ICU身体约束患者自我效能、社会支持和心理弹性的相关性研究  

Relationship between general self-efficacy,social support and resilience of physically restrained patients in ICU

作　　者：林如玉 赵慧玲[2] 别园园 陈巧玲[2] LIN Ruyu;ZHAO Huiling;BIE Yuanyuan;CHEN Qiaoling(School of Nursing Fujian Medical University,Fuzhou,Fujian,350122;Department of Critical Care Medicine,Fujian Provincial Hospital,Fuzhou,Fujian,350001)

机构地区：[1]福建医科大学护理学院,福建福州350122 [2]福建省立医院重症医学科,福建福州350001

出　　处：《中西医结合护理》2022年第12期229-234,共6页Chinese Journal of Integrative Nursing

基　　金：福建省青年科研课题(2021QNA009)。

摘　　要：目的探讨ICU身体约束患者自我效能在社会支持和心理弹性中的作用。方法采用目的抽样的方法,应用心理弹性量表、一般自我效能感量表以及社会支持评定量表,对2021年9月—2022年4月的221例ICU身体约束患者进行问卷调查。结果ICU身体约束患者的心理弹性得分(51.68±9.03)分,社会支持总分为(36.47±7.79)分,自我效能总分为(23.63±4.80)分。Pearson相关性分析显示社会支持与心理弹性呈正相关(r=0.637,P<0.001),自我效能与心理弹性呈正相关(r=0.616,P<0.001);线性回归显示主观支持、自我效能感是心理弹性最主要影响因素(P<0.001);中介效应分析显示:自我效能在社会支持和心理弹性中起部分中介作用,相对效应为38.40%。结论ICU身体约束患者的心理弹性差,自我效能、社会支持是心理弹性的重要影响因素,应通过多元化的心理干预策略以提升该群体心理弹性。Objective To investigate the role of general self-efficacy in social support and re⁃silience of physically restrained patients in ICU.Methods The purposive sampling strategy was adopted,and 221 physically restrained patients in ICU were investigated by using Connor-David⁃son Resilience Scale(CD-RISC),General Self-Efficacy Scale(GSES)and Social Support Rate Scale(SSRS).Results The averaged score of CD-RISC was(51.68±9.03),the total score of SSRS was(36.47±7.79),and total score of GSES was(23.63±4.80).Pearson correlation analy⁃sis showed that the social support level was positively correlated to the resilience of patients(r=0.637,P<0.001),and self-efficacy was negatively correlated to the resilience of patients(r=0.616,P<0.001).Linear regression indicated the subjective support and self-efficacy as two main factors influencing the resilience(P<0.001).The self-efficacy played a partial mediating role(38.40%)social support and resilience.Conclusion Findings showed a poor resilience of physically restrained patients in ICU,and support and self-efficacy were two main factors influ⁃encing the resilience.It is required to carry out diversified psychological interventions to improve the resilience of physically restrained patients in ICU.

关 键 词：自我效能 ICU 身体约束 社会支持 心理弹性 

分 类 号：R472.4[医药卫生—护理学]