Correlation formation in life quality, illness uncertainty, negative emotions and medical coping styles among pulmonary embolism patients

Abstract

Objective To explore the correlation in life quality, illness uncertainty, negative emotions and medical coping modes among pulmonary embolism patients to construct a structural equation model in them. Methods From April 2015 to December 2016, 217 pulmonary embolism patients of Department of Pulmonary in a Class Ⅲ Grade A hospital in Tianjin were selected by convenience sampling. Patients were investigated with the 12-item Medical Outcomes Study (MOS) Short-Form Health Status Survey (SF-12) , Mishel's Uncertainty in Illness Scale (MUIS) , Hospital Anxiety and Depression Scale (HADS) , Medical Coping Modes Questionnaire (MCMQ) . The correlation analysis and structural equation model were used to explore the correlation in life quality, illness uncertainty, negative emotions and medical coping modes and to construct a structural equation model in them. Results In terms of mental health, avoidance of MCMQ had the strongest total effects (-0.95) on it; illness uncertainty had the strongest indirect effects (-0.55) on it. In terms of physical health, confrontation of MCMQ had the strongest direct effects (0.794) . Conclusions Bettering pulmonary embolism patients' illness uncertainty and medical coping modes can effectively improve their life quality. Key words: Quality of life; Pulmonary embolism; Structural equation model