Factors influencing resilience in patients with burns during rehabilitation period

PurposeTo investigate the factors that influence levels of resilience in patients with burns during rehabilitation, and to provide theoretical guidance for psychological crisis prevention and intervention.MethodsA total of 129 patients with burns and undergoing rehabilitation were investigated using a demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the Social Support Rating Scale (SSRS), and the Simplified Coping Styles Questionnaire.ResultsThe overall resilience score of burn patients was at a middle level. Multiple regression analysis showed that gender, marital status, occupation, educational level, burn severity, and a positive coping style were all significant factors influencing patient resilience.ConclusionDuring psychological crisis intervention, medical staff should guide burn patients according to their individual coping styles. Such guidance would achieve a better effect, improve patient resilience, and promote positive psychological adaptation.     

低年资护士心理韧性和社会支持的现状及其相关性

目的了解低年资护士心理韧性水平及社会支持的现状,分析心理韧性水平以及社会支持两者的相关性。方法便利抽样选取2014年11月1日至2015年1月31日在福州市某三级甲等综合性医院(主要为内科、外科),临床工作的低年资护士230名为研究对象。采用一般情况调查表、中国版心理韧性量表、社会支持量表对其进行调查,分析低年资护士心理韧性与社会支持水平及其相关性。结果本研究中低年资护士心理韧性总分较低,为(63.08±12.97)分,且不同性别、有无长辈需要照顾、不同工作科室的护士其差异均有统计学意义(均P0.05);社会支持总分较低,为(35.77±6.02)分,不同婚姻状况、有无子女、有无长辈需要照顾者其差异均有统计学意义(均P0.05);心理韧性和社会支持两者间存在正相关(P0.05)。结论加强对低年资护士的社会支持,有助于提升低年资护士心理韧性,促进其适应工作,提升其护理能力。     

抗击新冠肺炎的临床一线医务人员心理韧性与焦虑抑郁现状及相关性研究

目的调查抗击新冠肺炎临床一线医务人员心理韧性与焦虑、抑郁的状况,并了解疫情中临床一线医务人员心理韧性与焦虑、抑郁相关性。方法采用心理韧性量表(CD-RISC)、焦虑自评量表(SAS)、抑郁自评量表(SDS)对抗击新冠肺炎临床一线医务人员进行问卷调查,并用Pearson分析其相关性。结果90名抗击新冠肺炎临床一线医务人员的心理韧性总分为(87.178±16.639)分,坚韧性、自强性、乐观性三个维度得分为(44.022±9.236)分、(29.800±5.773)分和(13.356±3.014)分,在性别、年龄、学历、婚姻状况、工作年限、职称、月收入上无统计学意义(P>0.05);焦虑自评量表得分为(45.333±10.539)分,抑郁自评量表得分为(51.956±11.777)分,未达到焦虑、抑郁水平,但略高于全国常模,但在性别、年龄、学历、婚姻状况、工作年限、职称、月收入上均无统计学意义(P>0.05);Pearson相关分析显示:心理韧性与焦虑、抑郁呈负相关,相关性具有统计学意义(P<0.05)。结论抗击新冠肺炎临床一线医务人员心理韧性与焦虑、抑郁呈负相关,心理韧性水平越高,焦虑、抑郁程度越低。     

自贡市4116例孕妇妊娠相关焦虑变化及其影响因素分析

[目的]探讨自贡市4116例孕妇妊娠相关焦虑变化及其影响因素.[方法]选取在本院产科建卡并定期检查的孕妇4116例,根据孕妇的焦虑评分将孕妇分为焦虑组和非焦虑组,比较两组孕妇的一般资料和临床资料,分析妊娠妇女焦虑的影响因素,多因素分析妊娠妇女焦虑的独立影响因素.[结果]4116例孕妇中共有603例合并焦虑,焦虑的发生率为14.7％(603/4116).单因素分析显示年龄分布、家庭收入、有吸烟史、有饮酒史、婚姻状况、流产史、计划内怀孕、胎儿性别期盼、确定分娩方式、合并遗产性疾病、主观担心胎儿健康均为孕妇妊娠期间产生焦虑的影响因素;多因素分析显示有吸烟史、有饮酒史、婚姻状况、流产史、计划内怀孕、胎儿性别期盼、主观担心胎儿健康均为孕妇妊娠期间产生焦虑的独立影响因素.[结论]有吸烟史、有饮酒史、未婚妇女妊娠、合并流产史、计划外怀孕、胎儿性别期盼、主观担心胎儿健康均为孕妇妊娠期间产生焦虑的危险因素,在妊娠期间对不同状况的孕妇给予对症心理干预,可有效的降低孕妇妊娠期间焦虑发生率.     

