造血干细胞移植患者心理韧性的潜在类别及应对方式研究  

Resilience and coping styles of patients undergoing hematopoietic stem cell transplantation:a latent profile analysis

作　　者：王营营 吴云[1] 李惠萍[2] 黄璐 Wang Yingying;Wu Yun;Li Huiping;Huang Lu(Department of Hematology Third Ward,University of Science and Technology of China First Hospital,Hefei,230001;School of Nursing,Anhui Medical University,Hefei,230022,China)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)血液科三病区,安徽合肥230001 [2]安徽医科大学护理学院,安徽合肥230022

出　　处：《现代临床护理》2021年第2期1-7,共7页Modern Clinical Nursing

基　　金：国家临床重点专科建设项目,项目编号国卫办医函〔2018〕292号。

摘　　要：目的探索造血干细胞移植患者心理韧性的潜在类别及应对方式差异,为临床采取个体化干预提供依据。方法采用便利抽样法,使用一般人口学调查表、心理韧性量表14条目(resilience-14 items,RS-14)、医学应对方式问卷(medical coping modes questionnaire,MCMQ)对本省某三级甲等综合医院240例造血干细胞移植后患者进行问卷调查。运用潜在剖面分析方法探讨心理韧性的潜在类别。结果228例患者完成问卷调查。造血干细胞移植患者心理韧性分为3种类别:高心理韧性组(51.60%),中心理韧性组(40.40%)和低心理韧性组(8.00%)。患者心理韧性的3个类别在家庭月总收入(P=0.003)、移植后生存时间(P=0.010)、身体功能状况(P<0.001)、口服抗排异药物(P=0.005)的分布上存在差异。患者心理韧性3个类别在面对应对得分和屈服应对得分存在差异(均P<0.001),在回避应对得分无差异(均P>0.05)。结论造血干细胞移植患者心理韧性具有明显的分类特征,而且应对方式不同,临床医务人员应根据患者心理韧性分类特点及其应对方式采取个性化干预策略,以提高其心理健康水平。Objective To explore the potential categories of resilience of patients undergoing hematopoietic stem cell transplantation and different coping styles so as to provide evidence for individualized clinical intervention.Methods Totally 240 outpatients in a hospital in Anhui Province were included in the investigation with general information questionnaire,resilience-14 item(RS-14)and medical coping modes questionnaire.The latent profile analysis(LPA)was conducted.Results A total of 228 valid questionnaires were collected.3 latent classes model of resilience was supported,including"high-resilience group"(51.60%),"general resilience group"(40.40%),and"low tenacity group"(8.00%).There are differences in family income(P=0.003),survival time(P=0.010),physical function(P<0.001),and oral anti-rejection prescription drugs(P=0.005).The facing response score of"high-resilience group"was significantly higher than the other two groups(P<0.001),the yield response score significantly lower(P<0.001),and there was no difference in the avoidance response score between the groups.Conclusion There are three different categories of resilience in patients with hematopoietic stem cell transplantation,medical personnel should develop personalized interventions for different categories to improve their resilience level,so as to improve the subjective well-being of patients and improve the quality of psychology.

关 键 词：造血干细胞移植 心理韧性 应对方式 潜在剖面分析 

分 类 号：R473.73[医药卫生—护理学]