摘要
目的:调查肠造口患者主要照顾者心理一致感现状,并探讨其与自我效能、领悟社会支持的关系。方法:2019年7月至12月,采用便利抽样的方法选取118例肠造口患者主要照顾者为研究对象,使用一般资料调查表、心理一致感量表、自我效能量表及领悟社会支持量表对其进行调查。结果:肠造口患者主要照顾者心理一致感得分为(58.40±9.17)分,各维度条目均分由高到低依次为可控制感、可理解感、有意义感。肠造口患者主要照顾者心理一致感得分与自我效能、领悟社会支持得分均呈显著正相关(r=0.457,P<0.01;r=0.369,P<0.01)。分层回归分析显示,自我效能、领悟社会支持对心理一致感有正向预测作用,共解释其35.2%的变异量(R′2=0.352,F=25.639,P<0.001)。结论:肠造口患者主要照顾者心理一致感处于低度水平,自我效能、领悟社会支持对心理一致感存在正向影响作用。医护人员需采取针对性措施,帮助照顾者提升自我效能和完善社会支持系统,以提高其心理一致感水平。
Objective To investigate the current situation with regard to a sense of coherence in major caregivers of enterostomy patients and analyze its relationship with self-efficacy and perceived social support.Methods From July to December 2019,a total of 118 major caregivers of enterostomy patients were investigated using a general information questionnaire,a self-efficacy scale,and a perceived social support scale.Results The score of sense of coherence in major caregivers of enterostomy patients was 58.40±9.17,and the average scores of all dimensions,from high to low,were“controllable sense,”“understandable sense,”and“meaningful sense.”Sense of coherence was positively correlated with self-efficacy and perceived social support(r=0.457,P<0.01;r=0.369,P<0.01).Hierarchical multiple regression analysis showed that self-efficacy and perceived social support had a positive predictive effect on sense of coherence and explained 35.2%of the variance(R′2=0.352,F=25.639,P<0.001).Conclusions The main caregivers of enterostomy patients had a low level of sense of coherence.Self-efficacy and perceived social support have a positive effect on sense of coherence.Medical staff should take targeted measures to help caregivers improve their self-efficacy and social support system in order to improve their sense of coherence.
作者
罗雯馨
陈健敏
陈永儿
刘玉霞
赖金满
张悦茹
管晓芳
周松
谢敏仪
Luo Wenxin;Chen Jianmin;Chen Yonger;Liu Yuxia;Lai Jinman;Zhang Yueru;Guan Xiaofang;Zhou Song;Xie Minyi(Department of Gastrointestinal Surgery,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Ophthalmology Department,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Intensive Care Unit,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2021年第4期395-400,共6页
Chinese Journal of Health Management
关键词
肠造口
照顾者
心理一致感
自我效能
领悟社会支持
Enterostomy
Caregivers
Sense of coherence
Self-efficacy
Perceived social support