Ageing with spinal cord injury: the impact of spousal support

Purpose: Research has offered ample evidence that spousal support can be seen as an important contributing factor to the ongoing health and well-being of ageing individuals, whether or not they have a spinal cord injury (SCI) or disability. In fact, spouses may be the most important element in successful rehabilitation and long-term home care for people with spinal cord injuries. This longitudinal study, which describes 225 British SCI long-term survivors, offers insight into marital status and its impact on general quality of life, depression, stress and community integration for individuals with SCI. Results: The results demonstrate married individuals having less depression, greater life satisfaction and psychological wellbeing, and having better perceived quality of life. When controlling for age, duration of injury, and gender, marital status was a significant predictor of better perceived life satisfaction and quality of life.     

Ageing with spinal cord injury: the impact of spousal support

Purpose: Research has offered ample evidence that spousal support can be seen as an important contributing factor to the ongoing health and well-being of ageing individuals, whether or not they have a spinal cord injury (SCI) or disability. In fact, spouses may be the most important element in successful rehabilitation and long-term home care for people with spinal cord injuries. This longitudinal study, which describes 225 British SCI long-term survivors, offers insight into marital status and its impact on general quality of life, depression, stress and community integration for individuals with SCI. Results: The results demonstrate married individuals having less depression, greater life satisfaction and psychological wellbeing, and having better perceived quality of life. When controlling for age, duration of injury, and gender, marital status was a significant predictor of better perceived life satisfaction and quality of life.     

Ageing with spinal cord injury: the impact of spousal support.

PURPOSE: Research has offered ample evidence that spousal support can be seen as an important contributing factor to the ongoing health and well-being of ageing individuals, whether or not they have a spinal cord injury (SCI) or disability. In fact, spouses may be the most important element in successful rehabilitation and long-term home care for people with spinal cord injuries. This longitudinal study, which describes 225 British SCI long-term survivors, offers insight into marital status and its impact on general quality of life, depression, stress and community integration for individuals with SCI. RESULTS: The results demonstrate married individuals having less depression, greater life satisfaction and psychological well-being, and having better perceived quality of life. When controlling for age, duration of injury, and gender, marital status was a significant predictor of better perceived life satisfaction and quality of life.     

Temperament, Character, and Personality Disorders in Chronic Pain

Pain is a complex construct that contributes to profound physical and psychological dysfunction, particularly in individuals coping with chronic pain. The current paper builds upon previous research, describes a balanced conceptual model that integrates aspects of both psychological vulnerability and resilience to pain, and reviews protective and exacerbating psychosocial factors to the process of adaptation to chronic pain, including pain catastrophizing, pain acceptance, and positive psychological resources predictive of enhanced pain coping. The current paper identifies future directions for research that will further enrich the understanding of pain adaptation and espouses an approach that will enhance the ecological validity of psychological pain coping models, including introduction of advanced statistical and conceptual models that integrate behavioral, cognitive, information processing, motivational and affective theories of pain.     

