脊髓损伤患者压力应对方式与失能程度的相关性分析  

Analysis of the correlation between stress coping styles and disability levels in patients with spinal cord injury

作　　者：夏晓晓 李伦兰 黄慧[3] 丁佩佩 王婷 陈孟孟[1] Xia Xiaoxiao;Li Lunlan;Huang Hui;Ding Peipei;Wang Ting;Chen Mengmeng(School of Nursing,Anhui Medical University,Hefei 230032,China;Department of Human Resources,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China;Department of Nursing,Nanjing Hospital)

机构地区：[1]安徽医科大学护理学院,合肥230032 [2]安徽医科大学第一附属医院人力资源部,合肥230022 [3]南京中医药大学附属南京医院/南京市第二医院护理部,南京210003

出　　处：《中华现代护理杂志》2024年第27期3713-3719,共7页Chinese Journal of Modern Nursing

基　　金：安徽高校自然科学研究项目(KJ2020ZD18)。

摘　　要：目的探讨脊髓损伤患者压力应对方式与失能程度的关系。方法采用便利抽样法, 选取2021年3月-2022年2月在安徽省3所三甲医院脊柱外科住院治疗的300例脊髓损伤患者为研究对象。采用一般资料调查问卷、脊髓损伤压力应对量表和WHO残疾评定项目对患者进行调查。采用Spearman相关分析探讨脊髓损伤患者压力应对方式与失能程度的相关性, 采用多重线性回归分析脊髓损伤患者失能程度的影响因素。结果本研究共发放问卷300份, 回收有效问卷269份, 问卷有效回收率为89.67%(269/300)。269例脊髓损伤患者的WHO残疾评定项目总分为[91.00(72.50, 104.00)]分, 条目均分为[2.53(2.01, 2.89)]分, 平均得分率为59.86%, 处于中高水平。脊髓损伤压力应对量表中积极应对压力(面对、寻求支持、合理化)的平均得分率为67.30%, 消极应对压力(拒绝与否认、幻想、依赖与妥协)的平均得分率为64.48%。消极应对压力(拒绝与否认、幻想、依赖与妥协)与失能程度呈正相关(P<0.05), 积极应对压力(面对、寻求支持、合理化)与失能程度呈负相关(P<0.05)。多重线性回归分析结果显示, 职业、美国脊柱损伤协会分级、面对、拒绝与否认、依赖与妥协是脊髓损伤患者失能程度的影响因素(P<0.05), 共解释脊髓损伤患者失能总变异量的50.4%。结论脊髓损伤患者的失能程度处于中高水平, 且压力应对方式是脊髓损伤患者失能程度的影响因素。医护人员应帮助患者规避可控的压力源, 培养有效的压力应对方式, 避免无力应对的发生, 以缩短失能发展的时间窗, 提高患者的生活质量。Objective To explore the relationship between stress coping styles and disability levels in patients with spinal cord injury(SCI).Methods Totally 300 SCI patients who were hospitalized in the Spinal Surgery Department of three Class II Grade A hospitals in Anhui Province from March 2021 to February 2022 were selected by convenience sampling.Data were collected using a general information questionnaire,the Spinal Cord Lesion-related Coping Strategies Questionnaire(SCL-CSQ),and the WHO Disability Assessment Schedule(WHODAS 2.0).Spearman correlation analysis was used to examine the relationship between stress coping styles and disability levels,and multiple linear regression analysis was employed to identify factors influencing disability levels in these patients.Results A total of 300 questionnaires were distributed,with 269 valid responses received,yielding an effective response rate of 89.67%(269/300).The total score of WHODAS 2.0 for the 269 patients was[91.00(72.50,104.00)],with an item mean score of[2.53(2.01,2.89)],and an average score rate of 59.86%,indicating a moderate to high level of disability.The average score rate for positive stress coping(facing,seeking support,rationalization)was 67.30%,while for negative stress coping(rejection and denial,fantasy,dependency and compromise),it was 64.48%.Negative stress coping was positively correlated with disability levels(P<0.05),while positive stress coping was negatively correlated with disability levels(P<0.05).Multiple linear regression analysis showed that occupation,American Spinal Injury Association classification,facing,rejection and denial,and dependency and compromise were factors influencing disability levels in SCI patients(P<0.05),explaining 50.4%of the total variance in disability levels.Conclusions The disability level of SCI patients is moderate to high,and stress coping style is an influencing factor.Healthcare professionals should help patients avoid controllable stressors,cultivate effective stress coping strategies,prevent helplessness,to sho

关 键 词：脊髓损伤 压力应对 失能 影响因素 多重线性回归分析 

分 类 号：R473.6[医药卫生—护理学]