原发性脑肿瘤患者心理弹性潜在类别分析  

Analysis of potential categories of psychological resilience in primary brain tumor patients

作　　者：姚芡芡 刘丽 罗艳芳 蒲树英 YAO Qianqian;LIU Li;LUO Yanfang;PU Shuying

机构地区：[1]西南医科大学附属中医医院针灸康复科,四川省泸州市646000 [2]云南中医药大学护理学院 [3]重庆医科大学附属第二医院康复医学科

出　　处：《中华护理杂志》2022年第19期2363-2370,共8页Chinese Journal of Nursing

基　　金：西南医科大学校级科研项目(2020ZRQNA043)。

摘　　要：目的探索原发性脑肿瘤患者心理弹性的潜在类别,并分析影响不同潜在类别的因素。方法2020年12月—2021年8月采用方便抽样法选取昆明市某三级甲等医院神经外科237例原发性脑肿瘤住院患者作为调查对象,采用一般资料调查问卷、心理弹性量表简表、医学应对方式问卷及领悟社会支持量表进行问卷调查。对调查对象的心理弹性特征进行潜在类别分析,并通过单因素分析、方差分析和有序多分类Logistic回归分析探索心理弹性潜在类别的影响因素。结果回收有效问卷226份,有效回收率为95.4%。经潜在类别分析,原发性脑肿瘤患者心理弹性分为3个潜在类别,分别是低水平心理弹性组(27.4%)、中水平-高波动心理弹性组(30.1%)、高水平心理弹性组(42.5%);有序多分类Logistic回归分析结果显示,领悟社会支持量表得分(OR=1.045,P<0.001)、医学应对方式问卷的面对维度得分(OR=1.102,P=0.016)和屈服维度得分(OR=0.865,P=0.013)、农村居住地(OR=0.437,P=0.049)是心理弹性潜在类别的影响因素。结论原发性脑肿瘤患者心理弹性有明显的类别特征,临床工作者应识别不同类别患者的特征及影响因素,采取针对性的干预策略,促进患者心理弹性水平提升。Objective To explore the potential categories and influencing factors of psychological resilience in primary brain tumor patients.Methods A convenient sampling method was used to select 237 primary brain tumor patients hospitalized in the Neurosurgery Department of a tertiary hospital in Kunming,Yunnan Province from December 2020 to August 2021.General information questionnaire,Resilience Scale-14(RS-14),Medical Coping Modes Questionnaire(MCMQ)and Perceived Social Support Scale(PSSS)were conducted for investigation.Latent class analysis(LCA)was used to explore the potential categories of psychological resilience among patients with primary brain tumor.Single factor analysis,analysis of variance and ordinal and multinomial logistic regression analysis were used to identify the factors associated with the potential categories of psychological resilience.Results A total of 226 returned questionnaires were valid,resulting an effective response rate of 95.4%.Based on the analysis of potential categories,the psychological resilience of patients with primary brain tumor was divided into 3 potential categories,namely low level group(27.4%),medium-high fluctuation group(30.1%)and high level group(42.5%).The result of ordinal and multinomial logistic regression analysis showed that the score of PSSS(OR=1.045,P<0.001),facing dimension(OR=1.102,P=0.016)and yield dimension(OR=0.865,P=0.013)in MCMQ,and rural residence(OR=0.437,P=0.049)were the influencing factors of the potential categories of psychological resilience.Conclusion Patients with primary brain tumor have obvious differences in characteristics by psychological resilience.More awareness and interventions from healthcare providers based on characteristics of different types of patients and influencing factors are needed,in order to promote the psychological resilience.

关 键 词：原发性脑肿瘤 心理弹性 潜在类别分析 医学应对方式 社会支持 神经外科 护理 

分 类 号：R473.73[医药卫生—护理学]