宫腔镜检查患者心理弹性现状及影响因素分析  

Current status of mental resilience of patients undergoing hysteroscopy and its influencing factors

作　　者：郭宗艳[1] 石红英[2] 邵春梅[2] 申瑶[3] 卢明[3] 杨阳[4] 赵延兵[4] Guo Zongyan;Shi Hongying;Shao Chunmei;Shen Yao;Lu Ming;Yang Yang;Zhao Yanbing(Department of Obstetrics and Gynecology,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454000,China;Department of Nursing,the First People's Hospital of Shangqiu,Henan Province,Shangqiu 476100,China;Department of Nursing,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454000,China;Department of Disease Control,Jiaozuo People's Hospital,Henan Province,Jiaozuo 454000,China)

机构地区：[1]河南省焦作市人民医院妇产科,454000 [2]河南省商丘市第一人民医院护理部,476100 [3]河南省焦作市人民医院护理部,454000 [4]河南省焦作市人民医院疾病控制科,454000

出　　处：《中华现代护理杂志》2020年第20期2792-2795,共4页Chinese Journal of Modern Nursing

摘　　要：目的了解宫腔镜检查患者的心理弹性现状并对影响因素进行分析,旨在为临床健康教育提供指导。方法采用方便抽样法,选取焦作地区某三级甲等医院2019年1—6月在妇科门诊行宫腔镜检查患者作为研究对象。采用心理弹性量表(CD-RISC)、领悟社会支持量表(PSSS)和一般资料调查问卷进行调查,探讨宫腔镜检查患者心理弹性现状及影响因素。本研究回收有效问卷157份。结果157例宫腔镜检查患者CD-RISC得分为(58.20±27.45)分,最低16分,最高107分;不同年龄、患者学历、居住地域的宫腔镜检查患者CD-RISC总分比较差异均有统计学意义(P<0.05);相关性分析显示,宫腔镜诊疗患者心理弹性水平与社会支持得分呈正相关(P<0.05);多重线性回归分析显示,年龄、学历、居住地域、家庭支持是影响宫腔镜检查患者心理弹性的主要影响因素(P<0.05)。结论宫腔镜检查患者的心理弹性较差,患者年龄、学历、居住地域、家庭支持为影响心理弹性的重要因素。建议对不同群体进行针对性的疾病宣教和心理疏导,采用多渠道、多元化的方式加强社会支持以提高患者心理弹性,使其以积极的方式应对疾病,促进康复。Objective To understand the current status of mental resilience of patients undergoing hysteroscopy and its influencing factors so as to provide guidance for clinical health education.Methods By the convenient sampling method,patients who underwent hysteroscopy in the gynecological clinic in a ClassⅢGradeA hospital in Jiaozuo from January to June 2019 were selected as research objects.Connor-Davidson Resilience Scale(CD-RISC),Perceived Social Support Scale(PSSS)and General Data Questionnaires were used to conduct survey to explore the current status of mental resilience of patients undergoing hysteroscopy and its influencing factors.This study retrieved 157 valid questionnaires.Results The score of CD-RISC in 157 patients undergoing hysteroscopy was(58.20±27.45),with a minimum of 16 points and a maximum of 107 points.There were statistically significant differences in the total scores of CD-RISC among patients of different ages,education background and residential area who underwent hysteroscopy(P<0.05).The correlation analysis showed that the level of mental resilience of patients undergoing hysteroscopy was positively correlated with the score of social support(P<0.05).Multiple linear regression analysis showed that age,education background,living area,family support were the main factors influencing the mental resilience of patients undergoing hysteroscopy(P<0.05).Conclusions The mental resilience of patients undergoing hysteroscopy is relatively poor.Age of patients,educational background of patients,living area,family support are the important factors affecting mental resilience.Targeted disease education and psychological counseling should be carried out for different groups.Multiple channels and diversified ways should be adopted to strengthen social support so as to improve mental resilience of patients,enable them to cope with the disease in a positive way and promote recovery.

关 键 词：妇科检查 心理弹性 社会支持 宫腔镜 相关因素 健康促进 

分 类 号：R473.71[医药卫生—护理学]