下肢骨折术后便秘患者心理弹性与病耻感、自我效能及自尊的相关性分析

The correlation between psychological resilience,stigma,self-efficacy and self-esteem in patients with constipation after lower limb fracture

目的:分析下肢骨折术后便秘患者心理弹性与病耻感、自我效能及自尊的相关性,以确定护理对策。方法:采用便利抽样法选取2020年4月至2023年3月景德镇市中医医院接受下肢骨折手术患者102例作为研究对象作横断面调查,依据术后是否并发便秘分为便秘组与正常组,比较2组基线资料和心理弹性量表(CD-RISC)、社会影响量表(SIS)、一般自我效能感量表(GSES)、罗森博格自尊量表(RSES)得分,采用Pearson法分析便秘组患者CD-RISC评分与SIS评分、GSES评分、RSES评分的相关性。结果:102例调查对象年龄为18~75(38.87±6.83)岁,男57例,女45例。术后发生便秘患者37例,占36.27%(37/102)。便秘组年龄、便秘史发生率、术后使用镇痛药率、CD-RIS、SIS、GSES、RSES评分分别为(50.74±5.52)岁,72.97%(27/37)、62.16%(23/37)、(42.11±5.03)分、(59.78±6.40)分、(22.74±3.57)分、(20.15±2.32)分,正常组分别为(37.81±7.45)岁、40.00%(26/65)、41.54%(27/65)、(78.43±5.95)分、(36.10±4.03)分、(28.26±3.53)分、(27.05±5.29)分,2组比较差异具有统计学意义(t值为7.52~31.29,χ2值为10.27、4.01,均P<0.05)。便秘组患者CD-RISC评分与SIS评分呈负相关,与GSES评分、RSES评分呈正相关(r=-0.869、0.608、0.582,均P<0.05)。结论:下肢骨折术后便秘发生率较高,且其心理弹性与病耻感、自我效能及自尊具有相关性,临床需要予以相应的护理干预,以改善患者预后。

Objective To analyze the correlation between psychological resilience and stigma,self-efficacy and self-esteem in patients with constipation after lower limb fracture surgery,and to determine nursing counter measures.MethodsA total of 102 patients who underwent lower limb fracture surgery in Jingdezhen Hospital of Traditional Chinese Medicine from April 2020 to March 2023 were convenience sampling selected as the study objects by a cross-sectional survey.They were divided into constipation group and normal group according to whether postoperative constipation was complicated.Baseline data,Psychological Resilience Scale(CD-RISC),Social Impact Scale(SIS),General Self-efficacy Scale(GSES),and Pearson′s method was used to analyze the correlation between CD-RISC score and SIS score,GSES score,and RSES score in patients with constipation.ResultsTotally 102 survey subjects aged 18-75(38.87±6.83),including 57 males and 45 females.Postoperative constipation occurred in 37 patients,accounting for 36.27%(37/102).The average age,constipation secret history rate,postoperative analgesic use rate,CD-RIS,SIS,GSES and RSES scores of the constipation group were(50.74±5.52)years,72.97%(27/37),62.16%(23/37),(42.11±5.03)points,(59.78±6.40)points,(22.74±3.57)points,(20.15±2.32)points,respectively.The normal group was(37.81±7.45)years old,40.00%(26/65),41.54%(27/65),(78.43±5.95)points,(36.10±4.03)points,(28.26±3.53)points,(27.05±5.29)points,respectively.The difference between the two groups was statistically significant(t values were 7.52-31.29,χ2 values were 10.27 and 4.01,all P<0.05).In the constipation group,CD-RISC score was negatively correlated with SIS score,and positively correlated with GSES score and RSES score(r values were-0.869,0.608,0.582,all P<0.05).ConclusionsThe incidence of constipation after lower limb fracture is high,and its psychological resilience is related to stigma,self-efficacy and self-esteem.Clinical nursing intervention is needed to improve the prognosis of patients.