体外循环心脏瓣膜术后患者心理韧性与应对方式的相关性研究

目的探讨体外循环心脏瓣膜术后患者心理韧性与应对方式的相关性。方法采用自行设计的患者一般资料问卷、Connor-Davidson韧性量表、医学应对方式问卷对广东省4所“三甲”医院心血管外科的208例体外循环心脏瓣膜术后患者进行调查，对受调查者的心理韧性与应对方式的相关性进行分析。结果体外循环心脏瓣膜术后患者心理韧性总体均分为（55．38±10．63）分，坚韧、自强、乐观总体均分分别为（28．21±5．87）分、（18．21±4．02）分、（8．96±1．85）分。应对方式的面对、回避、屈服总体均分分别为（18．13±3．38）分、（16．95±1．75）分、（9．24±2．47）分。心理韧性得分与面对应对方式得分成正相关，心理韧性得分与回避、屈服应对方式得分成负相关。结论体外循环心脏瓣膜术后患者心理韧性和应对方式有一定相关性，护理人员应增强患者心理韧性，指导患者采取有效的应对方式，从而促进疾病康复，提高生活质量。

Relationship between resilience and coping style of cardiac valvular postoperative patients with car- diopulmonary bypass

Objective To explore the relationship between resilience and coping style of cardiac valvular postoperative patients with cardiopulmonary bypass. Methods A total of 208 cardiac valvular postoperative patients with cardiopulmonary bypass were recruited from 4 cardiovascular surgery in Guangdong and were investigated with the self-designed questionnaire, Connor-Davidson Resilience Scale （CD-RISC）, Medical Coping Modes Questionnaire （MCMQ）. Results The average score of resilience in cardiac valvular postoperative patients with cardiopulmonary bypass was （55.38±10.63）points. The average score of tenacity, strength and optimism were （28.21±5.87）points,（18.21±4.02）and （8.96±l.85）points respectively. The average score of coping style of confrontation, avoidance and acceptance-resignation were （18.13±3.38）, （16.95±1.75）and （9.24±2.47）points respectively. All the sub-scores of the resilience were positively corre- lated with confrontation, and all the sub-scores of the resilience were negatively correlated with avoidance and acceptance-resignation. Conclusions There is a certain degree of correlation between resilience and copping style of cardiac valvular postoperative patients with cardiopulmonary bypass.Nurses should enhance resilience of the patients, guide the patients to adopt effective coping styles, to promote disease rehabilita- tion and improve the quality of life.