患者社会支持与创伤后应激障碍关系的分析性研究

发布时间：2018-06-07 22:35

本文选题：社会支持 + 乐观　；参考：《中国医科大学学报》2014年10期

【摘要】：目的探讨骨科住院患者社会支持与创伤后应激障碍(PTSD)之间的关系,并进一步研究希望、乐观和自我效能变量是否存在中介作用,间接影响社会支持和创伤后应激障碍之间关系。方法于2013年12月至2014年1月骨科病房,采用现况调查的方法,收集201例骨科患者的人口学情况、社会支持、乐观、希望、自我效能及创伤后应激障碍相关信息。结果骨科患者创伤后应激障碍发生率为10.45%,其总均分为(30.87±10.44)分。无论在何种性别下,社会支持与自我效能、乐观、希望之间呈正相关,且有统计学意义(P0.05);4个变量均与创伤后应激障碍呈负相关(P0.01);社会支持对创伤后应激障碍的解释变异度为5.4%,中介变量乐观对创伤后应激障碍的贡献率为17.2%。经中介效应检验,乐观变量其路径c,a,b系数均显著,c′系数没有显著性,乐观起到完全中介作用;而自我效能和希望暂未发现有中介作用。结论社会支持对骨科患者的创伤后应激障碍具有负向预测作用,乐观作为中介变量间接影响社会支持与创伤后应激障碍之间关系,可以作为预防其发生的重要措施之一。
[Abstract]:Objective to explore the relationship between social support and PTSD in orthopaedic inpatients, and to further study the relationship between social support and post-traumatic stress disorder. Methods from December 2013 to January 2014, 201 cases of orthopedic patients in orthopedic wards were collected demographic information, social support, optimism, hope, self-efficacy and post-traumatic stress disorder. Results the incidence of post-traumatic stress disorder in orthopedic patients was 10.45 and the total score was 30.87 卤10.44. Regardless of gender, there is a positive correlation between social support and self-efficacy, optimism, and hope. The four variables were negatively correlated with PTSD, the variance of social support to PTSD was 5.4, and the contribution rate of intermediate variable optimism to PTSD was 17.2%. According to the test of intermediary effect, the path coefficient of optimistic variables is not significant, but optimism plays a complete intermediary role, but self-efficacy and hope are not found to be mediating. Conclusion Social support has a negative predictive effect on post-traumatic stress disorder in orthopedic patients. Optimism, as an intermediate variable, can indirectly influence the relationship between social support and post-traumatic stress disorder, and can be used as one of the important measures to prevent the occurrence of post-traumatic stress disorder.
【作者单位】：中国医科大学公共卫生学院卫生检验教研室;中国医科大学公共卫生学院社会医学教研室;
【分类号】：R749.5

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