心理韧性和领悟社会支持在胃肠息肉治疗患者心理状态与护理依从性间的中介效应分析

Mediating effect of mental toughness and perceived social support on the relationship between psychological state and nursing compliance in patients with gastrointestinal polyps

目的 探讨心理韧性和领悟社会支持在胃肠息肉治疗患者心理状态与护理依从性间的中介效应。方法 采用便利抽样法将中国人民解放军总医院第六医学中心2020年10月至2022年3月收治的106例胃肠息肉患者作为调查对象进行横断面研究,采用自制一般资料调查表进行问卷调查。经Pearson相关性分析法分析胃肠息肉治疗患者心理韧性、领悟社会支持、心理状态和护理依从性间的相关性。探究胃肠息肉治疗患者心理韧性和领悟社会支持在心理状态和护理依从性间的中介效应。结果 剔除无效问卷4份,最终获得有效问卷102份,有效回收率为96.23%。存在家族史者护理依从性得分高于无家族史者(P<0.05)。Pearson相关性分析显示,心理状态中抑郁与心理韧性、领悟社会支持、护理依从性呈负相关(r=-0.786,P<0.001;r=-0.559,P<0.001;r=-0.791,P<0.001),焦虑与心理韧性、领悟社会支持、护理依从性呈负相关(r=-0.825,P<0.001;r=-0.580,P<0.001;r=-0.829,P<0.001)。中介效应分析显示,心理状态(抑郁、焦虑)作为直接效应对胃肠息肉患者护理依从性的作用无影响(P>0.05),通过中介效应心理韧性和领悟社会支持对护理依从性产生影响(P<0.05)。结论 心理韧性、领悟社会支持与胃肠息肉治疗患者心理状态、护理依从性间具显著相关,心理状态可通过影响患者心理韧性和领悟社会支持能力,最终影响护理依从性。

Objective To explore the mediating effect of mental toughness and perceived social support on the relationship between psychological state and nursing compliance in patients with gastrointestinal polyps.Methods A cross-sectional study was conducted on 106 patients with gastrointestinal polyps treated in the Sixth Medical Center of the PLA General Hospital from October 2020 to March 2022 using convenient sampling method.A self-made general data questionnaire was used to conduct a questionnaire survey.Pearson correlation analysis was used to analyze the correlation between psychological toughness,perceived social support,psychological status and nursing compliance in patients with gastrointestinal polyps.The mediating effect of mental toughness and perceived social support on psychological status and nursing compliance in patients with gastrointestinal polyps was investigated.Results After excluding 4 invalid questionnaires,102 valid questionnaires were finally obtained,and the effective response rate was 96.23%.The nursing compliance score in the patients with family history was higher than that in those without family history(P<0.05).Pearson correlation analysis showed that depression in mental state was significantly negatively correlated with mental toughness,perceived social support,and nursing compliance(r=-0.786,P<0.001;r=-0.559,P<0.001;r=-0.791,P<0.001);anxiety was significantly negatively correlated with mental toughness,perceived social support,and nursing compliance(r=-0.825,P<0.001;r=-0.580,P<0.001;r=-0.829,P<0.001).The mediating effect analysis showed that psychological state(depression,anxiety)as a direct effect had no significant effect on the nursing compliance of patients with gastrointestinal polyps(P>0.05),and psychological toughness and perceived social support had an impact on nursing compliance through the mediating effect(P<0.05).Conclusion Mental toughness and perceptive social support are significantly correlated with mental state and nursing compliance of patients with gastrointestinal polyps.Mental state can ultimately affect nursing compliance by affecting patients'mental toughness and perceptive social support ability.