心理灵活性和自我怜悯对脊髓损伤患者社交回避及苦恼影响的研究  

A study on the effects of psychological flexibility and self-compassion on social avoidance and distress in patients with spinal cord injury

作　　者：梁尚艳 刘军军[3] 杨熙 陈海娟 LIANG Shangyan;LIU Junjun;YANG Xi;CHEN Haijuan(Department of Orthopedics,the Sixth Affiliated Hospital of Nantong University,Yancheng 224000,China;Department of Orthopedics,Yancheng Third People's Hospital,Yancheng 224000,China;Hospital Office,Yancheng Third People's Hospital,Yancheng 224000,China)

机构地区：[1]南通大学第六附属医院骨科,盐城市224000 [2]盐城市第三人民医院骨科,224000 [3]盐城市第三人民医院办公室,224000

出　　处：《护理管理杂志》2024年第3期227-231,236,共6页Journal of Nursing Administration

基　　金：2021年度盐城市第三人民医院科研立项项目(20219148)。

摘　　要：目的探究心理灵活性和自我怜悯对脊髓损伤患者社交回避及苦恼的影响。方法采用便利抽样法,选取2021年9月至2022年11月江苏省某三级甲等综合医院的233例脊髓损伤患者作为研究对象,使用一般资料调查表、接纳与行动问卷第2版、自我怜悯量表、社交回避及苦恼量表进行问卷调查。结果脊髓损伤患者心理灵活性得分为26.00(21.00,30.00)分、自我怜悯得分为80.00(74.00,86.50)分、社交回避及苦恼得分为(12.87±5.12)分;年龄、文化程度、损伤时间、心理灵活性和自我怜悯是脊髓损伤患者社交回避及苦恼的影响因素(P<0.05);心理灵活性和自我怜悯共解释社交回避及苦恼总变异的14.30%。结论需重视心理灵活性和自我怜悯对脊髓损伤患者社交回避及苦恼的影响,构建针对性心理干预方案,提高患者的疾病认知水平和应对能力。Objective To explore the effects of psychological flexibility and self-compassion on social avoidance and distress in patients with spinal cord injury.Methods By used a convenience sampling method,233 patients with spinal cord injury treated in a tertiary A general hospital in Jiangsu Province from September 2021 to November 2022 were selected as the study population,and questionnaires were administered using the General Information Questionnaire,Acceptance and Action Questionnaire-Ⅱ,Self-Compassion Scale,Social Avoidance and Distress Scale.Results The psychological flexibility score of spinal cord injury patients was 26.00(21.00,30.00)points,the self-compassion score was 80.00(74.00,86.50)points,and the social avoidance and distress score was(12.87±5.12)points.Age,educational level,duration of injury,self-care ability,psychological flexibility and self-compassion were the influencing factors of social avoidance and distress in patients with spinal cord injury(P<0.05).Psychological flexibility and self-compassion jointly explained 14.30%of the total variation in social avoidance and distress.Conclusion It is suggested that nursing staff should pay attention to the effects of psychological flexibility and self-compassion on social avoidance and distress in patients with spinal cord injury and constructed targeted psychological intervention programs to improved patients'disease awareness and coping ability.

关 键 词：脊髓损伤 心理灵活性 自我怜悯 社交回避 苦恼 

分 类 号：R473.6[医药卫生—护理学] R651.2[医药卫生—临床医学]