隐睾患儿家属心理韧性水平及影响因素分析

Psychological resilience in family members of children with cryptorchidism and its influencing factors

目的 调查隐睾患儿家属心理韧性情况,探讨影响其水平的相关因素,为提高其心理韧性强度、增强疾病应对能力提供依据.方法 采取便利抽样法,选择2012年7月—2016年12月住院并进行手术治疗的186名隐睾患儿家属为研究对象.调查家属的一般资料、社会支持水平和心理韧性.统计学方法采用χ2检验、描述性分析、Pearson相关分析、多元分层模型回归分析.结果 在184名隐睾患儿家属中心理韧性好的有101名,占54.9%,心理韧性差的有60名,占32.6%,心理韧性极差的有23名,占12.5%.不同文化程度、职业、家庭月收入、家庭住址和社会支持的患儿的家属心理韧性差异均有统计学意义（χ2值分别为10.272、27.889、11.425、12.521、12.873;P〈0.05）.患儿家属的文化程度、职业、家庭月收入、家庭住址、社会支持程度为其主要影响因素（R2=0.659;F=32.875,P〈0.001）.结论 隐睾患儿家属的文化水平、社会支持水平和家庭月收入越低、居住条件和工作条件越差,患儿家属心理韧性就越差.应重点关注低学历、低社会支持水平、低收入家庭、低居住环境、低工作条件的家属,以提高其心理韧性和应对能力.

Objective To investigate the psychological resilience in the family members of children with cryptorchidism and to explore relevant influencing factors so as to provide a basis for enhancing the family members＇ psychological resilience and disease response capacity.Methods The family members of totally 186 children with cryptorchidism who received surgery between July 2012 and December 2016 were selected by convenience sampling. The family members＇ general info, level of social support and psychological resilience were then investigated. And statistical methods adopted in this study included χ2 test, descriptive analysis, Pearson correlation analysis and multivariate hierarchical regression analysis.Results Totally 101（54.9%） out of the 184 family members showed good psychological resilience; 60（32.6%） of them showed bad psychological resilience,and 23 （12.5%）of them showed the worst psychological resilience. There was statistically significant difference in psychological resilience between the family members with different education background, profession, monthly income, address and social support （χ2=10.272, 27.889, 11.425, 12.521, 12.873;P〈0.05）, and education background, profession, monthly income and social support were major influencing factors of psychological resilience （R2=0.659;F=32.875,P〈0.001）.Conclusions The poorer education background, social support, monthly income, living environment and working conditions the family members have, the worse their psychological resilience is. Therefore, we need to pay more attention to family members with poor education background, social support, monthly income, living environment and working conditions so as to enhance their psychological resilience and disease response capacity.