肺结核便秘患者创伤后成长与心理弹性、社会支持和自我效能的相关性研究

Correlation of post-traumatic growth with mental resilience,social support,and self-efficacy in patients with pulmonary tuberculosis and constipation

背景肺结核便秘患者会受到心理创伤和社会成员的心理歧视.心理弹性是个体在面对困境时所采取的积极方式处理问题的能力.社会支持对患者的心理应激起保护作用.自我效能感反映了一种个体能采取适当的行动面对挑战的信念.本研究对肺结核便秘患者创伤后成长、心理弹性、自我效能和社会支持进行调查分析,以更好的临床采取积极干预措施提供客观依据.目的研究肺结核便秘患者创伤后成长与心理弹性、社会支持和自我效能的关系.方法采用便利抽样法,选择2018-02/2019-12在浙江省义乌市中心医院感染科就诊的肺结核便秘患者为研究对象.采用创伤后成长调查量表(posttraumatic growth inventory,PTGI)、心理弹性量表(connor davidson resilience scale,CD-RISC)、领悟社会支持量表(perceived social support scale,PSSS)、一般自我效能量表(general self-efficacy scale,GSES)进行调查分析.结果本研究患者PTGI得分为55.89分±11.24分,PTGI得分≥57分者65例,阳性率60.19%.患者CD-RISC得分63.36分±14.43分,其中坚韧性维度得分33.56分±8.24分,力量维度得分22.37分±5.64分,乐观性维度得分10.67分±3.02分.患者PTGI得分、新可能性、个人力量与CD-RISC呈正相关(P<0.05).患者PSSS总分为68.75分±9.46分,其中家庭内支持评分为25.16分±4.12分,家庭外支持评分为32.49分±4.98分;GSES得分为2.69分±0.72分.患者PTGI评分与PSSS、GSES均呈正相关(P<0.05).结论肺结核便秘患者创伤后成长处于中等水平,有待进一步提高.在临床工作中医护人员要提高患者心理弹性、注重社会支持和一般自我效能方面的干预以提高患者的创伤后成长水平.

BACKGROUND Patients with pulmonary tuberculosis and constipation often suffer from psychological trauma and psychological discrimination from social members.Mental resilience is the ability of an individual to deal with difficulties in a positive way.Social support should have a protective effect on the psychology of patients.Self-efficacy reflects a belief that individuals can take appropriate action to meet challenges.In this study,post-traumatic growth,psychological resilience,self-efficacy,and social support of patients with pulmonary tuberculosis and constipation were investigated and analyzed to provide an objective basis for better clinical active intervention measures.AIM To study the relationship of posttraumatic growth with mental resilience,social support,and self-efficacy in patients with pulmonary tuberculosis and constipation.METHODS Patients with pulmonary tuberculosis and constipation who were admitted to the Department of Infectious Diseases,Yiwu Central Hospital,Zhejiang Province from February 2018 to December 2019 were selected as the study subjects by convenient sampling method.Posttraumatic growth inventory(PTGI),mental resilience inventory(CD-RISC),perceived social support inventory(PSSS),and general self-efficacy inventory(GSES)were used for the analysis.RESULTS In this study,the PTGI score of the patients was 55.89±11.24,and the PTGI score was≥57 in 65 patients,with a positive rate of 60.19%.The patients’CD-RISC score was 63.36±14.43;the scores of the tenacity,strength,and optimism dimensions were 33.56±8.24,22.37±5.64,and 10.67±3.02,respectively.PTGI score,new possibility,and individual strength were positively correlated with CD-RISC score(P<0.05).The total PSSS score of the patients was 68.75±9.46,among which the score of infamily support was 25.16±4.12,and the score of out-of-family support was 32.49±4.98.The GSES score was 2.69±0.72.PTGI score was positively correlated with PSSS and GSES scores(P<0.05).CONCLUSION The post-traumatic growth of patients with pulmonary tuberculosis and constipation is at a medium level and needs to be further improved.In clinical work,medical staff should improve patients’mental resilience and pay attention to the intervention of social support and general self-efficacy to improve patients’post-traumatic growth.