低视力患者心理弹性及自我效能的影响因素及相关性分析  

Influencing factors and correlation analysis of psychological flexibility and self-efficacy in patients with low vision

作　　者：鲁方方[1] 付娟[1] 孙佳丽[1] 王亚丹[1] 闫佳敏 左珊珊 Lu Fangfang;Fu Juan;Sun Jiali;Wang Yadan;Yan Jiamin;Zuo Shanshan(Henan People ys Hospital,Henan Provincial Eye Hospital,Henan Eye Research Institute,Zhengzhou 450003,China;International Medical Center,Henan Peopled Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院·河南省立眼科医院·河南省眼科研究所,郑州450003 [2]河南省人民医院国际医疗中心,郑州450003

出　　处：《国际护理学杂志》2021年第1期34-38,共5页international journal of nursing

基　　金：2018年度河南省医学科技公关计划项目(SBGJ2018067)。

摘　　要：目的:分析低视力患者心理弹性及自我效能的影响因素及相关性。方法:选取该院2017年1月至2018年12月收治的低视力患者130例作为研究对象,同期健康体检的视力正常者130例作为健康对照组,以心理弹性量表(CD-RISC)和一般自我效能感(GSES)量表评价两组研究对象的心理弹性及自我效能,分析低视力患者心理弹性及自我效能的影响因素及两者的相关性。结果:低视力组患者的CD-RISC、GSES评分均低于健康对照组,低视力患者心理弹性及自我效能均处于较低水平。低视力患者心理弹性受到文化程度、月收入水平、医疗付费方式、对待疾病态度、家庭支持状况的影响,自我效能受到月收入水平、医疗付费方式、对待疾病态度、家庭支持状况的影响。低视力患者自我效能与心理弹性各维度均呈正相关(均P<0.05)。结论:低视力患者心理弹性及自我效能均处于较低水平,并且两者的影响因素具有较高的一致性,患者的自我效能与心理弹性呈正相关,临床可以通过有效干预提高患者的自我效能,从而改善低视力患者生存质量。Objective To analyze the influencing factors and correlation analysis of psychological flexibility and self-efficacy in patients with low vision.Methods A total of 130 patients with low vision admitted to the hospital from January 2017 to December 2018 were selected as the subjects of the study,and 130 patients with normal vision who underwent a physical examination during the same period were selected as the healthy control group.The Connor-Davidson Resilience Scale(CD-RISC)and General Self-Efficacy Scale(GSES)were used to evaluate the mental resilience and self-efficacy of the two groups of subjects,and the influencing factors of mental resilience and self-efficacy of patients with low vision were analyzed,as well as the correlation between them.Results The CD-RISC and GSES scores of patients in low vision group were lower than those in healthy control group,and the psychological flexibility and self-efficacy of patients in low vision were at a low level.The psychological resilience of patients with low vision was affected by the level of education,monthly income,medical payment,attitude towards disease and family support.Self-efficacy was affected by monthly income level,medical payment method,attitude toward disease and family support status.There was a positive correlation between self-efficacy and psychological flexibility in patients with low vision(P<0.05).Conclusions The psychological resilience and self-efficacy of patients with low vision are at a low level,and the influencing factors of them have a high consistency,the patient's self-efficacy is positively correlated with the psychological resilience,the clinical intervention can improve the patient's self-efficacy through effective intervention,and improve the quality of life of patients with low vision.

关 键 词：低视力 心理弹性 自我效能 

分 类 号：R473.76[医药卫生—护理学]