社会支持与自我效能对颅脑创伤伴面部组织挫伤患者术后瘢痕修复意愿和心理状态的影响

Influence of Social Support and Self-efficacy on Willingness to Postoperative Scar Repair and Psychological Status of Patients with Traumatic Brain Injury and Facial Tissue Contusion

目的:观察社会支持与自我效能对颅脑创伤伴面部组织挫伤患者术后瘢痕修复意愿及心理状态的影响。方法:选取笔者医院2015年2月-2020年9月收治的80例颅脑创伤伴面部组织挫伤患者,调查其社会支持量表(Social support rating scale,SSRS)评分、自我效能量表(General self-efficacy scale,GSES)评分、术后瘢痕修复意愿与心理痛苦温度计(Distress thermometer,DT)评分,并进行Logistic回归分析与Pearson相关性分析。结果:相关性分析显示,SSRS评分、GSES评分与DT评分均呈显著负相关(P<0.05)。80例患者中,48例有术后瘢痕修复意愿,32例无瘢痕修复意愿;两组性别、年龄和颅脑创伤原因比较差异无统计学意义(P>0.05);愿意组SSRS评分、GSES评分明显高于不愿意组,DT评分明显低于不愿意组,差异有统计学意义(P<0.05)。Logistic回归分析显示,SSRS评分、GSES评分及DT评分与患者术后瘢痕修复意愿有关(P<0.05)。结论:社会支持、自我效能与颅脑创伤伴面部组织挫伤患者术后瘢痕修复意愿及心理痛苦关系密切,社会支持水平与自我效能高者,其心理痛苦程度较轻,且更愿意接受术后瘢痕修复治疗。

Objective To observe the influence of social support and self-efficacy on willingness to scar repair and psychological status of patients with traumatic brain injury and facial tissue contusion.Methods 80 patients with traumatic brain injury and facial tissue contusion who were treated in the hospital between February 2015 and September 2020 were enrolled in this study.The Social support rating scale(SSRS)scores,the General self-efficacy scale(GSES)scores,willingness to postoperative scar repair and Distress thermometer(DT)scores were recorded.Logistic regression analysis and Pearson correlation analysis were performed.Results Correlation analysis showed that there were significantly negative correlations among SSRS score,GSES score and DT score(P<0.05).Of the 80 patients,48 were willing to receive postoperative scar repair and 32 were unwilling to receive.There was no significant difference in gender,age and causes of craniocerebral trauma between the two groups(P>0.05).SSRS scores and GSES scores of the willing group were significantly higher than those of the unwilling group,and DT scores were significantly lower than that of the unwilling group,the differences were statistically significant(P<0.05).Logistic regression analysis showed that SSRS score,GSES score and DT score were related to patients’willingness to repair scar after operation(P<0.05).Conclusion Social support and self-efficacy are closely related to the willingness to postoperative scar repair and psychological distress of patients with traumatic brain injury and facial tissue contusion.Those with high levels of social support and self-efficacy have less psychological distress and are more willing to accept scar repair after surgery.