难治性肺炎患者心理弹性和自我效能感、应对方式的相关性  

Correlation between resilience,self-efficacy and coping style in patients with refractory pneumonia

作　　者：范亚硕[1] 潘静[1] 韦昭 FAN Yashuo;PAN Jing;WEI Zhao(Endoscopic Diagnosis and Treatment Department,Nanyang Central Hospital,Affiliated Hospital of Zhengzhou University,Nanyang 473000,China)

机构地区：[1]中国.郑州大学附属医院(南阳市中心医院)内镜诊疗部

出　　处：《中国健康心理学杂志》2019年第12期1783-1786,共4页China Journal of Health Psychology

基　　金：河南省科技攻关计划(编号:201702421)

摘　　要：目的:研究难治性肺炎患者心理弹性和自我效能感、应对方式的相关性。方法:选取2016年4月-2018年4月我院收治的192例难治性肺炎患者作为观察组,选取同期本院健康体检者150例作为对照组,采用心理弹性量表、一般自我效能感量表和医学应对方式问卷对两组研究对象进行问卷调查,分析难治性肺炎患者心理弹性和自我效能感、应对方式的相关性。结果:研究组心理弹性各项评分均低于对照组,差异具有统计学意义(t=9.257,10.658,9.973,9.824;P<0.001);两组面对、屈服评分比较差异具有统计学意义(t=13.025,-14.716;P<0.001),回避评分比较差异无统计学意义(P>0.05);研究组自我效能评分明显低于对照组(t=11.137,P<0.001);难治性肺炎患者心理弹性与自我效能感呈正相关,与面对、回避的应对方式呈正相关(r=0.527,0.185,0.142;P<0.05),与屈服的应对方式呈负相关(r=-0.254,P<0.05)。结论:难治性肺炎患者的心理弹性水平低于正常人群,主要与难治性肺炎患者的自我效能感较低,采取消极应对方式有关。治疗的同时应该采取针对性强的干预措施,改善患者的心理弹性水平,促进患者的治疗依从性和积极性,从而达到提高治疗效果的目的。Objective:To investigate the correlation between resilience,self-efficacy and coping style in patients with refractory pneumonia.Methods:A total of 192 patients with refractory pneumonia admitted to our hospital from April 2016 to April 2018 were selected as observation group.150 healthy people in our hospital during the same period were selected as control group.Questionnaires were conducted with resilience scale,general self-efficacy scale and medical coping style questionnaire in patients with refractory pneumonia.The correlation between resilience,self-efficacy and coping style were investigated.Results:The scores of resilience in the study group were lower than those in the control group(t=9.257,10.658,9.973,9.824;P<0.001);There were significant differences in the scores of face and yield between the two groups(t=13.025,14.716;P<0.001),and there was no significant difference in avoidance score(P>0.05).The self-efficacy score of the study group was significantly lower than that of the control group(t=11.137,P<0.001).Psychological resilience of refractory pneumonia was positively correlated with self-efficacy,positively correlated with coping styles of face-to-face and avoidance(r=0.527,0.985,0.142;P<0.05),and negatively correlated with coping styles of submission(r=-0.254,P<0.05).Conclusion:Psychological resilience of patients with refractory pneumonia is lower than that of normal people,which is mainly related to the low self-efficacy and negative coping styles.At the same time,targeted interventions should be taken to improve patients’resilience level,promote patients’treatment compliance and enthusiasm,so as to achieve the purpose of improving treatment effect.

关 键 词：难治性肺炎 心理弹性 自我效能感 应对方式 相关性 

分 类 号：R749.92[医药卫生—神经病学与精神病学]