自我效能、社会支持与应对方式对维持性血液透析患者心理弹性的影响路径分析
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摘要
目的:分析自我效能、社会支持与应对方式对维持性血液透析患者心理弹性的影响路径。方法:选取2015年6月-2016年6月300例我院门诊的血液透析患者为研究对象。运用心理弹性量表、自我效能量表、社会支持量表以及医学应对问卷对所选患者进行调查分析。结果:维持血透患者心理弹性总得分(58.21±13.12)分,维持血液透析患者心理弹性与自我效能、主观支持、面对应对以及回避应对呈正相关(r=0.852,0.675,0.298,0.651,0.487,0.667,0.201;P<0.001),与屈服应对呈负相关(r=-0.635,P<0.001);血液透析患者心理弹性与自我效能、主观支持、面对应对以及屈服应对依次进入多元回归方程;血液透析患者自我效能、主观支持与心理弹性水平存在直接与间接影响,面对应对以及屈服应对与心理弹性水平存在直接影响。结论:维持血液透析患者的心理弹性普遍较成人差,且受多种复杂因素影响,自我效能、主观支持、正面应对以及屈服应对是影响患者心理弹性水平的主要因素。
Objective:To analyze the influence of self-efficacy,social support and coping style on resilience in maintenance hemodialysis patients.Methods:A total of 300 hemodialysis patients in our hospital from June 2015 to June 2016 were selected as the study subjects,The selected patients were investigated by using the psycho-elastic scale,self-efficacy scale,social support scale and medical coping questionnaire.Results:The total score of resilience in maintaining hemodialysis patients was(58.21±13.12),Maintaining the hemodialysis patients' resilience was positively correlated with self-efficacy,subjective support,face-to-face coping and avoidance(r=0.852,0.675,0.298,0.651,0.487,0.667,0.201;P<0.001),but negatively correlated with yield response(r=-0.635,P<0.001),Hemodialysis patients' resilience and self-efficacy,subjective support,face coping,yield response in turn entered the multiple regression equation,Hemodialysis patients' self-efficacy,subjective support had direct and indirect impacts on the level of resilience,Face coping and yielding responses had a direct effect on the level of resilience.Conclusion:The maintenance of hemodialysis patients' resilience is generally worse than that of normal adults,and is influenced by many complicated factors,Self-efficacy,subjective support,positive coping and yield response are the main factors that affect the resilience of patients.
Objective:To analyze the influence of self-efficacy,social support and coping style on resilience in maintenance hemodialysis patients.Methods:A total of 300 hemodialysis patients in our hospital from June 2015 to June 2016 were selected as the study subjects,The selected patients were investigated by using the psycho-elastic scale,self-efficacy scale,social support scale and medical coping questionnaire.Results:The total score of resilience in maintaining hemodialysis patients was(58.21±13.12),Maintaining the hemodialysis patients' resilience was positively correlated with self-efficacy,subjective support,face-to-face coping and avoidance(r=0.852,0.675,0.298,0.651,0.487,0.667,0.201;P<0.001),but negatively correlated with yield response(r=-0.635,P<0.001),Hemodialysis patients' resilience and self-efficacy,subjective support,face coping,yield response in turn entered the multiple regression equation,Hemodialysis patients' self-efficacy,subjective support had direct and indirect impacts on the level of resilience,Face coping and yielding responses had a direct effect on the level of resilience.Conclusion:The maintenance of hemodialysis patients' resilience is generally worse than that of normal adults,and is influenced by many complicated factors,Self-efficacy,subjective support,positive coping and yield response are the main factors that affect the resilience of patients.
