主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

• 论著 • 上一篇    下一篇

社会关系质量对脑外伤患者韧性的影响

陈建芳 王回飞 陈巧红 张珍燕 戴秋丽 陈秀丽   

  1. 三门县浦坝港镇浬浦中心卫生院
  • 出版日期:2015-05-25 发布日期:2015-05-25

The effect of social relational quality on resilience in traumatic brain injury patients

  • Online:2015-05-25 Published:2015-05-25

摘要: 目的:了解脑外伤患者社会关系质量和韧性现状,探讨社会关系质量对其韧性的影响,为改善脑外伤患者韧性提供参考。方法:采用社会关系质量量表和中文版CD-RISC 韧性量表对238 例脑外伤患者进行问卷调查,采用单因素分析和分层回归分析相结合方法探讨社会关系质量对韧性的影响。结果:脑外伤患者韧性和社会关系质量的总分分别为(63.61±12.89)分和(51.21±5.62) 分。Pearson 相关分析提示,社会关系质量总分、家庭亲密度、家庭承担、朋友关系与韧性总分、坚韧性、力量和乐观均呈正相关(P <0.05);年龄、改良Barthel 指数和Fugl-Meyer 运动功能评分与韧性总分呈正相关(r =0.302,0.365,0.346,P <0.05),家庭收入与韧性呈负相关(r =-0.312,P <0.05)。不同性别、付款方式组韧性评分比较,差异有统计学意义(P <0.05)。分层回归分析结果显示,社会关系质量可解释脑外伤患者韧性总变异的22.7%(P <0.05)。结论:脑外伤患者韧性处于中等水平,社会关系质量为其韧性的影响因素,可从社会关系质量入手来改善其韧性水平。

Abstract: Objective: To investigate the social relational quality and resilience level in traumatic brain injury patients,and explore the effect of social relational quality on resilience, so as to provide a new perspective to improve the resilience level. Methods: 238 brain injury patients were surveyed using Social Relational Quality Scale and Connor-Davidson Resilience Scale (CD-RISC). The single factor analysis and hierarchical regression analysis were used in conjunction to explore the effect of social relational quality on resilience in traumatic injury patients. Results: The total score of social relational quality and resilience level were respectively (63.61±12.89) and (51.21±5.62). The total score of social relational quality, family cohesion,family commitment, and friendship were positively correlated with the total score of resilience, tenacity, strength and optimism(P<0.05); Age, modified barthel index and Fuglmeyer motor function score were positively correlated with the total score of resilience (r=0.302, 0.365, 0.346, P<0.05), and the family income was negatively correlated with the total score of resilience (r=-0.312, P<0.05). Thereissignificant difference of the total score of resilience among the brain injury patients with different sex and mode of payment (P<0.05). Hierarchical regression analysis showed that the social relational quality could explained 22.7% of the total variance of the resilience level in brain injury patients (P<0.05). Conclusions: The level of resilience was in the middle in brain injury patients, and social relational quality was its influencing factor, the nursing staff could start from the social relational quality to improve the level of resilience.