烧伤患者社会支持、应对方式、希望水平及反刍性沉思的相关研究

发布时间：2019-02-24 19:40

【摘要】：目的:通过调查烧伤患者社会支持、应对方式、希望水平、反刍性沉思的现状,分析人口学统计变量、烧伤相关变量对其社会支持、应对方式、希望水平及反刍性沉思的影响,并尝试建立社会支持、应对方式、希望水平对烧伤患者反刍性沉思的作用路径。方法:便利抽取江西省烧伤中心136例住院烧伤患者,采用中文版事件相关反刍性沉思问卷(C-ERRI),社会支持评定量表(SSRS)、医学应对方式问卷(MCMQ)、Herth希望量表(HHI)以及一般资料调查表对患者进行面对面问卷调查。通过描述性分析、t检验、方差分析、Pearson相关、多元线性回归进行数据分析,运用Amos软件对作用路径进行验证,确定模型中各个因素的中介作用。结果:1.烧伤患者侵入性反刍沉思得分为(15.29±6.24)分,目的性反刍沉思得分为(15.79±5.28)分;社会支持得分为(39.71±4.02)分,其中客观支持得分(10.91±2.73)分,主观支持得分(21.88±4.13)分,支持利用度得分(6.91±1.09)分;应对方式得分为(39.91±5.46)分,其中面对应对得分(17.82±3.79)分,回避应对得分(14.65±2.77)分,屈服应对得分为(7.44±2.57)分;希望水平得分为(26.23±5.60),其中“对现实和未来的积极态度”维度得分(8.26±1.81)分,“采取积极行动”维度得分(9.56±2.39)分,“与他人保持密切关系”维度得分(8.41±2.28)分;2.烧伤患者反刍沉思在性别、文化程度、主要烧伤部位、烧伤距今时间、创伤自评方面的得分具有统计学差异,p0.05;社会支持在性别、年龄、文化程度、婚姻状况上的得分具有统计学差异,p0.05;面对应对在性别、年龄上的得分具有统计差异,p0.01;回避应对在主要烧伤部位上的得分具有统计学差异,p0.01;希望水平在文化程度、婚姻状况和主要烧伤部位上得分具有统计学差异,p0.05;3.烧伤患者社会支持与其希望水平、面对应对、目的性反刍性沉思显著正相关,与屈服应对、侵入性反刍性沉思显著负相关,希望水平与面对应对和目的性反刍沉思显著正相关,与屈服应对显著负相关;4.在多元线性回归分析中:烧伤患者社会支持、应对方式、希望水平对其反刍性沉思的偏回归系数均具统计学意义;5.希望水平在社会支持和目的性反刍沉思间起部分中间作用(28.9%);面对应对在社会支持和目的性反刍沉思间起部分中介作用(29.1%);面对应对在希望水平和目的性反刍沉思间起部分中介作用(16.7%);希望水平在社会支持和侵入性反刍沉思间起部分中介作用(25.0%);屈服应对在社会支持和侵入性反刍沉思间起部分中介作用(40.1%);希望水平在社会支持和屈服应对间起部分中介作用(36.3%);屈服应对在希望水平和侵入性反刍沉思间起部分中介作用(15.5%)。结论:1.烧伤患者社会支持水平中等偏高而希望水平偏低,三种应对方式(面对、屈服、回避)与两类反刍性沉思(侵入性和目的性)得分均处于中等水平;2.人口统计学变量如年龄、性别、文化程度、婚姻状况,烧伤相关特征如烧伤部位、烧伤距今时间、烧伤严重程度自评对烧伤患者社会支持、应对方式、希望水平和反刍性沉思具有一定影响;3.社会支持、希望水平、面对应对和屈服应对能较好地预测烧伤患者反刍性沉思的类型和水平;4.社会支持可以直接影响烧伤患者的反刍性沉思,也可以通过希望水平、面对应对及屈服应对影响其反刍性沉思。
[Abstract]:Objective: To study the status of social support, coping style, hope level and anti-static reflection of burn patients, and to analyze the influence of demographic variables and burn-related variables on their social support, coping style, hope level and anti-static reflection, and try to establish social support. In this way, it is expected that the level is the path of the action of anti-invasive meditation on the burn patients. Methods: 136 cases of burn in the burn center of Jiangxi Province were taken, and the Chinese version of the relevant anti-invasive meditation questionnaire (C-ERI), the social support rating scale (SSRS) and the medical coping style questionnaire (MCMQ) were adopted. A face-to-face questionnaire was conducted on the patient by the Herth Hope Scale (HHI) and the general data questionnaire. By means of descriptive analysis, t-test, variance analysis, Pearson correlation, multiple linear regression analysis, the action path was validated by Amos software, and the intermediate role of each factor in the model was determined. Results: 1. The invasiveness of the burn patients was divided into (15. 29 and 6.24) points, the purpose of which was divided into (15.79 to 5.28) points, and the social support was divided into (39.71 to 4.02) points, with the objective support score (10.91 to 2.73) and the subjective support score (21.88 to 4.13). The support utilization score (6.91-1.09) points; the coping style is divided into (39. 91-5.46) points, in which the response score (17.82-3.79) points, the avoidance response score (14.65-2.77) points, the yield response is divided into (7.44-2.57) points, and the desired level is divided into (26. 23-5.60). The scores of the 鈥減ositive attitude towards reality and the future鈥，

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