Objective  To analyze the current situation of coping style and related in-fluencing factors in patients with acute pancreatitis (AP).

Method  A total of 78 AP patients admitted to Yingtan People's Hospital of Jiangxi Province from June 2021 to October 2022 were selected as subjects. The Simple Coping Style Questionnaire (SCSQ) was used to assess the coping style of the patients, and the patients were divided into two groups according to the different coping styles. The baseline data of the two groups were further compared to find out the related influencing factors.

Result  Among 78 patients with AP, 50(64.10%) responded positively and 28(35.90%) responded negatively. In the negative group, the education level of junior high school or below (60.71% vs. 36.00%), per capita monthly income <3 500 yuan (64.29% vs. 38.00%), the low social support rate (42.86% vs. 16.00%) were higher than the positive group, and the ERRI score (36.76±6.48 vs. 42.85±7.58) was lower than the positive group (P<0.05). The results of multivariate analysis showed that low educational level [OR=2.747, 95%CI(1.059, 7.127), P=0.038], low family per capita monthly income [OR=2.937, 95%CI(1.123, 7.678), P=0.028], low social support [OR=3.937, 95%CI(1.359, 11.409), P=0.012] and rumination meditation level [OR=0.887, 95%CI(0.822, 0.957), P=0.002] were all independent influencing factors for the coping style of AP patients.

Conclusion  Most patients with AP can actively cope with their disease, but there are still some patients with a negative response to the disease, which may be affected by the low level of education, family economic status, rumination level, social support and other factors.

1.Kashintsev A, Proutskiy V, Kokhanenko N, et al. Creation of an isolated area with controlled characteristics in duodenum as a method of treatment of acute pancreatitis (AP)[J]. Pancreas, 2021, 50(7): 1069. https://www.nstl.gov.cn/paper_detail.html?id=01c548660db084d42eb0529c9ac4b5aa.

2.杨荔, 王海霞, 潘龙飞, 等. 急性胰腺炎患者心理应激情况与医学应对方式的关系以及基于IMB模型干预方案的效果研究[J]. 肝胆胰外科杂志, 2020, 32(11): 676-681. [Yang L, Wang HX, Pan LF, et al. The relationship between psychological stress and medical coping style and the effect of intervention program based on IMB model[J]. Journal of Hepatobiliary and Pancreatic Surgery, 2020, 32(11): 676-681.] DOI: 10.11952/j.issn.1007-1954.2020.11.009.

3.陈玉华, 于桂青, 厉冰, 等. 医护一体化护理干预对保守治疗的急性胰腺炎患者住院时间和焦虑情绪的影响[J]. 国际精神病学杂志, 2021, 48(1): 187-189, 192. [Chen YH, Yu GQ, Li B, et al. Effect of integrated nursing inter-vention on the length of hospital stay and anxiety of patients with acute pancreatitis undergoing con-servative treatment in hospital[J]. Journal of International Psychiatry,2021, 48(1): 187-189,192.] https://d.wanfangdata.com.cn/periodical/ChlQZXJpb2RpY2FsQ0hJTmV3UzIwMjMwNDI2EhJnd3l4LWpzYngyMDIxMDEwNTUaCG1lMzdscmls.

4.中华医学会消化病学分会胰腺疾病学组, 《中华胰腺病杂志》编委会, 《中华消化杂志》编委会. 中国急性胰腺炎诊治指南(2019年, 沈阳)[J]. 临床肝胆病杂志,  2019, 35(12): 2706-2711. [Pancreatic Diseases Group, Digestive Society of Chinese Medical Association, editorial board of Chinese Journal of Pancreatic Diseases, edi-torial board of Chinese Journal of Digestive Diseases. Chinese guidelines for the management of acute pancreatitis (Shenyang,2019)[J]. Journal of Clinical Hepatology, 2019, 35(12): 2706-2711.] DOI: 10.3969/j.issn.1001-5256.2019.12.013.

