慢性阻塞性肺疾病病人心理韧性及影响因素分析

目的分析慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）病人心理韧性及影响因素。方法随机选取100例COPD病人纳入观察组，取同期100名健康体检者纳入对照组，比较2组心理韧性评分，并分析COPD病人心理韧性影响因素。结果观察组心理韧性调查量表（RS）总分、个人能力、对自我和生活接纳评分均低于对照组（P < 0.01）；男性、受教育程度高中及以上、病情稳定期、家庭关系较差或一般、总体幸福感量表（GWB）评分≥71分的病人RS评分高于女性、受教育程度初中以下、病情急性加重期、家庭关系良好、GWB评分 < 71分的病人（P < 0.01）；多元线性回归分析显示，男性、受教育程度较高、GWB评分较高、疾病稳定期、家庭关系良好的COPD病人心理韧性评分较高，心理韧性较好（P < 0.05~P < 0.01）。结论COPD病人心理韧性较差，临床护士应该实时了解其心理韧性情况，针对影响因素采取有效护理干预对策，改善病人心理韧性状态。

Analysis of the resilience of patients with COPD and its influencing factors

ObjectiveTo analyze the resilience of patients with chronic obstructive pulmonary disease(COPD)and its influencing factors.MethodsOne hundred patients with COPD and 100 healthy people were divided into the observation group and control group, respectively.The resilience scores were compared between two groups, and the influencing factors of resilience of patients with COPD were analyzed.ResultsThe total resilience scale(RS) score, personal ability score and acceptance of self and life score in observation group were significantly lower than those in control group(P < 0.01).The RS scores of male patients, patients with high school or higher education level, patients with stable condition, patients with relatively worse or general family relationships and patients with GWB scores ≥71 points were higher than those of female patients, patients with middle school or lower education level, patients with acute exacerbation, patients with good family relationships and patients with GWB scores < 71 points(P < 0.01).The results of multiple linear regression analysis showed that the RS scores of male, high education level, high GWB score, stable stage of disease and good family relationships patients were higher, and their resilience was better(P < 0.05 to P < 0.01).ConclusionsThe resilience of patients with COPD is poor, and the clinical nurses should understand their resilience in real time, and take effective nursing intervention measures to improve the resilience of patients.