创伤性脊髓损伤患者婚姻满意度与创伤后成长的关系研究  

Relationship between marital satisfaction and post-traumatic growth in patients with traumatic spinal cord injury

作　　者：黄睿睿 刘安诺[1] 李伦兰[2] 祁金梅[2] HUANG Rui-rui;LIU An-nuo;LI Lun-lan;QI Jin-mei(School of Nursing,Anhui Medical University,Hefei,Anhui 230032,China;不详)

机构地区：[1]安徽医科大学护理学院,安徽合肥230032 [2]安徽医科大学第一附属医院脊柱外科,安徽合肥230022

出　　处：《中华全科医学》2021年第12期2136-2140,共5页Chinese Journal of General Practice

基　　金：安徽省科技攻关项目(201904a07020048)。

摘　　要：目的探讨自我效能和心理弹性在创伤性脊髓损伤患者婚姻满意度与创伤后成长间的中介作用。方法采用便利抽样法,选取2019年8月—2020年8月安徽医科大学第一附属医院康复科住院的创伤性脊髓损伤患者188名为研究对象。采用一般资料调查表、Olson婚姻质量问卷、一般自我效能感量表、心理弹性量、中文版创伤后成长问卷表进行问卷调查。结果Pearson相关分析显示:创伤后成长与婚姻满意度(r=0.667,P<0.01)、自我效能(r=0.658,P<0.01)、心理弹性(r=0.674,P<0.01)均呈正相关;中介效应检验结果得出:婚姻满意度可直接预测创伤后成长,效应值0.293,占总效应的35.57%;自我效能(效应值0.220)和心理弹性(效应值0.186)在婚姻满意度与创伤后成长间均具有独立中介作用,分别占总效应的26.77%和22.57%;自我效能和心理弹性在婚姻满意度与创伤后成长间具有链式中介作用,效应值0.124,占总效应的15.09%。结论创伤性脊髓损伤患者婚姻满意度与创伤后成长的关系不仅受自我效能和心理弹性的独立中介作用影响,也受自我效能和心理弹性的链式中介作用影响。Objective To explore the mediating role of self-efficacy and psychological elasticity in marital satisfaction and post-traumatic growth in patients with traumatic spinal cord injury.Methods Total 188 patients with traumatic spinal cord injury in the Rehabilitation Department of the First Affiliated Hospital of Anhui Medical University from August 2019 to August 2020 were selected using convenience sampling method.General Data Questionnaire,Olson Marital Quality Questionnaire,General self-efficacy scale,Connor-Davidson Resilience,Chinese version of posttraumatic growth inventory were used for questionnaire survey.Results Pearson correlation analysis showed that post-traumatic growth was positively correlated with marital satisfaction(r=0.667,P<0.01),self-efficacy(r=0.658,P<0.01)and psychological elasticity(r=0.674,P<0.01).The results of mediating effect test showed that marital satisfaction could directly predict post-traumatic growth,and the effect value was 0.293,accounting for 35.57%of the total effect.Self-efficacy(effect value 0.220)and psychological elasticity(effect value 0.186)had independent mediating effects between marital satisfaction and post-traumatic growth,accounting for 26.77%and 22.57%of the total effects,respectively,meanwhile self-efficacy and resilience had a chain mediating effect between marital satisfaction and post-traumatic growth,the effect value was 0.124,accounting for 15.09%of the total effect.Conclusion The relationship between marital satisfaction and post-traumatic growth in patients with traumatic spinal cord injury is affected not only by the independent mediation,but also by the chain mediation of self-efficacy and psychological elasticity.

关 键 词：创伤性脊髓损伤 创伤后成长 婚姻满意度 自我效能 心理弹性 

分 类 号：R651.2[医药卫生—外科学] R395.1[医药卫生—临床医学]