5.李佳俊妮, 周小军, 陈家言, 等. 简易应对方式问卷在麻风病受累者中的信效度检验[J]. 现代预防医学, 2021, 48(14): 2507-2509, 2514. [Li JJN, Zhou XJ, Chen JY, et al. Reliability and validity of simplified coping style ques-tionnaire among people affected by leprosy[J]. Modern Preventive Medicine,2021, 48(14):2507-2509, 2514] https://d.wanfangdata.com.cn/periodical/xdyfyx202114003.

6.董超群, 巩树梅, 刘晓虹. 简体中文版事件相关反刍性沉思问卷在意外创伤者中应用的信效度分析[J]. 中华护理杂志, 2013, 48(9): 831-834. [Dong CQ, Gong SM, Liu XH. Reliability and validity of the simplified Chinese Version of Event Related Rumination Inventory among accidentally injured patients[J]. Chinese Journal of Nursing, 2013, 48(9): 831-834.] DOI: 10.3761/j.issn.0254-1769.2013.09.021.

7.苏莉, 韦波, 凌小凤, 等. 社会支持评定量表在壮族农民中的信效度和常模[J]. 现代预防医学, 2009, 36(23): 4411-4413. [Su L, Wei B, Ling XF, et al. Study on the reliablility, validity and norm of social support scale in Chuang peasants[J]. Modern Preventive Medicine, 2009, 36(23): 4411-4413.] DOI: CNKI:SUN:XDYF.0.2009-23-006.

8.黄瑛, 李玉梅. 综合护理干预对肺癌靶向治疗患者应对方式和生活质量的影响[J]. 基层医学论坛, 2021, 25(5): 727-728. [Huang Y, Li YM. Impact of integrated nursing intervention on coping style and quality of life of patients with targeted treatment for lung cancer[J]. Grassroots Medical Forum, 2021, 25(5): 727-728.] DOI: 10.19435/j.1672-1721.2021.05.073.

9.陈婷婷, 赵秀芬, 方冠. 急性胰腺炎患者疾病不确定感与应对方式的相关性[J]. 肝胆胰外科杂志, 2022, 34(5): 303-306. [Chen TT, Zhao XF, Fang G. Correlation between feelings of disease uncertainty and coping styles in patients with acute pancreatitis[J]. Journal of Hepatopancreatobiliary Surgery, 2022, 34(5): 303-306.] DOI: 10.11952/j.issn.1007-1954.2022.05.010.

10.关惠新, 胡丽丽, 谷灵犀, 等. 山东省抑郁障碍患者应对方式特点及影响因素研究[J]. 精神医学杂志, 2022, 35(1): 45-50. [Guan HX, Hu LL, Gu LX, et al. The characteristics and influencing factors of coping style in patients with depression in Shandong province[J].Journal of Psychiatry, 2022, 35(1): 45-50. DOI: 10.3969/j.issn.2095-9346.2022.01.009.

11.陈哲, 费汝倩, 范学工. 医务社会工作干预对尿毒症患者应对方式, 社会支持及生活质量的影响[J]. 中国临床心理学杂志, 2021, 29(3): 626-628. [Chen Z, Fei RQ, Fan XG. Effect of medical social work intervention on medical coping style,social support and quality of life of uremic patients[J]. Chinese Journal of Clinical Psychology, 2021, 29(3): 626-628.] DOI: 10.16128/j.cnki.1005-3611. 2021.03.037.

12.张雯菲, 程吉强, 李智明, 等. 反刍性沉思在青年CSR患者急诊手术后自我效能和应对方式中的中介效应[J]. 中国医药导报, 2020, 17(26): 57-60. [Zhang WF, Mediating effect of ruminant meditation on self-efficacy and coping style of young CSR patients after emergency surgery[J]. China Medical Herald, 2020, 17(26): 57-60.] https://d.wanfangdata.com.cn/periodical/yycyzx202026016.