创伤严重程度对创伤性骨折患者心理韧性的影响

Effects of traumatic severity to mental toughness in fracture patients

1目的探讨创伤性骨折患者心理韧性的现状及创伤严重程度对心理韧性的影响,为采取有针对性的干预措施提供依据。2方法整群选取唐山市骨科医院2014年5～10月住院的440例符合纳入标准的创伤性骨折患者作为研究对象,年龄18～81岁。采用中文版心理韧性量表（CD-RISC）对患者进行心理韧性测评。3结果创伤性骨折患者心理韧性总分为（51.13±14.81）分,坚韧、自强和乐观3个维度评分分别为（25.47±8.00）、（17.32±5.15）、（8.34±2.68）分,明显低于普通成人;创伤程度越重,患者心理韧性CD-RISC总分及各个维度的得分越低,差异有统计学意义（P〈0.05）。4结论创伤严重程度对骨折患者的心理韧性存在较大的影响,医护人员应有针对性地采取心理护理措施,加强心理疏导,鼓励患者树立战胜疾病的信心,促进其早日康复。

Objective To explore the current status and influential factors of mental toughness in fracture patients to provide basis for targeted interventions.Methods A total of 440 patients with traumatic fracture were selected from May 2014 to October in Orthopaedic Hospital,ages from 18 to 81years,using Chinese mental resilience scale（CD-RISC）for patients to made mental toughness evaluation.Results The total score of mental toughness in fracture patients was（51.13±14.81）,the scores of tough,self-strengthening and optimistic were respectively（25.47±8.00）、（17.32±5.15）、（8.34±2.68）,that significantly lower than the normal.The more severe of traumapatients,the lower of CDRISC and each dimension scores,the difference was statistically significant（P〈0.05）.ConclusionThere is great infulence about the severity of traumatic to mental toughness in fracture patients.Medical staff should pay attention to it and take targete psychological care measures,in the end,promote the patients recover soon.