基于结构方程模型的意外创伤骨折患者出院准备度影响因素路径分析  

Path analysis of factors affecting discharge readiness in patients with traumatic fractures based on structural equation modeling

作　　者：魏莱 金瑛 周茜 方勇 徐好 汪晨 Wei Lai;Jin Ying;Zhou Xi;Fang Yong;Xu Hao;Wang Chen(Chang-sha Medical University,Changsha Hunan,410219,China;Nursing Department of the Second Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou Zhejiang,310005,China;Zhejiang Chinese Medical University School of Nursing,Hangzhou Zhejiang,310053,China)

机构地区：[1]长沙医学院,湖南长沙410219 [2]浙江中医药大学附属第二医院护理部,浙江杭州310005 [3]浙江中医药大学护理学院,浙江杭州310053

出　　处：《护理与康复》2025年第3期15-21,共7页Journal of Nursing and Rehabilitation

摘　　要：目的 调查意外创伤骨折患者出院准备度,并构建结构方程模型,探索各影响因素对意外创伤骨折患者出院准备度的作用路径。方法 采用便利抽样法选取2022年1月至2023年1月浙江中医药大学附属第二医院的271例意外创伤骨折患者为研究对象。采用一般资料调查表、出院准备度量表、心理弹性量表、简易应对方式问卷、社会支持评定量表、意外创伤患者早期心理他评量表进行调查;采用Amos 26.0软件构建患者出院准备度影响因素结构方程模型。结果 意外创伤骨折患者出院准备度得分(87.82±12.32)分。路径分析显示,积极应对(β=0.341)对患者出院准备度有直接正向影响,消极应对(β=-0.121)对患者出院准备度有直接负向影响;社会支持(β=0.753)、心理弹性(β=0.420)对患者出院准备度有间接影响;早期心理状况对患者出院准备度有直接影响(β=-0.563)也有间接影响(β=0.084)。结论 意外创伤骨折患者出院准备度处于中等水平,积极应对、消极应对对出院准备度有直接影响,社会支持、心理弹性对出院准备度有间接影响,早期心理状况对出院准备度既有直接影响也有间接影响。Objective To assess the discharge readiness of patients with traumatic fractures and to construct a structural equation modeling to elucidate the pathways through which various factors influence discharge readiness in these patients.Methods A convenience sample of 271 patients with traumatic fractures admitted to the Second Affiliated Hospital of Zhejiang Chinese Medical University from January 2022 to January 2023.Participants were evaluated using a general information questionnaire,the Readiness for Hospital Discharge Scales,the Connor-Davidson Resilience Scale,the Simplified Coping Style Questionnaire,the Social Support Rating Scale,and the Nurse-administered Psychological Rating Scale of Early Accidental Trauma.The structural equation modeling was constructed using Amos 26.0 software to analyze the factors influencing discharge readiness.Results The Readiness for Hospital Discharge Scales score for patients with traumatic fractures was 87.82±12.32.Path analysis revealed that positive coping(β=0.341)had a significant direct positive impact on discharge readiness,while negative coping(β=-0.121)had a significant direct negative impact.Social support(β=0.753)and psychological resilience(β=0.420)exerted significant indirect effects on discharge readiness.Early psychological status had both a significant direct negative effect(β=-0.563)and a significant indirect positive effect(β=0.084)on discharge readiness.Conclusion Patients with traumatic fractures exhibit moderate levels of discharge readiness.Positive coping and negative coping have direct effects on discharge readiness,social support and psychological resilience have indirect effects,and early psychological status has both direct and indirect effects on discharge readiness.

关 键 词：骨折 出院准备度 影响因素 结构方程模型 

分 类 号：R473.6[医药卫生—护理学]