门诊候检军队伤病员心理弹性及影响因素研究

Resilience and Its Influence Factors of Army Patients in the Outpatient Waiting Room

目的探讨门诊候检军队伤病员心理弹性的特征及影响因素,为促进官兵疾病转归提供理论依据。方法采用心理弹性问卷、简易应对方式量表、自我效能问卷对90名在作者医院军人诊区候检的军队伤病员进行问卷调查。结果婚姻状况、收入水平不同的军队伤病员心理弹性得分存在统计学差异(P<0.05);高、低心理弹性军队伤病员积极应对、自我效能得分存在统计学差异(P<0.01);自我效能与心理弹性3个因子坚韧性、力量、乐观性显著正相关,积极应对与坚韧性显著正相关,消极应对与坚韧性显著负相关;自我效能对心理弹性有显著正向预测作用,积极应对对坚韧性有显著正向预测作用,消极应对对坚韧性有显著负向预测作用。结论门诊候检军队伤病员心理弹性存在群体差异,可以通过提升自我效能、帮助其积极应对困境的方式提升其心理弹性,以此促进疾病转归。

Objective To explore the feature of resilience and its influence factors of army patients in the waiting room of outpatient department, and provide a theoretical basis for improving the prognosis of army patients＇ diseases. Methods A total of 90 army patients in the waiting room of outpatient department were evaluated by resilience question- naire, simplified coping style scale and general self-efficacy scale. Results There were significantly differences in resili- ence scores of army patients with different marital status and income levels（P〈0. 05）. There were obviously differences in scores of positive coping style and self-efficacy between high and low resilience of army patients（P〈0. 01）. Self-effica- cy was positively correlated with three resilience factors, including hardiness, powder and optimism. Positive coping style was positively correlated with hardiness, but negative coping style was negatively correlated with hardiness. Self-efficacy and positive coping style were positive predictors of resilience and hardiness, respectively, but negative coping style was a negative predictor for hardiness. Conclusion The resiliences of army patients in the waiting room of outpatient department exist group differences. In order to improve the prognosis of army patients＇ diseases, the resilience can gain much more by increasing self-efficacy and positive coping style.