自我效能在股骨干骨折术后病人家庭关怀度与创伤后成长间的中介效应

目的了解股骨干骨折术后病人创伤后成长现状，分析自我效能在家庭关怀度与创伤后成长间的中介效应。方法选取139例股骨干骨折术后病人为研究对象，采用一般情况调查表、一般自我效能感量表、家庭关怀度指数量表及创伤后成长评定量表对其进行问卷调查。运用Pearson相关分析评价自我效能、家庭关怀度、创伤后成长之间的相关关系，并建立结构方程模型进行中介效应检验。结果股骨干骨折术后病人自我效能总分为(22.64±4.38)分，家庭关怀度总分为(5.12±1.09)分，创伤后成长总分为(62.87±7.28)分。Pearson相关分析显示，自我效能总分与家庭关怀度总分、创伤后成长总分均呈明显正相关关系(P < 0.01)，家庭关怀度总分与创伤后成长总分及各个维度得分均呈正相关关系(P < 0.05~P < 0.01)。结构方程模型结果显示，自我效能在家庭关怀度与创伤后成长间具有部分中介效果，中介效应占总效应的41.07%。结论股骨干骨折术后病人自我效能、家庭关怀度与创伤后成长评分均处于中等水平，临床医护人员应重视交流沟通的重要性，使病人保持积极乐观的心理状态，有助于提升创伤后成长水平。

Mediating effect of self-efficacy between family care and post-traumatic growth of patients after femoral shaft fracture surgery

ObjectiveTo understand the current status of post-traumatic growth in patients with femoral shaft fractures, and analyze the mediating effect of self-efficacy between family care and post-traumatic growth.MethodsA total of 139 patients after femoral shaft fracture surgery were selected as the research subjects, and surveyed using the general situation questionnaire, general self-efficacy scale, family APGAR index and post traumatic growth inventory.Pearson correlation analysis was used to evaluate the correlation between self-efficacy, family care, and post-traumatic growth, and a structural equation model was established to test the mediating effect.ResultsThe total score of patients' self-efficacy after femoral shaft fracture surgery was(22.64±4.38) points, the total score of family care was(5.12±1.09) points, and the total score of post-traumatic growth was(62.87±7.28) points.Pearson correlation analysis showed that the total score of self-efficacy was significantly positively correlated with the total score of family care and the total score of post-traumatic growth(P < 0.01), the total score of family care was positively correlated with the total score and score of each dimension of post-traumatic growth(P < 0.05 to P < 0.01).The results of structural equation model showed that self-efficacy had a partial mediating effect between family care and post-traumatic growth, and the mediating effect accounted for 41.07% of the total effect.ConclusionsThe scores of self-efficacy, family care and post-traumatic growth in patients after femoral shaft fracture surgery are all at moderate levels.Clinical medical staff should pay attention to the importance of communication, so that patients can maintain a positive and optimistic psychological state to improve the level of post-traumatic growth.