新型冠状病毒肺炎流行期间一线护理人员心理状况调查与干预措施

目的探讨新型冠状病毒肺炎(COVID-19)流行期间一线护理人员心理状况和干预措施。方法抽取我院一线护理人员133名为研究对象,采取一般资料问卷调查和症状自评量表(SCL-90)对护理人员心理状态进行评价,将量表总分与中国常模进行对比,并对影响一线护理人员心理状况的相关因素进行分析,总结心理干预措施。结果133名护理人员有115名SCL-90量表总分>160分,占比86.47%;有117名阳性项目数>43项,占比87.97%。性别、学历、婚姻状态、是否有公共突发事件应对工作经验是影响COVID-19流行期间一线护理人员心理状况的独立危险因素(P<0.05)。结论COVID-19流行期间,本院一线护理人员普遍存在焦虑、危机反应和心理障碍,需重点给予一线护理人员特殊照顾和心理干预,建立紧急重大疫情背景下护理人员快速心理调节机制和干预模式,维护护理人员心理健康。     

中青年肺结核心理、心理弹性、社会支持状况及其相关性分析

目的探讨中青年肺结核心理状况与心理弹性、社会支持的相关性。方法选取2018年1月—2019年6月在医院确诊并接受治疗的184例肺结核患者作为病例组,按照组间匹配的原则,选取同期来医院进行健康检查的156例健康志愿者作为对照组。两组均采用统一的指导语,运用症状自评量表(SCL-90)、心理弹性量表(CD-RISC)及社会支持评定量表(SSRS)进行调查研究,并对结果进行统计分析。结果病例组躯体化、焦虑、抑郁评分均高于对照组,差异具有统计学意义(P<0.05);病例组乐观、坚韧、力量评分显著低于对照组,差异具有统计学意义(P<0.05);病例组主观支持、客观支持、支持利用度评分低于对照组,差异具有统计学意义(P<0.05);多因素分析结果显示,肺结核患者心理状况评分与心理弹性及社会支持呈负相关(P<0.05)。结论中青年肺结核患者心理状态、心理弹性水平均较差,社会支持利用度低,心理状态与心理弹性水平、社会支持密切相关,护理人员应多关注心理状态,制定相应的干预措施,以提高患者的心理弹性水平及社会支持,从而改善心理状态。     

护理学硕士研究生心理健康与社会适应能力的相关分析

目的了解护理学硕士研究生心理健康及社会适应能力状况,并探讨两者的相关性。方法 采用症状自评量表(SCL-90)和社会适应性问卷(SAQ),对238名护理学硕士研究生进行调查。结果本组SCL-90阳性率为18.5%;Logistic回归分析显示,人际适应性、心理弹性、入学前教育程度能够解释心理健康总变异量的40.3%。结论护理学硕士研究生的心理健康状况较好,增强其人际适应性和心理弹性,对提高其心理健康水平具有重要意义。     

肺癌病人病耻感、心理弹性、医学应对能力的相关性研究及影响因素分析

[目的]研究肺癌病人病耻感、心理弹性、医学应对能力的相关性及影响因素。[方法]选取收治肺癌病人517例,加强肺癌病人病耻感、心理弹性和医学应对能力监测,采用Logistic重点分析影响病耻感、心理弹性和医学应对能力风险因素,探讨三者相关性。[结果]无病耻感34例,轻度214例,中度171例,重度98例;心理弹性低水平257例,中等水平229例,高水平31例;医学应对方式:面对211例,回避203例,屈服103例。多因素Logistic回归分析证实家庭月收入、吸烟、心理状态、病理分期、社会支持度、外形改变是影响肺癌病人的病耻感风险因素;家庭月收入、心理状态、社会支持度、治疗方法、化疗方案、疼痛是影响肺癌病人心理弹性因素;而病耻感、心理弹性是影响肺癌病人医学应对能力因素(P<0.05);且病耻感与医学应对能力呈负相关(P<0.05),心理弹性与医学应对能力呈正相关(P<0.05)。[结论]病耻感、心理弹性是导致肺癌病人医学应对能力下降的风险因素,消除或减少影响病耻感、心理弹性风险因素,利于改善二者状态,提高应对能力,最终改善肺癌结局。     

