围绝经期综合征患者自我效能和社会支持与心理弹性和健康行为相关性

Correlation of self-efficacy and social support with psychological resilience and healthy behaviors in patients with perimenopausal syndrome

目的围绝经期女性随着自身机体激素水平下降,卵巢功能逐渐衰退,可能出现骨质疏松症、心血管疾病和认知功能障碍等疾病,严重影响女性生活质量和心理状态。本研究对围绝经期女性自我效能、社会支持与心理弹性、健康行为进行相关性分析。方法选取2018-10-01-2019-10-31于辽宁中医药大学附属医院妇科门诊就诊的围绝经期综合征患者150例作为研究对象,运用自我效能量表、社会支持量表、心理弹性量表及健康行为能力量表对研究对象进行调查分析,并分析其相关性。结果围绝经期女性患者心理弹性总分为(64.17±14.20)分,健康行为总分为(60.98±12.23)分,自我效能总分为(26.75±4.22)分,社会支持总分为(39.82±5.23)分。自我效能(r=0.664,P<0.001)和社会支持总分(r=0.672,P<0.001)与心理弹性呈正相关;自我效能(r=0.759,P<0.001)和社会支持总分(r=0.704,P<0.001)与健康行为呈正相关。结论围绝经期女性心理弹性和健康行为水平普遍低于正常人,自我效能和社会支持是影响患者心理弹性和健康行为主要因素,应重视与患者沟通,提高心理弹性,加强健康行为。

OBJECTIVE As perimenopausal women’s body hormone levels decline,ovarian function gradually declines,osteoporosis,cardiovascular disease,and cognitive dysfunction may occur,which seriously affects women’s quality of life and psychological status.This study analyzes the correlation of self-efficacy,social support,psychological resilience,and healthy behaviors of perimenopausal women.METHODS A total of 150 patients with perimenopausal syndrome who were treated in the gynecology clinic of the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from October 01,2018 to October 31,2019 were selected as the research objects,using the self-efficacy scale,social support scale,psychological resilience scale and health behavior ability scale to investigate and analyze the research objects,and to analyze their correlation.RESULTS The total score of perimenopausal women’s psychological resilience was(64.17±14.20),the total score of healthy behavior was(60.98±12.23);The total score of self-efficacy was(26.75±4.22),and the total score of social support was(39.82±5.23).Self-efficacy(r=0.664,P<0.001)and total social support score(r=0.672,P<0.001)were positively correlated with mental resilience;Self-efficacy(r=0.759,P<0.001)and total social support score(r=0.704,P<0.001)were positively correlated with health behaviors.CONCLUSIONS Perimenopausal women’s psychological resilience and health behaviors were generally lower than normal people.Self-efficacy and social support were the main factors that affect patients’psychological resilience and health behaviors.Attention should be paid to communicating with patients to improve psychological resilience and strengthen health behaviors.