腰椎间盘突出症伴椎管狭窄患者抗逆力水平及其影响因素  

The Resilience Level and its Influencing Factors in Patients with Lumbar Disc Herniation with Spinal Stenosis

作　　者：刘静 陈小龙 张秀珍 贾利华 王欢欢 LIU Jing;CHEN Xiaolong;ZHANG Xiuzhen;JIA Lihua;WANG Huanhuan(Department of Orthopedics,Taihe Hospital Affiliated to Anhui University of Chinese Medicine,Taihe 236600,China)

机构地区：[1]安徽中医药大学附属太和中医院骨科,太和236600

出　　处：《福建医科大学学报》2025年第1期39-43,共5页Journal of Fujian Medical University

基　　金：安徽省卫生健康科研项目(AHWJ2022b043)。

摘　　要：目的调查腰椎间盘突出症(LDH)伴椎管狭窄患者抗逆力现状,并分析其影响因素。方法选取2021年1月-2023年5月收治的170例LDH伴椎管狭窄患者为研究对象,采用一般资料调查表、中文版心理一致感问卷、领悟社会支持量表和抗逆力量表进行测评。结果LDH伴椎管狭窄患者的抗逆力评分(55.49±7.38)分,心理一致感评分(55.79±7.34)分,领悟社会支持评分(50.34±6.39)分。抗逆力与心理一致感、领悟社会支持之间均呈正相关(P<0.05)。性别、年龄、受教育年限、家庭月收入、心理一致感水平、领悟社会支持水平是LDH伴椎管狭窄患者抗逆力水平的影响因素(P<0.05)。结论LDH伴椎管狭窄患者抗逆力水平有待提高,医务人员应充分重视患者抗逆力水平的品质建设,可从积极心理社会学影响因素入手,进行多学科综合干预及管理,以改善疾病干预结局。Objective To investigate the current status of resilience in patients with lumbar disc herniation with spinal stenosis and to analyze its influencing factors.Methods 170 patients with LDH with spinal stenosis admitted from January 2021 to May 2023 were sampled for the study,and were assessed using the general information questionnaire,sense of coherence scale-13,perceived social support scale,connor-davidson resilience scale.Results Patients with LDH with spinal stenosis had a resilience score(55.49±7.38),a sense of psychological coherence score(55.79±7.34),and a comprehension of social support score(50.34±6.39).There was a positive correlation between resilience and both psychological coherence and comprehension of social support(P<0.05).Gender,age,years of education,monthly family income,level of sense of psychological coherence,and level of comprehension of social support were factors influencing the level of resilience in patients with LDH with spinal stenosis(P<0.05).Conclusion The level of resilience in patients with LDH with spinal stenosis is yet to be improved,and medical personnel should pay full attention to the quality building of the level of resilience in such patients,which can start from the positive psychosociological influencing factors,and carry out multidisciplinary integrated interventions and management,in order to improve the outcome of disease intervention.

关 键 词：腰椎间盘突出症 积极心理学 椎管狭窄症 抗逆力 

分 类 号：R473.6[医药卫生—护理学]