【摘要】：目的:通過調查燒傷患者社會支持、應對方式、希望水平、反芻性沉思的現狀,分析人口學統(tǒng)計變量、燒傷相關變量對其社會支持、應對方式、希望水平及反芻性沉思的影響,并嘗試建立社會支持、應對方式、希望水平對燒傷患者反芻性沉思的作用路徑。方法:便利抽取江西省燒傷中心136例住院燒傷患者,采用中文版事件相關反芻性沉思問卷(C-ERRI),社會支持評定量表(SSRS)、醫(yī)學應對方式問卷(MCMQ)、Herth希望量表(HHI)以及一般資料調查表對患者進行面對面問卷調查。通過描述性分析、t檢驗、方差分析、Pearson相關、多元線性回歸進行數據分析,運用Amos軟件對作用路徑進行驗證,確定模型中各個因素的中介作用。結果:1.燒傷患者侵入性反芻沉思得分為(15.29±6.24)分,目的性反芻沉思得分為(15.79±5.28)分;社會支持得分為(39.71±4.02)分,其中客觀支持得分(10.91±2.73)分,主觀支持得分(21.88±4.13)分,支持利用度得分(6.91±1.09)分;應對方式得分為(39.91±5.46)分,其中面對應對得分(17.82±3.79)分,回避應對得分(14.65±2.77)分,屈服應對得分為(7.44±2.57)分;希望水平得分為(26.23±5.60),其中“對現實和未來的積極態(tài)度”維度得分(8.26±1.81)分,“采取積極行動”維度得分(9.56±2.39)分,“與他人保持密切關系”維度得分(8.41±2.28)分;2.燒傷患者反芻沉思在性別、文化程度、主要燒傷部位、燒傷距今時間、創(chuàng)傷自評方面的得分具有統(tǒng)計學差異,p0.05;社會支持在性別、年齡、文化程度、婚姻狀況上的得分具有統(tǒng)計學差異,p0.05;面對應對在性別、年齡上的得分具有統(tǒng)計差異,p0.01;回避應對在主要燒傷部位上的得分具有統(tǒng)計學差異,p0.01;希望水平在文化程度、婚姻狀況和主要燒傷部位上得分具有統(tǒng)計學差異,p0.05;3.燒傷患者社會支持與其希望水平、面對應對、目的性反芻性沉思顯著正相關,與屈服應對、侵入性反芻性沉思顯著負相關,希望水平與面對應對和目的性反芻沉思顯著正相關,與屈服應對顯著負相關;4.在多元線性回歸分析中:燒傷患者社會支持、應對方式、希望水平對其反芻性沉思的偏回歸系數均具統(tǒng)計學意義;5.希望水平在社會支持和目的性反芻沉思間起部分中間作用(28.9%);面對應對在社會支持和目的性反芻沉思間起部分中介作用(29.1%);面對應對在希望水平和目的性反芻沉思間起部分中介作用(16.7%);希望水平在社會支持和侵入性反芻沉思間起部分中介作用(25.0%);屈服應對在社會支持和侵入性反芻沉思間起部分中介作用(40.1%);希望水平在社會支持和屈服應對間起部分中介作用(36.3%);屈服應對在希望水平和侵入性反芻沉思間起部分中介作用(15.5%)。結論:1.燒傷患者社會支持水平中等偏高而希望水平偏低,三種應對方式(面對、屈服、回避)與兩類反芻性沉思(侵入性和目的性)得分均處于中等水平;2.人口統(tǒng)計學變量如年齡、性別、文化程度、婚姻狀況,燒傷相關特征如燒傷部位、燒傷距今時間、燒傷嚴重程度自評對燒傷患者社會支持、應對方式、希望水平和反芻性沉思具有一定影響;3.社會支持、希望水平、面對應對和屈服應對能較好地預測燒傷患者反芻性沉思的類型和水平;4.社會支持可以直接影響燒傷患者的反芻性沉思,也可以通過希望水平、面對應對及屈服應對影響其反芻性沉思。
[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，

本文編號：2429869