摘要
目的探讨脊髓损伤患者（SCI）社会支持、应对方式对自我感受负担的影响，并分析其影响路径。方法采用横断面调查法，应用一般资料问卷、自我感受负担量表、社会支持量表、医学应对问卷对南京医科大学第一附属医院康复科150例脊髓损伤患者进行调查。结果脊髓损伤患者自我感受负担得分为（33．98±10．76）分，处于中度水平。客观支持、支持利用度对自我感受负担有负向预测作用，路径系数为-0．18、-0．21，屈服应对方式对自我感受负担有直接的正性效应，路径系数为0．19。主观支持完全通过屈服应对方式对自我感受负担产生间接负向影响，即屈服应对方式在主观支持与自我感受负担之间有完全的中介效应，效应值为0．034。结论脊髓损伤患者自我感受负担明显，而个体的客观支持、主观支持、支持利用度、屈服应对是影响自我感受负担的重要因素。
Objective To explore impacts of social support and coping styles on self-perceived burden of patients with spinal cord injury. Methods A total of 150 patients with spinal cord injury were investigated using Self-Perceived Burden Scale, Social Support Rating Scale, and Medical Coping Modes Questionnaire by cross-sectional survey method. Results The total score of self-perceived burden was at a moderate level and the average score was （33.98±10.76） points. Resignation of coping style had directly positive effect on self-perceived burden, path coefficient was 0.19, subjective support, support utilization had directly negative effect on SPB, path coefficient were -0.18, -0.21; objective support exerted directly negative influence on self-perceived burden through resignation of coping style. In other words, the resignation of coping style played a mediating role between social support and self-perceived burden, effect size was 0.034. Conclusions Most of patients with spinal cord injury suffer from moderate self- perceived burden. Objective support, subjective support, support utilization and the resignation of coping style are the important factors that affect self-perceived burden.
出处
《中国实用护理杂志》
2018年第3期182-186,共5页
Chinese Journal of Practical Nursing
基金
江苏省一级学科重点学科护理学开放基金项目（NYHL201403）
关键词
脊髓损伤
社会支持
自我感受负担
应对方式
路径分析
Spinal cord injury
Social support
Self-perceived burden
Coping style
Path analysis
