肠造口患者主要照顾者心理一致感与自我效能、领悟社会支持关系的研究  

Relationship between sense of coherence, self-efficacy, and perceived social support in major caregivers of enterostomy patients

作　　者：罗雯馨 陈健敏[1] 陈永儿[2] 刘玉霞[1] 赖金满 张悦茹[1] 管晓芳 周松 谢敏仪[1] Luo Wenxin;Chen Jianmin;Chen Yonger;Liu Yuxia;Lai Jinman;Zhang Yueru;Guan Xiaofang;Zhou Song;Xie Minyi(Department of Gastrointestinal Surgery,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Ophthalmology Department,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Intensive Care Unit,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院胃肠外科,珠海519000 [2]中山大学附属第五医院眼科,珠海519000 [3]中山大学附属第五医院重症医学科,珠海519000

出　　处：《中华健康管理学杂志》2021年第4期395-400,共6页Chinese Journal of Health Management

摘　　要：目的:调查肠造口患者主要照顾者心理一致感现状,并探讨其与自我效能、领悟社会支持的关系。方法:2019年7月至12月,采用便利抽样的方法选取118例肠造口患者主要照顾者为研究对象,使用一般资料调查表、心理一致感量表、自我效能量表及领悟社会支持量表对其进行调查。结果:肠造口患者主要照顾者心理一致感得分为(58.40±9.17)分,各维度条目均分由高到低依次为可控制感、可理解感、有意义感。肠造口患者主要照顾者心理一致感得分与自我效能、领悟社会支持得分均呈显著正相关(r=0.457,P<0.01;r=0.369,P<0.01)。分层回归分析显示,自我效能、领悟社会支持对心理一致感有正向预测作用,共解释其35.2%的变异量(R′2=0.352,F=25.639,P<0.001)。结论:肠造口患者主要照顾者心理一致感处于低度水平,自我效能、领悟社会支持对心理一致感存在正向影响作用。医护人员需采取针对性措施,帮助照顾者提升自我效能和完善社会支持系统,以提高其心理一致感水平。Objective To investigate the current situation with regard to a sense of coherence in major caregivers of enterostomy patients and analyze its relationship with self-efficacy and perceived social support.Methods From July to December 2019,a total of 118 major caregivers of enterostomy patients were investigated using a general information questionnaire,a self-efficacy scale,and a perceived social support scale.Results The score of sense of coherence in major caregivers of enterostomy patients was 58.40±9.17,and the average scores of all dimensions,from high to low,were“controllable sense,”“understandable sense,”and“meaningful sense.”Sense of coherence was positively correlated with self-efficacy and perceived social support(r=0.457,P<0.01;r=0.369,P<0.01).Hierarchical multiple regression analysis showed that self-efficacy and perceived social support had a positive predictive effect on sense of coherence and explained 35.2%of the variance(R′2=0.352,F=25.639,P<0.001).Conclusions The main caregivers of enterostomy patients had a low level of sense of coherence.Self-efficacy and perceived social support have a positive effect on sense of coherence.Medical staff should take targeted measures to help caregivers improve their self-efficacy and social support system in order to improve their sense of coherence.

关 键 词：肠造口 照顾者 心理一致感 自我效能 领悟社会支持 

分 类 号：R473.73[医药卫生—护理学]