重症肌无力患者心理弹性水平及其影响因素分析
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摘要
目的:调查重症肌无力患者的心理弹性水平,分析其影响因素。方法:应用横断面调查方法,采用心理弹性量表(CDRISC)、社会支持评定量表、慢性病自我效能量表、自我感受负担量表(SPBS)及自行设计的一般资料调查表对山东省某三级甲等医院的385例重症肌无力患者进行问卷调查。结果:重症肌无力患者CD-RISC总分为(53. 48±12. 74)分,得分较低;回归分析显示:患者年龄、付费方式、照顾者角色、经济负担、自我效能、主观支持是患者心理弹性水平的影响因素。结论:重症肌无力患者的心理弹性较差,且受诸多因素的影响,应针对影响因素采取干预措施,提高护理质量。
Objective:To investigate the level of psychological resilience of myasthenia gravis patients and analyze the influencing factors. Methods:A total of 385 patients with myasthenia gravis were investigated by using the cross-sectional survey method using CD-RISC,social support rating scale,chronic disease self-efficacy scale,self-perceived burden scale( SPBS) and self-designed general data questionnaire. Results:The total score of CD-RISC in myasthenia gravis patients was( 53. 48 ± 12. 74),which was lower. The regression analysis showed that patients' age,payment mode,caregiver role,economic burden,self-efficacy and subjective support were the influencing factors of patients' psychological resilience. Conclusion:Myasthenia gravis patients with poor psychological resilience,and affected by many factors,should be taken intervention measures targeted at the influencing factors to improve the quality of nursing.
Objective:To investigate the level of psychological resilience of myasthenia gravis patients and analyze the influencing factors. Methods:A total of 385 patients with myasthenia gravis were investigated by using the cross-sectional survey method using CD-RISC,social support rating scale,chronic disease self-efficacy scale,self-perceived burden scale( SPBS) and self-designed general data questionnaire. Results:The total score of CD-RISC in myasthenia gravis patients was( 53. 48 ± 12. 74),which was lower. The regression analysis showed that patients' age,payment mode,caregiver role,economic burden,self-efficacy and subjective support were the influencing factors of patients' psychological resilience. Conclusion:Myasthenia gravis patients with poor psychological resilience,and affected by many factors,should be taken intervention measures targeted at the influencing factors to improve the quality of nursing.
引文
[1]陈灏珠.实用内科学[M].北京:人民卫生出版社,2002:2490-2492.
[2]静文. 1例重症肌无力危重病人的急救护理[J].护理研究,2005,19(4B):748.
[3]张以梅,许翠娥.儿童重症肌无力危象的易发因素与护理[J].中华护理杂志,2002,37(11):830-831.
[4]魏媛媛.脑卒中患者自我感受负担和自我管理行为的纵向调查与干预研究[D].西安:中国人民解放军空军军医大学,2018.
[5]李知音. ICU昏迷患者家属心理状态及需求调查研究[D].衡阳:南华大学,2017.
[6]董雪.老年2型糖尿病住院患者授权能力和自我感受负担及社会支持的相关性研究[D].长春:长春中医药大学,2018.
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[11]栗晓坤,尚少梅.乳腺癌化疗病人评估工具的研究进展[J].护理研究,2019,33(4):612-615.
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[13] Lorig KR,Sobel DS,Ritter PL,et al. Effect of a self-manage-ment programon patients with chronic disease[J]. Eff Clin Pract,2001,4(6):256-262.
[14]蒋书平,刘明月,孙丹丹.高血压脑出血术后患者家庭亲密度和适应性与自我感受负担的相关性[J].护理学杂志,2019,34(2):59-62.
[15] Connor KM,Davidson JR. Development of a New Resilience Scale:The Connor-davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.
[16]吴丹.杭州地区甲状腺癌患者心理弹性状况及影响因素分析[J].齐鲁护理杂志,2014,(10):54-55.
[17]胡冬梅,金晓茜,贺晓梅.重症肌无力患者抑郁,焦虑,失眠症状发生率以及影响因素研究[J].中国临床医生,2016,44(1):36-38.
[18]刘朝英,董会民,乞国艳,等.重症肌无力患者自我感受负担及影响因素分析[J].中华护理杂志,2016,51(4):429-433.
[19] Casella F,Alcala MJ,Prieto L,et al. Assessment of the influence of disease activity on the quality of life of patients with inflammatory bowel disease using a short questionnaire[J]. Am J Gastrcenterol,2004,99(3):457-461.
[20]刘莉莉,林平,赵振娟.自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J].中华护理杂志,2016,51(1):21-25.
[2]静文. 1例重症肌无力危重病人的急救护理[J].护理研究,2005,19(4B):748.
[3]张以梅,许翠娥.儿童重症肌无力危象的易发因素与护理[J].中华护理杂志,2002,37(11):830-831.
[4]魏媛媛.脑卒中患者自我感受负担和自我管理行为的纵向调查与干预研究[D].西安:中国人民解放军空军军医大学,2018.
[5]李知音. ICU昏迷患者家属心理状态及需求调查研究[D].衡阳:南华大学,2017.
[6]董雪.老年2型糖尿病住院患者授权能力和自我感受负担及社会支持的相关性研究[D].长春:长春中医药大学,2018.
[7]贾建平.神经病学[M]. 7版.北京:人民卫生出版社:365-369.
[8] Cousineau N, Mc Dowell I. Measuring chronic patients' feelings of being a burden to their caregivers:development and preliminary validation of a scale[J].Med Care,2003,41(1):110-118.
[9]武燕燕,姜亚芳.癌症患者自我感受负担的调查与分析[J].护理管理志,2010,10(6):405-407.
[10]刘朝英,乞国艳,董会民,等.重症肌无力患者自我效能与自我感受负担状况的相关性研究[J].中华护理教育,2016,13(7):543-547.
[11]栗晓坤,尚少梅.乳腺癌化疗病人评估工具的研究进展[J].护理研究,2019,33(4):612-615.
[12]肖水源.社会支持评定量表[J].中国心理卫生杂志,1993,7(增刊):42.
[13] Lorig KR,Sobel DS,Ritter PL,et al. Effect of a self-manage-ment programon patients with chronic disease[J]. Eff Clin Pract,2001,4(6):256-262.
[14]蒋书平,刘明月,孙丹丹.高血压脑出血术后患者家庭亲密度和适应性与自我感受负担的相关性[J].护理学杂志,2019,34(2):59-62.
[15] Connor KM,Davidson JR. Development of a New Resilience Scale:The Connor-davidson Resilience Scale(CD-RISC)[J]. Depress Anxiety,2003,18(2):76-82.
[16]吴丹.杭州地区甲状腺癌患者心理弹性状况及影响因素分析[J].齐鲁护理杂志,2014,(10):54-55.
[17]胡冬梅,金晓茜,贺晓梅.重症肌无力患者抑郁,焦虑,失眠症状发生率以及影响因素研究[J].中国临床医生,2016,44(1):36-38.
[18]刘朝英,董会民,乞国艳,等.重症肌无力患者自我感受负担及影响因素分析[J].中华护理杂志,2016,51(4):429-433.
[19] Casella F,Alcala MJ,Prieto L,et al. Assessment of the influence of disease activity on the quality of life of patients with inflammatory bowel disease using a short questionnaire[J]. Am J Gastrcenterol,2004,99(3):457-461.
[20]刘莉莉,林平,赵振娟.自我效能、社会支持及应对方式对急性心肌梗死患者心理弹性影响的路径分析[J].中华护理杂志,2016,51(1):21-25.