消极的应对策略,针对性地选择治疗措施和必要的心理干预可能会提高患者的生存质量。

关键词: 口腔扁平苔藓, 生存质量, 应对策略

Abstract:

Objective To investigate the relationship between medical coping strategies and health-related quality of life in patients with symptomatic oral lichen planus (OLP). Methods A total of 134 patients with symptomatic OLP were enrolled in the study. A medical coping style questionnaire and 14-item oral health impact scale (OHIP-14) were used to collect the data. Data were analyzed using statistics software. Results In the quality of life questionnaire, physical pain (66.94±27.36 points), psychological discomfort (62.30±31.65 points), and functional restrictions (61.69±26.96 points) garnered the highest scores in patients with symptomatic oral lichen planus. In the medical coping questionnaire, the scores of evade and surrender were higher than those of the norm (P<0.05), whereas the scores of face were lower than those of the norm (P<0.05). Correlation analysis showed that the face and evade dimensions were negatively correlated with some areas of quality of life (P<0.05) and that the surrender dimension was positively correlated with most areas of quality of life (P<0.05). Conclusion Physical pain and psychological distress are among the most affected areas in patients with OLP. The quality of life of patients with symptomatic OLP is generally low, and many of those affected are likely to adopt a negative coping style. Appropriate treatment measures and psychological interventions may improve patients’ quality of life and encourage them to adopt a positive coping style.

Key words: oral lichen planus, quality of life, coping strategies

中图分类号: 

  • R781.5

图 1

OHIP-14量表得分情况"

表 1

有症状型OLP患者应对策略得分与国内患者得分常模比较"

维度 常模(n=650) OLP患者(n=126) t P
面对 19.48±3.81 18.61±4.96 2.27 0.02
回避 14.44±2.97 17.73±2.18 12.16 0.00
屈服 8.81±3.17 12.93±5.63 8.21 0.00

表 2

OHIP-14量表各维度得分及总分与医学应对策略相关性分析"

应对策略 功能限制 生理性疼痛 心理不适 生理障碍 心理障碍 社交障碍 社交障碍 总分
面对 r -0.250 -0.234 0.204 -0.377 -0.031 0.068 0.068 -0.090
P 0.040* 0.067 0.112 0.003** 0.809 0.598 0.598 0.485
回避
r -0.110 -0.023 0.042 -0.107 -0.100 -0.115 -0.115 -0.124
P 0.394 0.862 0.745 0.410 0.440 0.372 0.372 0.338
屈服
r 0.452 0.477 0.152 0.446 0.291 0.396 0.396 0.564
P 0.000** 0.000** 0.238 0.000** 0.022* 0.001** 0.001** 0.000**
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