摘要
目的探讨创伤性骨折患者心理韧性现状及影响因素，为提高该人群应对应激事件的能力及心理韧性水平提供依据。方法采用中文版心理韧性量表（CD—RISC）及影响因素调查表对华北理工大学附属骨科医院2014年5月～10月住院的440例创伤性骨折住院患者进行问卷调查。结果创伤性骨折患者心理韧性总分为（51．13±14．81）分，坚韧、力量和乐观3个维度的平均分由高到低依次为：力量（2．15±0．65）分、乐观（2．09±0．67）、坚韧（1．93±0．61）分。多因素分析显示，性别、年龄、并发症、受伤原因、疼痛、社会支持对创伤性骨折患者心理韧性有影响，女性、年轻、车祸伤、有并发症、社会支持水平低、疼痛感受强的患者心理韧性差（P〈0．05）。结论创伤性骨折患者心理韧性水平一般，影响因素复杂，积极治疗疾病，提高支持水平，可促进心理韧性水平的提高，降低应激反应，促进康复。
Objective To investigate the current state of psychological resilience and its influencing factors in patients with traumatic fractures and offer practical recommendations for improving the population＇s ability to cope with stressful events and resilience level. Methods 440 cases of traumatic fracture hospitalized patients from North China University of science and technology Orthopaedic Hospital were selected in this study. All subjects were assessed with CD - RISC and factor questionnaires of the investigation. Results The resilience total score were （51. 13 ± 14.81 ） points. Tenacity, strength and optimism dimensions mean scores in descending order is ： power （2.15 ± 0.65 ） , optimistic （ 2.09 ±0.67 ） , tough （ 1.93 ± 0. 61 ）. The multivariate analysis appears that gender, age, complications, cause of injury, pain, social support have impacts on resilience. Patients of female, younger, and with ear accident injury, complications,low level of social support and a higher level of pain have a lower level of resilience. Conclusion The level of resilience in traumatic fracture patients is general and the influencing factors are complex. Active treatment of diseases and improvement of social support level can promote the level of resilience and rehabilitation and lower ASD.
出处
《现代预防医学》
CAS
北大核心
2016年第9期1714-1717,1720,共5页
Modern Preventive Medicine
关键词
创伤性骨折
心理韧性
影响因素
Traumatic fracture
Resilience
Influencing factors
作者简介
李阳（1987～），女，硕士，护师，研究方向：临床护理
通讯作者：陈长香，E—mail：hlxccx@163.com
