颅外动静脉畸形住院患者心理弹性现状及相关因素分析  

Analysis of psychological resilience and related factors in patients with extracranial arteriovenous malformation

作　　者：周燕春[1,2] 石嘉栋 汤莹 张昰仪 Zhou Yanchun;Shi Jiadong;Tang Ying;Zhang Shiyi(Department of Nursing,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Plastic and Reconstructive Surgery,Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011 [2]上海交通大学医学院附属第九人民医院整复外科,上海200011

出　　处：《中华整形外科杂志》2023年第4期416-422,共7页Chinese Journal of Plastic Surgery

基　　金：上海交通大学医学院附属第九人民医院院课题(JYHL2020MS15)。

摘　　要：目的探讨颅外动静脉畸形住院患者心理弹性现状及相关影响因素,为提升患者心理弹性水平提供科学依据。方法采用横断面调查研究,选取2020年10月至2021年12月在上海交通大学医学院附属第九人民医院住院治疗的颅外动静脉畸形患者为研究对象,采用一般资料调查表,心理弹性量表,心理弹性保护性因素评估工具:Herth希望量表、简易应对方式问卷和家庭关怀度指数问卷对其进行调查。应用SPSS 21.0软件,采用t检验、单因素方差分析、Pearson相关性分析和多元线性回归分析进行统计学分析。结果共纳入颅外动静脉畸形患者177例,心理弹性量表总分为(65.94±13.90)分,坚韧维度得分为(33.02±7.67)分,乐观维度得分为(10.38±2.75)分,力量维度得分为(22.54±4.67)分。Herth希望量表得分为(37.50±3.56)分,积极应对方式得分为(24.89±6.65)分,家庭关怀度得分为(8.19±2.41)分。单因素分析显示,不同性别、民族、家庭关系患者的心理弹性得分差异有统计学意义(P均<0.05),其中,女性的心理弹性得分显著低于男性。相关性分析显示,Herth希望量表得分、积极应对方式得分、家庭关怀度得分与患者心理弹性总分及各维度得分均呈正相关关系(P均<0.01)。多元线性回归分析结果显示,性别、Herth希望量表得分、积极应对方式得分和家庭关怀度得分是心理弹性的主要影响因素(P<0.05)。结论需更加注重女性颅外动静脉畸形患者的心理问题和心理反应,Herth希望水平高、积极应对方式和家庭关怀是颅外动静脉畸形患者心理弹性的保护因素。Objective To investigate psychological resilience of inpatients with extracranial arteriovenous malformation(AVM)and analyze the related factors,in order to provide scientific basis for improving the psychological resilience of patients.Methods A cross-sectional study was conducted to include patients with extracranial AVM who were hospitalized in the Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from October 2020 to December 2021.The general information questionnaire,Cornor-Davidon resilience scale,Herth hope index,medical coping modes questionnaire and family APGAR scale were used to investigate them.SPSS 21.0 software was used.The t-test,one-way ANOVA,Pearson correlation analysis and multiple linear regression analysis were used for statistical analysis.Results In total,177 patients with extracranial AVM were included in our study.The total mean score of the resilience scale was 65.94±13.90,and the mean scores of the three dimensions of resilience,optimism and strength were 33.02±7.67,10.38±2.75 and 22.54±4.67.The mean scores of Herth hope index was 37.50±3.56,positive coping style was 24.89±6.65,and family APGAR scale was 8.19±2.41.In univariate analysis,gender,ethnicity and family relationship had significant differences in psychological resilience(all P<0.05).Among these patients,female’s mental resilience score was significantly lower than that of male’s.Correlation analysis showed that the scores of the Herth hope index,positive coping style,and family APGAR scale were positively correlated with the total scores of resilience and the scores of each dimension(all P<0.01).Multiple linear regression analysis showed that gender,the scores of Herth hope index,positive coping mode,family APGAR scale were main influencing factors of resilience(P<0.05).Conclusion Female patients with extracranial AVM need more attention to their psychological problems and psychological reactions.Herth hope,positive coping mode,family-centered care are the protective factors of

关 键 词：动静脉畸形 心理弹性 Herth希望 简易应对方式 家庭关怀 

分 类 号：R473.74[医药卫生—护理学]