自我效能、家庭关怀及应对方式对2型糖尿病足患者心理韧性水平的影响

The Effect of the Type 2 Diabetic Foot Patients' Psychological Resilience Level from Self-efficacy,Family Care and Facing Coping Styles

目的探讨自我效能、家庭关怀及应对方式对2型糖尿病足患者心理韧性水平的影响。方法采取一般自我效能感量表、家庭关怀度量表、医学应对问卷、心理韧性量表对2014年1月~2017年11月在本院门诊接受治疗的192例2型糖尿病足患者进行调查分析。结果 2型糖尿病足患者心理韧性水平总分为(66.53±9.53)分,处于中等水平。2型糖尿病足患者的自我效能、家庭关怀度和面对应对进入心理韧性的多元回归方程,其中心理韧性水平与自我效能、家庭关怀度、面对应对方式呈正相关(P<0.05)。结论 2型糖尿病足患者心理韧性水平与自我效能、家庭关怀度、面对应对方式呈正相关,个体自我效能、家庭关怀度、面对应对方式是影响2型糖尿病足患者心理韧性的重要保护因素。提示患者自我效能感越好、家庭关怀度越高及拥有良好的应对方式,心理韧性水平越高。

Objective To study the influence of self-efficacy,family care and coping styles in psychological resilience level 2 diabetic foot patients.Methods The methods of general self-efficacy scale,family-APGAR scales,medical coping mode questionnaire(MCMQ),Resilience scales used to investigate 192 cases of type 2 diabetic foot patients treated in our hospital during January 2014 and October 2017.Results The total score of psychological resilience level of the type 2 diabetic patients was(66.53±9.53),which was the middle level.The self-efficacy,family care and facing coping styles of the type 2 diabetic foot patients were in psychological resilience multiple regression equation,which indicated the self-efficacy,family care and facing coping styles have positive correlation the psychological resilience level(P<0.05).Conclusions The psychological resilience level is positively correlated with self-efficacy,family care and facing coping styles,and which of them are the important protection factors.It is apparent that the higher level of mental resilience in accordance with the patient's higher self-efficacy,the family care and the good coping style.