摘要
目的研究反刍性沉思在青年神经根型颈椎病(CSR)患者急诊手术后自我效能和应对方式中的中介效应。方法对2016年2月—2019年12月在山东省德州市人民医院就诊的青年重症CSR手术患者120例作为研究对象。所有研究者经过培训后,统一采用一对一的方式进行问卷调查,对术后1周的反刍性沉思、自我效能、应对方式水平进行分析,并研究患者反刍性沉思与自我效能、应对方式得分的相关性以及中介效应。结果本研究问卷回收率为100%。不同性别、文化程度患者反刍性沉思、自我效能、应对方式得分比较,差异有统计学意义(P<0.05)。患者反刍性沉思、侵入性反刍性沉思、目的性反刍性沉思与自我效能(r=0.458、0.521、0.620)、应对能力(r=0.521、0.662、0.851)呈正相关(P<0.05)。自我效能对于目的性反刍性沉思有直接的预测作用(r=0.226,P=0.000),通过对患者目的性反刍性沉思,进而对患者的间接性分析,影响患者的应对方式。通过对患者的反刍性沉思的中介作用间接影响患者的自我效能以及应对方式,其中间接效应为0.226,中介效应为21.56%。反刍性沉思对于患者的自我效能的评价的拟合方程如下:Y=0.99+0.33X1+0.56X2(Y:患者自我效能;X1:反刍性沉思;X2:应对能力)。结论青年重症CSR患者急诊手术后的反刍性沉思的中介作用间接影响患者的自我效能以及应对方式,在术后可根据患者的反刍性沉思水平,进而指导临床治疗。
Objective To study the mediating effect of ruminating meditation on self-efficacy and coping styles of young patients with cervical spondylotic radiculopathy(CSR)after emergency surgery.Methods From February 2016 to December 2019,a total of 120 young patients with severe CSR who were treated at Dezhou People′s Hospital were treated as the research object.After training,all researchers used a one-to-one questionnaire survey to analyze the level of ruminant contemplation,self-efficacy,and coping styles in the first week after surgery,and the correlation between ruminant meditation and self-efficacy,coping style scores and mediating effects were studied.Results The questionnaire response rate in this study was 100%.The scores of ruminant meditation,self-efficacy,and coping style of patients with different genders and educational levels were compared,and the differences were statistically significant(P<0.05).Patients′ruminating meditation,invasive rumination meditation,purpose rumination meditation and self-efficacy(r=0.458,0.521,0.620)and coping ability(r=0.521,0.662,0.851)showed positive correlation(P<0.05).Self-efficacy had a direct predictive effect on the purposeful ruminant meditation(r=0.226,P=0.000).Through the purposeful ruminant meditation of the patient,the indirect analysis of the patient affects the patient′s coping style.The mediating effect of ruminant meditation on patients indirectly affects the patient′s self-efficacy and coping style.The indirect effect was 0.226 and the mediating effect was 21.56%.The fitting equation of ruminating meditation for the evaluation of patient′s self-efficacy was as follows:Y=0.99+0.33X1+0.56X2(Y:patient′s self-efficacy;X1:ruminating meditation;X2:coping ability).Conclusion The mediating effect of rumination meditation in young patients with CSR after emergency surgery indirectly affects the patient′s self-efficacy and coping style.After the operation,the patient′s ruminant meditation level can be used to guide clinical treatment.
作者
张雯菲
程吉强
李智明
李明
ZHANG Wenfei;CHENG Jiqiang;LI Zhiming;LI Ming(Department of Psychological Clinic,Dezhou People′s Hospital,Shandong Province,Dezhou253000,China;Department of Spine Surgery,Dezhou People′s Hospital,Shandong Province,Dezhou253000,China;Department of Joint Surgery,Dezhou People′s Hospital,Shandong Province,Dezhou253000,China)
出处
《中国医药导报》
CAS
2020年第26期57-60,共4页
China Medical Herald
基金
山东省医药卫生科技发展计划项目(2017WS536)。
关键词
青年重症神经根型颈椎病
急诊手术
自我效能
应对方式
反刍性沉思
Severe cervical spondylosis radiculopathy in youth
Emergency surgery
Self-efficacy
Coping style
Ruminant meditation
作者简介
通讯作者:李明。