Death Concerns Among Individuals Newly Diagnosed with Lung Cancer

Confronting the reality of death is an important challenge for individuals facing life-threatening illness such as lung cancer, the leading cause of cancer death. Few studies, however, document the nature of death-related concerns in individuals newly diagnosed with lung cancer. The aims of this exploratory study were to examine unsolicited death-related concerns among newly diagnosed individuals, and to determine if age, gender, marital status, stage of disease, type of treatment, presence of co-morbid conditions, and Veteran status were related to extent of death concerns. A mixed method approach was used to examine death concerns in 73 individuals newly diagnosed with non-small cell lung cancer. Seven categories related to death were identified: psychological preparation; time left; impact; behavioral preparation; acceptance; cancer death experiences; and post-death. Stage of disease and Veteran status were factors that were related to increased numbers of death-related content. Findings demonstrate that death concerns are varied, primarily negative, and are relevant to the person facing a new lung cancer diagnosis, thus highlighting the importance for health care providers to assess, discuss, and listen for death concerns in the acute care setting.     

直肠癌放疗患者心理韧性与生活质量相关性研究

目的 调查研究直肠癌放疗患者心理韧性及生活质量现状,并分析两者的相关性。方法 采用方便抽样的方法,用一般资料调查表、Connor-Davidsion心理韧性量表（CD-RISC）和肿瘤患者生命质量测定量表（FACT-G）进行问卷调查。结果 共调查了129例直肠癌放疗患者。患者的心理韧性平均得分为（75.60±13.38）分,生活质量平均得分为（76.56±11.22）分;直肠癌放疗患者心理韧性评分单因素分析结果显示：性别、职业、文化程度、家庭人均年收入和家庭关系存在差异（P<0.05）;坚韧、家庭人均年收入、放疗次数进入生活质量总得分的逐步回归方程,解释了生活质量总变异的42.8%;心理韧性总分与生活质量总分呈明显正相关（r=0.693,P<0.01)。结论 直肠癌放疗患者的心理韧性水平和生活质量水平较高,两者之间呈显著正相关。     

大肠癌患者心理弹性水平现状及其影响因素研究

目的:探讨大肠癌患者心理弹性水平现状,分析其影响因素.方法:采用便利抽样方法,应用一般资料调查表、心理弹性量表(CD-RISC)中文版对住院治疗的166例大肠癌患者进行调查.结果:大肠癌患者心理弹性水平总分为(53.11±14.57)分,其中坚韧性维度得分为(26.93±8.63)分,力量性维度得分为(17.23±4....     

Characteristics of psychosexual functioning in adults with cerebral palsy

OBJECTIVE: To investigate the characteristics of psychosexual functioning in adults with cerebral palsy, as compared with able-bodied control subjects, matched by gender and marital status, and to identify the factors affecting psychosexual functioning. DESIGN: Interview and survey using the Derogatis Sexual Functioning Inventory (DSFI). SETTING: Inpatient and outpatient units in a rehabilitation hospital and welfare facilities. SUBJECTS: Sixty-two adults with cerebral palsy and 142 age-matched able-bodied controls participated in this study. The participants were grouped into four subgroups according to gender and marital status. MAIN MEASURES: General characteristics of the subjects, 10 domain scores of the DSFI and Sexual Functioning Index (SFI) as a global score were assessed. The scores for each cerebral palsy group according to gender and marital status were compared with those of their corresponding able-bodied control group. RESULTS: Unmarried men with cerebral palsy demonstrated lower SFI and weakness in sexual information, experience, drive, attitude, psychological symptoms, affect and satisfaction, compared with unmarried able-bodied men (p < 0.05). In contrast to unmarried men, unmarried women did not reveal any significant differences in all but body image domain score (p < 0.05) between the groups. Married adults with cerebral palsy showed higher levels of psychological distress in both men and women and lower sexual satisfaction in women (p < 0.05). Nonambulatory people with cerebral palsy had significantly a lower sexual information, experience and satisfaction, and a lower SFI than ambulatory (p < 0.05). Barthel Index was significantly related to body image (p < 0.05). Psychosexual functioning was not significantly different according to cerebral palsy type. CONCLUSION: This study revealed the characteristics on psychosexual functioning in adults with cerebral palsy, depending on gender and marital status. The results suggested that nonambulatory unmarried men with cerebral palsy were at high risk in terms of psychosexual dysfunction.     

