内在动机对先天性小耳畸形患者心理负担、生命质量及自我效能感的影响  

Effects of intrinsic motivation on psychological burden,serf-efficacy and quality of life with microtia syndrome

作　　者：林成敏[1] 熊琼珍[1] 黄艳[1] 

机构地区：[1]四川大学华西医院第二综合病房,成都610041

出　　处：《检验医学与临床》2017年第21期3163-3165,共3页Laboratory Medicine and Clinic

摘　　要：目的研究内在动机对先天性小耳畸形患者心理负担、生命质量及自我效能感的影响。方法选取先天性小耳畸形患者72例患者,随机分为2组,对照组给予常规护理,研究组在对照组基础上给予自我管理干预,比较2组干预效果。结果干预后,研究组内在动机量表(IMI)各维度得分及总分均明显高于对照组,研究组焦虑自评量表(SAS)评分和抑郁自评量表(SDS)评分明显低于对照组,生命质量及自我效能评分明显高于对照组,差异均有统计学意义(P<0.05);研究组IMI各维度及总分与干预后患者SAS、SDS评分呈正相关,研究组IMI总分及内在选择性、主观能力、压力/紧张评分与生命质量评分呈正相关;研究组IMI评分与干预后自我效能感量表(GSS)评分呈正相关。结论自我管理可改善先天性小耳畸形患者心理,提升自我效能感与生命质量,内在动机是影响先天性小耳畸形患者自我管理效果的重要因素。Objective To explore the effects of intrinsic motivation on psychological burden,serf-efficacy and quality of life with microtia syndrome.Methods 72 cases of patients with microtia syndrome were chosen and were divided into the control group and the research group according to the random number table.36 cases in each group.The control group were treated with routine nursing,education,and the research group was given a self-management program guided by well trained medical personnel on the basis of the control group.The intervention effect of the two groups was compared.Results After treatment,the scores of IMI in the research group were significantly higher than those in the control group,the SAS score and SDS score of the research group were significantly lower than those of the control group,quality of life and self-efficacy,the difference was statistically significant（P〈0.05）.The scores of IMI in the research group were positively correlated with SAS and SDS scores;the IMI total score,intrinsic selectivity,subjective ability,There was a positive correlation between stress/stress score and quality of life score;the IMI score of the research group was positively correlated with the post-intervention GSS score.Conclusion A self-management program can improve microtia syndrome patients＇psychological,self-efficacy and quality of life,intrinsic motivation is the important factor influencing the effect of self management program.

关 键 词：内在动机 心理负担 生命质量 自我效能 

分 类 号：R764.7[医药卫生—耳鼻咽喉科]