颅脑损伤术后患者生命意义感与应对方式的相关性

Correlation between sense of life meaning and coping style in postoperative patients with craniocerebral injuries

目的:分析颅脑损伤术后患者生命意义感与应对方式的相关性。方法:选取2020年3月至2022年3月该院收治的130例颅脑损伤术后患者进行横断面研究,收集患者资料,发放简易应对方式问卷(SCSQ)和生命意义感量表(MLQ)并回收,观察颅脑损伤术后患者SCSQ和MLQ评分,采用Pearson相关性分析SCSQ与MLQ评分的相关性,采用多因素Logistic回归分析颅脑损伤术后患者出现消极应对的影响因素。结果:共发放130份问卷,有效回收122份,有效回收率93.85%(122/130)。122例颅脑损伤术后患者SCSQ积极应对评分为13~32分,平均(21.14±4.17)分;SCSQ消极应对评分为12~20分,平均(16.79±3.58)分;MLQ评分为19~57分,平均(38.34±5.98)分。Pearson相关性分析结果显示,颅脑损伤术后患者MLQ评分与SCSQ积极应对评分呈正相关性(r>0、P<0.05),与SCSQ消极应对评分呈负相关性(r<0、P<0.05)。多因素Logistic回归分析结果显示,学历高中及以下、非在职是颅脑损伤术后患者消极应对的独立危险因素(OR>1,P<0.05),MLQ评分高是颅脑损伤术后患者消极应对的保护因素(OR<1,P<0.05)。结论:颅脑损伤术后患者MLQ评分与SCSQ积极应对评分呈正相关,与SCSQ消极应对评分呈负相关;MLQ评分高是颅脑损伤术后患者消极应对的保护因素。

Objective:To analyze correlation between sense of life meaning and coping style in postoperative patients with craniocerebral injuries.Methods:A cross-sectional study was conducted on 130 patients with craniocerebral injuries treated in this hospital from March 2020 to March 2022.The patient data were collected.Simplified coping style questionnaire(SCSQ)and leaning in life questionnaire(MLQ)were distributed and then collected.The SCSQ and MLQ scores of the postoperative patients with craniocerebral injuries were observed.Pearson correlation analysis was used to analyze the correlation between the SCSQ score and the MLQ score.Multivariate Logistic regression analysis was used to analyze the influencing factors of negative coping in the postoperative patients with craniocerebral injuries.Results:A total of 130 questionnaires were distributed,and 122 were effectively collected with an effective recovery rate of 93.85%(122/130).The SCSQ positive coping score of the 122 postoperative patients with craniocerebral injuries was 13-32 points with an average of(21.14±4.17)points.The SCSQ negative coping score was 12-20 points with an average of(16.79±3.58)points.The MLQ score was 19-57 points with an average of(38.34±5.98)points.Pearson correlation analysis showed that the MLQ score was positively correlated with the SCSQ positive coping score in the postoperative patients with craniocerebral injuries(r>0,P<0.05),and the MLQ score was negatively correlated with the SCSQ negative coping score(r<0,P<0.05).Multivariate logistic regression analysis showed that high school education and below and off-duty were independent risk factors for the negative coping in postoperative patients with craniocerebral injuries(OR>1,P<0.05),and high MLQ score was a protective factor for the negative coping in these patients(OR<1,P<0.05).Conclusions:The MLQ score is positively correlated with the SCSQ positive coping score and negatively correlated with the SCSQ negative coping score in the postoperative patients with craniocerebral injuries.Further,high MLQ score is a protective factor for the negative coping in these patients.