颅脑损伤术后患者自我效能感与经验性回避的相关性研究

Correlation between self-efficacy and experiential avoidance in patients with craniocerebral injury after surgery

目的 观察颅脑损伤术后患者自我效能感、经验性回避现状,并分析二者的相关性。方法 选取2021年1—12月河南项城市中医院收治的颅脑损伤术后患者77例作为研究对象。于术后1个月,采用一般自我效能感量表(GSES)、接纳与行动问卷第2版(AAQ-Ⅱ)评估患者的自我效能感及经验性回避水平。采用Pearson相关分析患者自我效能感与经验性回避的相关性,采用Logistic回归分析术后患者自我效能感低下的影响因素。结果 自我效能感低下的患者共31例(40.26%),GSES得分为(20.13±1.45)分;而自我效能感不低下的患者共46例(59.74%),GSES得分为(31.67±2.52)分。2组患者的GSES得分比较,差异有统计学意义(t=25.407,P<0.001)。Pearson相关分析结果显示:颅脑损伤术后患者自我效能感与经验性回避呈负相关(r=-0.778,P<0.001)。单因素分析结果显示:自我效能感低下患者的颅脑损伤程度、文化程度、AAQ-Ⅱ评分与自我效能感不低下的患者比较,差异均有统计学意义(P<0.05)。Logistic回归结果显示:重型颅脑损伤、文化程度初中及以下、经验性回避水平高是患者自我效能感低下的危险因素(P<0.05)。结论 颅脑损伤术后患者自我效能感与经验性回避呈负相关,且经验性回避水平高是导致颅脑损伤术后患者自我效能感低下的危险因素。

Objective This study aimed to observe the current status of self-efficacy and experiential avoidance in patients with craniocerebral injury after surgery and to analyze the correlation between them.Methods A total of 77 patients with craniocerebral injury after surgery admitted to Xiangcheng Traditional Chinese Medicine Hospital from January to December 2021 were selected as the study participants.After one month of surgery,the General Self-Efficacy Scale(GSES)and Acceptance and Action Questionnaire-Ⅱ(AAQ-Ⅱ)were used to assess the self-efficacy and experiential avoidance.Pearson correlation analysis was used to analyze the correlation between self-efficacy and experiential avoidance;logistic regression analysis was used to analyze the influencing factors of low self-efficacy of postoperative patients.Results Of the 77 patients,31(40.26%)had low self-efficacy with a GSES score of(20.13±1.45)points,while 46(59.74%)had normal self-efficacy with a GSES score of(31.67±2.52)points.There was a significant difference in the GSES scores between the two groups(t=25.407,P<0.001).Pearson correlation analysis showed that a negative correlation between self-efficacy and experiential avoidance was present in patients with craniocerebral injury after surgery(r=-0.778,P<0.001).Univariate analysis indicated that the differences in severity of craniocerebral injury,educational level,and AAQ-Ⅱscore between patients with low self-efficacy and those with normal self-efficacy were statistically significant(P<0.05).Logistic regression analysis showed that severe craniocerebral injury,at or below junior high school,and high level of experiential avoidance were risk factors for low self-efficacy in patients(P<0.05).Conclusion A negative correlation between self-efficacy and experiential avoidance was observed in patients with craniocerebral injury after surgery,and high experiential avoidance level acts as a risk factor for low self-efficacy in these patients.