产后盆底功能障碍患者心理弹性水平及影响因素研究  

Analysis of psychological resilience level and its influencing factors inpatients of postpartum pelvic floor dysfunction

作　　者：代贝贝[1] 乔建红[2] 孙菲菲[3] 薄纯露[4] 丁凯雯 苏蔚[4] 许翠萍[2] 

机构地区：[1]泰山医学院护理学院,泰安271000 [2]山东省千佛山医院护理部,济南250014 [3]山东省精神卫生中心 [4]山东大学护理学院 [5]山东中医药大学护理学院

出　　处：《中国实用护理杂志》2018年第8期590-595,共6页Chinese Journal of Practical Nursing

基　　金：山东省医药卫生科技发展计划（2015WS0243）

摘　　要：目的分析产后盆底功能障碍性疾病（PFD）患者心理弹性水平及其影响因素，为进一步开展PFD患者心理干预研究提供科学依据。方法使用自行设计的一般资料调查表、中文版心理弹性量表（co．RISC）、正负情绪量表、医学应对问卷（包括面对、屈服、回避三种应对方式），对208例产后PFD患者进行横断面调查。结果208例产后PFD患者心理弹性水平总体得分为（53．64±12．29）分，在年龄、家庭月收入、居住地、分娩方式、分娩次数方面差异有统计学意义（F=15．287、5．731，t=-2．571、-15．911、-2．922，均P〈0．05）；积极情绪、面对与心理弹性均呈正相关（P〈0．01）；屈服应对与心理弹性呈负相关（P〈0．01）；年龄、居住地、分娩方式、积极情绪与屈服应对为产后PFD患者心理弹性的重要预测因子，解释心理弹性总变异的69．6％。结论产后PFD患者的心理弹性水平较低，积极情绪、医学应对方式与心理弹性相关。因此，医护人员需重点关注产后患者的心理情况，依据指南制定个体化心理指导方案，积极开展患者的心理干预研究及健康教育，提高心理弹性水平，改善其生命质量。Objective To analyze the patients＇ psychological resilience level of postpartum pelvic floor dysfunction and to explore the influencing factors, in order to provide the scientific basis for patients＇ psychological intervention. Methods A cross-sectional survey was conducted on 208 patients of postpartum pelvic floor dysfunction by using the Connor- Davidson Resilience scale（CD- RISC）, Positive and Negative Affective scales（PANAS） and Medical Coping Modes questionnaire（MCMQ, which includes ＂confrontation＂, ＂acceptance-resignation＂ and ＂avoidance＂）. Results The score of psychological resilience of 208 patients was （53.64 ±12.29） points, differences in age, family monthly income, living locations, delivery methods and delivery times reached a statistically significant level （F=15.287, 5.731, t=-2.571,-15.911, -2.922, all P〈0.05）. Patients＇ psychological resilience level had significant positive correlation with positive emotions （P〈0.01） and ＂confrontation＂, and it had negative correlation with ＂acceptance-resignation＂ （P〈0.01）. Age, living locations, delivery methods, positive emotions and ＂acceptance- resignation＂ are the forecast factors of psychological resilience, which can explain 69.6% of total variation. Conclusions Patients of postpartum pelvic floor dysfunction have low levels of psychological resilience, which associated with positive emotions and medical coping modes. Therefore, nursing staffs should pay attentions to the patients＇ psychological status , develop individualized psychological guidelines, implement psychological intervention and health education ,in order to improve the level of patients＇ resilience and improve their living quality.

关 键 词：弹性 心理 盆底功能障碍 积极情绪 应对方式 

分 类 号：R473.71[医药卫生—护理学]