肾移植受者心理弹性与自我效能、应对方式、社会支持的相关性

Impacts of Self-efficacy, Coping style, and Social Support on Psychological Resilience in Kidney Transplant Recipients

目的探讨肾移植受者出院后的心理弹性与自我效能、应对方式、社会支持间的相关性,为提高该类患者心理弹性水平提供理论依据。方法2017年9月至2018年4月便利抽样选择某医院肾移植随访门诊肾移植受者226例采用基本资料问卷、中文版Connor-Davidson心理弹性量表、中文版慢性病管理自我效能量表、中文版医学应对方式问卷和社会支持评定量表对其进行调查。结果肾移植受者的心理弹性总分为(5. 79±9.62)分;相关分析显示心理弹性与自我管理效能、面对应对、客观支持、主观支持呈正相关(P<0.01),回避应对和屈服应对与心理弹性呈负相关(P<0. 05);回归分析显示,80.2%的心理弹性受自我管理效能、面对应对、主观支持、客观支持、屈服应对的影响(P<0.05)。结论肾移植受者的心理弹性水平有待提高并与其应对方式及社会支持有关。护理人员应重视提高肾移植受者的自我管理效能、鼓励其采取合适的应对方式、并提供必要的社会支持,从而改善其心理弹性水平。

Objective To explore the impacts of self-efficacy, coping style, and social support on psychological resilience in kidney transplant recipients, so as to provide the theoretical foundation for improving th&r level of resilience. Methods From September 2017 to April 2018, 226 kidney transplant recipients were selected by convenience sampling method. A self-designed personal characteristics questionnaire, Connor-Davidson resilience scale, the Chinese version of self-efficacy for managing chronic disease 6-item scale, the Chinese version of medical coping modes questionnaire and social support rating scale were employed for investigation. Results The overall psychological resilience score for kidney transplant recipients was 58. 79±9. 62. The Pearson correlation analysis showed that self-efficacy for managing chronic disease, confront coping style,objective support and subjective support were positively correlated with resilience in kidney transplant recipients(P<0.01);avoidance and resignation coping styles were negatively correlated with resilience( P <0. 05). Multiple stepwise regression analysis indicated that self-efficacy for managing chronic disease, confront coping style, subjective support, objective support and resignation coping style were the influencing factors of resilience and explained 80. 2% of all the variations(P<0. 05). Conclusions The resilience level of kidney transplant recipients needs to be improved. The coping style and social support are the important predictors of resilience in kidney transplant recipients. Nurses should pay attention to improve patients' self-efficacy for managing chronic disease, to encourage patients to take appropriate coping style, to provide the necessary social support, thus it improves the patients, resilienee level.