引文
[1]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]朱琳,曲晓菊,杜晓霞,等.自我效能、社会支持及应对方式对直肠癌患者心理弹性影响的路径分析[J].中华现代护理杂志,2016,22(22):3138-3142
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[9]张蒙蒙,汪长胜,胡岩静,等.临床心理护理程序对维持性血液透析患者生命质量及其相关因素的影响[J].中国实用护理杂志,2015,31(33):2538-2543
[10]Jing Y,Tang L,Wang Y.The effects of self-efficacy and coping style intervention on quality of life in patients with maintenance hemodialysis[J].Chinese General Practice Nursing,2015,61(3):325-327
[11]景颖颖,唐丽春,汪瑶,等.维持性血液透析患者自我效能、应对方式与生活质量的相关性研究[J].中国护理管理,2015,15(1):61-64
[12]巢传宣.大学生水文化认同度与心理弹性、自杀意念的关系[J].保健医学研究与实践,2014,11(4):9-11
[13]张苏梅,顾炜,高苗,等.自我效能感在肺癌化疗患者社会支持与生存质量间的中介效应[J].中国健康心理学杂志,2015,23(9):1310-1314
[14]孙静,曹成琦,王丽娟.血液透析患者抑郁状况及其与自我效能和社会支持的相关性研究[J].护理管理杂志,2012,12(5):313-315
[15]黄莉,王洪嫦,黄碧冰.心理弹性和自我效能对老年维持性血液透析患者自我感受负担的影响[J].护理实践与研究,2016,13(20):6-8
[16]陈潫,崔文英,孙柳,等.维持性血液透析患者心理弹性及应对方式的研究[J].中国血液净化,2016,15(1):55-57
[2]朱琳,曲晓菊,杜晓霞,等.自我效能、社会支持及应对方式对直肠癌患者心理弹性影响的路径分析[J].中华现代护理杂志,2016,22(22):3138-3142
[3]徐云,周蓉,付春梅.心理弹性量表(CD-RISC)在大学生中的信效度验证及结构探讨[J].中国健康心理学杂志,2016,24(6):894-897
[4]黎华娇.自我效能、社会支持与应对方式对老年急性心肌梗死患者心理弹性的影响[J].护理实践与研究,2017,14(2):16-18
[5]于肖楠,张建新.自我韧性量表与Connor-Davidson韧性量表的应用比较[J].心理科学,2007,30(5):1169-1171
[6]Zhang J X,Schwarzer R.Measuring optimistic self-beliefs:AChinese adaptation of the General Self-Efficacy Scale[J].Psychologia An International Journal of Psychology in the Orient,1995,38(3):174-181
[7]肖水源.《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994,3(2):98-100
[8]沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中华行为医学与脑科学杂志,2000,9(1):18-20
[9]张蒙蒙,汪长胜,胡岩静,等.临床心理护理程序对维持性血液透析患者生命质量及其相关因素的影响[J].中国实用护理杂志,2015,31(33):2538-2543
[10]Jing Y,Tang L,Wang Y.The effects of self-efficacy and coping style intervention on quality of life in patients with maintenance hemodialysis[J].Chinese General Practice Nursing,2015,61(3):325-327
[11]景颖颖,唐丽春,汪瑶,等.维持性血液透析患者自我效能、应对方式与生活质量的相关性研究[J].中国护理管理,2015,15(1):61-64
[12]巢传宣.大学生水文化认同度与心理弹性、自杀意念的关系[J].保健医学研究与实践,2014,11(4):9-11
[13]张苏梅,顾炜,高苗,等.自我效能感在肺癌化疗患者社会支持与生存质量间的中介效应[J].中国健康心理学杂志,2015,23(9):1310-1314
[14]孙静,曹成琦,王丽娟.血液透析患者抑郁状况及其与自我效能和社会支持的相关性研究[J].护理管理杂志,2012,12(5):313-315
[15]黄莉,王洪嫦,黄碧冰.心理弹性和自我效能对老年维持性血液透析患者自我感受负担的影响[J].护理实践与研究,2016,13(20):6-8
[16]陈潫,崔文英,孙柳,等.维持性血液透析患者心理弹性及应对方式的研究[J].中国血液净化,2016,15(1):55-57