Middle-aged Coronary Heart Disease In Patients With Social Support And Coping Styles Of Research

Objective: To investigate the social support to the middle-aged Coronary Heart Disease patients and the Jalowiec Coping Scale against them; as well as to discuss the effect of social support and the correlation between social supports to the Coronary Heart Disease patients and their Jalowiec Coping Scale.Method:This research is a descriptive correlation research, which adopted a sampling method to a Level 3 Prime hospital. The in-hospital middle-aged Coronary Heart Disease patients from March to December 2007 were investigated by distributing three measuring scales to each of them: Patients'General Status Scale, Social Support Evaluation scale and Jalowiec Coping Scale. The patients'general status is collected by General Status Scale; subjective support and its availability are gathered by the Social Support Evaluation Scale; Jalowiec Coping Scale is used to measure the Jalowiec Coping to the patients, by analyzing received materials descriptively, multiple-linear regression and Pearson correlation analysis and statistics, conclusion can be drawn, thus directory to the clinic nursing work can be provided.Results:1. The overall score of social supports received by in-hospital middle-aged Coronary Heart Disease patients is 42.23±6.44, which is lower than the national norm. Among all the dimensions of social supports, only the subjective support scores 24.04±4.26, which is higher than the national norm; The middle-aged in-hospital Coronary Heart Disease patients gained higher scores that the elderly in all scales.2. The factors which affect the dimensions of social supports: factors which affect the objective supports to the patients are: anamnesis. Factors which affect the objective supports are: course of disease and methods of payment. Factors which affect support availability to the patients are: whether they have the anamnesis.3. Among the middle-aged coronary heart disease patients, the optimism coping is the most common and scores 1.92±0.46, subsequent copings are preservation and acceptance, whose scores are 1.89±8.20 and 1.73±0.54. Emotional relieving, escapism and fatalism gain relevantly lower score, which are 1.26±0.64,1.18±0.40 and 0.97±0.63. Factors of Optimism, preservation, acceptance, self-dependence and seeking for assistance are positively correlative to social supports, whereas fatalism, emotional relieving and escapism are negatively correlative to social supports.ConclusionThe social support received by middle-aged coronary heart disease patients are lower than the national norm but higher than the level of the elderly patients'. Anamnesis, payment methods and course of disease will affect each dimension of the social support to the patients. What influence social supports the most are anamnesis and payment methods. Middle-aged patients are recommended to be optimistic, preservative and to seek supports, in the meantime, escapism and fatalism should be adopted the least. Favorable social supports will be advantageous for the patients to adopt positive coping. This indicates that in our clinical nursing work, enhancement to the health preaching to the families of the middle-aged coronary heart disease patients should be considered. More disease information to the patients'families should be provided so that when the patients encounter the stressor of disease, positive coping will be adopted under the support from their family and the society, consequently the recovery will be accelerated.