中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2102-2108.DOI: 10.3761/j.issn.0254-1769.2022.17.009
刘晓宇(), 陆海英, 单亚维(), 陈维佳, 孙慧敏, 黄云霏
收稿日期:
2022-04-08
出版日期:
2022-09-10
发布日期:
2022-09-07
通讯作者:
单亚维,E-mail: yaweishan78280@163.com作者简介:
刘晓宇:女,硕士,护士,E-mail: 929057045@qq.com
基金资助:
LIU Xiaoyu(), LU Haiying, SHAN Yawei(), CHEN Weijia, SUN Huimin, HUANG Yunfei
Received:
2022-04-08
Online:
2022-09-10
Published:
2022-09-07
摘要:
目的 探讨全膝关节置换患者术前心理弹性现状并分析其影响因素。 方法 采用便利抽样法,选取2021年3月—7月在上海市某三级甲等医院关节外科住院的183例择期行全膝关节置换术的患者作为调查对象。基于心理弹性模型选定潜在影响变量,采用一般资料调查表、西安大略和麦克马斯特大学骨关节炎指数、康纳戴维森心理弹性量表、慢性病自我效能量表、希望指数量表、心理困扰量表、社会支持评定量表、医学应对方式问卷进行调查。采用多元线性回归进行心理弹性影响因素分析。 结果 全膝关节置换患者术前心理弹性水平为(59.98±9.20)分。多元线性回归分析显示,患者文化程度(β=0.202,P<0.001)、自我效能(β=0.319,P<0.001)、希望(β=0.363,P<0.001)、屈服应对(β=-0.149,P=0.010)可影响全膝关节置换患者术前心理弹性,共解释68.20%的总变异。 结论 全膝关节置换患者术前心理弹性整体水平较低,临床实践中应重视健康教育与心理辅导,提高患者的自我效能和希望水平,避免消极应对方式,促进患者的手术预后。
刘晓宇, 陆海英, 单亚维, 陈维佳, 孙慧敏, 黄云霏. 全膝关节置换患者术前心理弹性现状及其影响因素分析[J]. 中华护理杂志, 2022, 57(17): 2102-2108.
LIU Xiaoyu, LU Haiying, SHAN Yawei, CHEN Weijia, SUN Huimin, HUANG Yunfei. The status and influencing factors associated with psychological resilience in preoperative patients with total knee arthroplasty[J]. Chinese Journal of Nursing, 2022, 57(17): 2102-2108.
表1 全膝关节置换患者一般资料及术前心理弹性的单因素分析(n=183)
Table 1 The univariate analysis of preoperative psychological resilience in patients with total knee arthroplasty(n=183)
表2 全膝关节置换患者术前心理弹性及其他心理学量表得分情况(n=183,分)
Table 2 Scores of preoperative psychological resilience and other psychological variables in patients with total knee arthroplasty(n=183,scores)
表3 全膝关节置换患者术前心理弹性与各心理学量表得分的相关性分析(n=183)
Table 3 Correlation analysis between preoperative psychological resilience and other psychological variables in patients with total knee arthroplasty(n=183)
表5 全膝关节置换患者术前心理弹性的多元线性回归(n=183)
Table 5 Multiple linear regression of preoperative psychological resilience in patients with total knee arthroplasty(n=183)
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