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目的探讨紧张型头痛患者的生活质量、应对方式及其社会支持状况。方法采用生活质量综合评定问卷(GQOL I)、医学应对问卷(MCMQ)及社会支持评定量表(SSA S)对56例紧张型头痛(观察组)和56例健康自愿者(对照组)进行调查,并对生活质量与应对方式及社会支持作相关分析。结果①观察组生活质量总分及躯体功能、心理功能2个维度评分均显著低于对照组(P<0.01);②观察组面对分量表评分显著低于对照组,而屈服分量表评分则显著高于对照组(P<0.05);③观察组社会支持总分及主观支持、支持利用度评分均显著低于对照组(P<0.05或P<0.01);④紧张型头痛患者的生活质量总分及躯体功能、心理功能2个维度评分与面对分量表评分及社会支持总分、主观支持、支持利用度2个维度评分均呈显著性正相关,而与屈服分量表评分则呈显著性负相关(P<0.05或P<0.01)。结论紧张型头痛患者的生活质量较低,与应对方式及社会支持有关。因此,指导紧张型头痛患者采取积极的应对方式,增强其社会支持,可以提高紧张型头痛患者的生活质量。
Objective To investigate the quality of life, coping style and social support of patients with tension-type headache. Methods 56 cases of tension-type headache (observation group) and 56 healthy volunteers (control group) were investigated by GQOL I, MCMQ and SSA S , And related quality of life and coping styles and social support for the relevant analysis. Results ① The total scores of quality of life and body function and psychological function in observation group were significantly lower than those in control group (P <0.01); ② The score of face scale in observation group was significantly lower than that of control group, while the score of yield scale was (P <0.05 or P <0.05); ③The scores of social support scores, subjective support and supportive utilization of the observation group were significantly lower than those of the control group (P <0.05 or P <0.01); ④The quality of life The scores of total score, body function and mental function had significant positive correlation with face subscale score and social support score, subjective support and support utility score, but were significantly correlated with the subsistence score (P <0.05 or P <0.01). Conclusion The quality of life of patients with tension-type headache is low, which is related to coping style and social support. Therefore, to guide patients with tension-type headache to take a positive response to enhance their social support, can improve the quality of life of patients with tension-type headache.