脑梗死患者心理弹性的影响机制及干预策略

目的 分析自我效能、社会支持和应对方式对其心理弹性的影响.方法 以唐山市某三甲医院的386例脑梗死患者为对象,以心理弹性量表、自我效能感量表、社会支持量表、医学应对问卷为调查工具,应用Pearson相关分析、多重线性回归分析、结构方程模型方法.结果 心理弹性得分为(59.72±12.17)分,心理弹性与自我效能、社会支持、面对应对方式、回避应对方式呈正相关(P＜0.01),与屈服应对方式呈负相关(P＜0.01),自我效能感、主观支持、面对应对方式和屈服应对方式影响心理弹性的总效应系数分别为0.720、0.264、0.121和-0.092.结论 自我效能、社会支持和应对方式对心理弹性有显著影响作用.

Influence mechanism and intervention strategies of psychological resilience in patients with cerebral infarction

Objective To analyze the effect of self efficiency,social support and coping style on the psychological resilience.Methods A total of 386 patients with cerebral infarction in a grade 3A hospital of Tangshan City were served as the subjects.The resilience scale,self efficiency scale,social support scale and medical coping questionnaire were taken as the survey tools.The Pearson correlation analysis,multiple linear regression model and structure equation model(SEM) were applied.Results The resilience score was (59.72 ±12.17) points,the resilience was positively correlated with the self efficiency,social support,facing coping style and avoidance coping style(P＜0.01),and negatively correlated with the surrender coping style(P＜0.01).The total efficiency coefficients of self efficiency sensation,subjective support,facing coping style and surrender coping style for affecting the resilience were 0.720,0.264,0.121 and-0.092 respectively.Conclusion Self efficiency,social support and coping style have significant influences on the psychological resilience.