社区慢性病共病患者习得性无助感现状及影响因素分析  

Status and influencing factors of learned helplessness in patients with multiple chronic conditions in the community

作　　者：刘炜彬 蒋楠 李远 程淑华[2] Liu Weibin;Jiang Nan;Li Yuan;Cheng Shuhua(School of Nursing,Jiangxi Medical College,Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学江西医学院护理学院,江西南昌330006 [2]南昌大学附属康复医院护理部

出　　处：《护理学杂志》2025年第7期12-15,19,共5页Journal of Nursing Science

基　　金：江西省卫生健康委科技计划项目(202130548)。

摘　　要：目的了解社区慢性病共病患者习得性无助感现状及其影响因素,为制订和实施针对性干预措施提供参考。方法采用一般资料调查表、习得性无助量表、慢性病患者健康素养量表、慢性病自我效能量表、心理弹性量表、领悟社会支持量表,于2024年810月对南昌市4个社区289例慢性病共病患者进行调查。结果社区慢性病共病患者的习得性无助感得分(76.26±6.43)分。多元线性回归分析显示,文化程度、共病数量、健康素养、自我效能、心理弹性、领悟社会支持是社区慢性病共病患者习得性无助感的影响因素(均P<0.05)。结论社区慢性病共病患者习得性无助感处于较高水平,社区卫生保健人员应加强慢性病共病患者习得性无助感的识别,制订针对性干预措施,减轻其习得性无助感。Objective To understand the status of learned helplessness and its influencing factors among patients with multiple chronic conditions in the community,and to provide references for the development and implementation of targeted intervention measures.Methods A survey was conducted from August to October 2024,involving 289 patients with multiple chronic conditions from four communities in Nanchang city.The survey utilized a general information questionnaire,the Learned Helplessness Scale,the Health Literacy Management Scale,the Chronic Disease Self-Efficacy Scale,the Connor-Davidson Resilience Scale,and the Perceived Social Support Scale.Results The average score for learned helplessness among community patients with multiple chronic conditions was(76.26±6.43)points.Multiple linear regression analysis indicated that education level,number of comorbidities,health literacy,self-efficacy,psychological resilience,and perceived social support were significant influencing factors for learned helplessness in these patients(all P<0.05).Conclusion Patients with multiple chronic conditions in the community exhibit a relatively high level of learned helplessness.Community health care providers should enhance the identification of learned helplessness in these patients and develop targeted intervention measures to alleviate their feelings of helplessness.

关 键 词：慢性病 共病 习得性无助感 健康素养 自我效能 心理弹性 社会支持 社区护理 

分 类 号：R473.2[医药卫生—护理学]