The impact of acceptance of disability and psychological resilience on post-traumatic stress disorders in burn patients

ObjectiveTo investigate the impact of acceptance of disability and psychological resilience on post-traumatic stress disorders (PTSD) in patients with burns.MethodsA total of 127 patients with burns were asked to complete PTSD Checklist-Civilian Version, Acceptance of Disability Scale and Connor–Davidson Resilience Scale questionnaires. Results were evaluated using correlational and regression analyses.ResultsThe incidence of PTSD in burn patients was 37.80% (48/127), with an overall average checklist score of 45.78 ± 15.29 points. PTSD was negatively correlated with the level of disability acceptance and psychological resilience (p < 0.05). Multiple regression analysis showed that the depth of burn, marital status, degree of subordination, self-value and self-improvement were factors influencing the incidence PTSD.ConclusionNurses should screen and identify patients with PTSD as early as possible and provide proper psychological interventions to help them accept the reality of disability and improve the level of psychological resilience.     

Psychological Resilience of Second-Pregnancy Women in China: A Cross-sectional Study of Influencing Factors

PurposeThe aim of the study was to evaluate the status of psychological resilience among women in their second pregnancy and to investigate the possible influencing factors.MethodsA total of 275 women in their second pregnancy and who met the criteria were surveyed from two public hospitals in China from July 2018 to January 2019. The instruments included the General Self-designed Questionnaire, Connor–Davidson Resilience Scale, Social Support Rate Scale, and 36-item Pregnancy Stress Rating Scale.ResultsThe total psychological resilience score of second-pregnancy women was relatively low. Multivariate regression analysis identified five factors associated with psychological resilience: intimacy with husbands, social support utilization, gender of the first child, high-risk pregnancy of the first child, and the stress caused by worrying about the health and safety of the mother and fetus.ConclusionWomen in their second pregnancy represent a unique population, and their low psychological resilience score deserves attention. Identification of factors contributing to decreased psychological resilience may enable us to design prevention and intervention strategies and to deliver specific psychological supports to pregnant women at high risk of developing negative psychology.     

精神专科医院心理咨询门诊不同背景抑郁来访者的护理研究

目的：分析精神专科医院心理咨询门诊来访者的背景特点对来访者的抑郁自评量表得分的影响,为心理咨询工作提供指导。 方法：选取宝山区精神卫生中心2016年1月—2017年6月的心理咨询门诊全部来访者资料,共计1579例。采用方差分析和秩和检验的方法进行统计分析,考量人口学变量和抑郁程度的相关性。结果：性别,年龄,受教育程度和婚姻状况对于抑郁程度均有显著性差异（P<0.05）,性别、年龄和婚姻状况三个变量对抑郁程度的相关性显著,可为心理咨询门诊护理提供参考。结论：针对不同背景的来访者,优化护理对策,有针对性地实施沟通、引导是必要的。     

Development of a theoretically derived model of resilience through concept analysis

BACKGROUND: Resilience refers to a dynamic process that results in adaptation in the context of significant adversity (Margalit 2004). The concept of resilience has been of interest to various professional groups for many years; however, it is only recently that the nursing profession has begun to recognise its potential contribution in diverse clinical contexts. OBJECTIVE: First, to identify current theoretical and operational definitions of resilience and second, to identify and describe defining attributes of resilience. METHODS: The method of inquiry was guided by Walker and Avant's (1995) approach to concept analysis. FINDINGS: From this analysis, a conceptual model of resilience postulates that the constructs of self-efficacy, hope and coping are defining attributes of resilience. DISCUSSION: Resilience appears to be a process that can be developed at any time during lifespan, and thus is not an inherent characteristic of personality. Further, the development of resilience is based on the synergy shared between individuals and their environments and experiences. CONCLUSIONS: Further theoretical clarification of the ways in which individuals transform stressful experiences into opportunities for increased growth may contribute to nursing knowledge in the form of better understanding of the resilience concept in the context of identifying strategies that build it.