摘要
目的:了解股骨干骨折术后病人创伤后成长现状,分析自我效能在家庭关怀度与创伤后成长间的中介效应。方法:选取139例股骨干骨折术后病人为研究对象,采用一般情况调查表、一般自我效能感量表、家庭关怀度指数量表及创伤后成长评定量表对其进行问卷调查。运用Pearson相关分析评价自我效能、家庭关怀度、创伤后成长之间的相关关系,并建立结构方程模型进行中介效应检验。结果:股骨干骨折术后病人自我效能总分为(22.64±4.38)分,家庭关怀度总分为(5.12±1.09)分,创伤后成长总分为(62.87±7.28)分。Pearson相关分析显示,自我效能总分与家庭关怀度总分、创伤后成长总分均呈明显正相关关系(P<0.01),家庭关怀度总分与创伤后成长总分及各个维度得分均呈正相关关系(P<0.05~P<0.01)。结构方程模型结果显示,自我效能在家庭关怀度与创伤后成长间具有部分中介效果,中介效应占总效应的41.07%。结论:股骨干骨折术后病人自我效能、家庭关怀度与创伤后成长评分均处于中等水平,临床医护人员应重视交流沟通的重要性,使病人保持积极乐观的心理状态,有助于提升创伤后成长水平。
Objective:To understand the current status of post-traumatic growth in patients with femoral shaft fractures,and analyze the mediating effect of self-efficacy between family care and post-traumatic growth.Methods:A total of 139 patients after femoral shaft fracture surgery were selected as the research subjects,and surveyed using the general situation questionnaire,general self-efficacy scale,family APGAR index and post traumatic growth inventory.Pearson correlation analysis was used to evaluate the correlation between self-efficacy,family care,and post-traumatic growth,and a structural equation model was established to test the mediating effect.Results:The total score of patients'self-efficacy after femoral shaft fracture surgery was(22.64±4.38)points,the total score of family care was(5.12±1.09)points,and the total score of post-traumatic growth was(62.87±7.28)points.Pearson correlation analysis showed that the total score of self-efficacy was significantly positively correlated with the total score of family care and the total score of post-traumatic growth(P<0.01),the total score of family care was positively correlated with the total score and score of each dimension of post-traumatic growth(P<0.05 to P<0.01).The results of structural equation model showed that self-efficacy had a partial mediating effect between family care and post-traumatic growth,and the mediating effect accounted for 41.07%of the total effect.Conclusions:The scores of self-efficacy,family care and post-traumatic growth in patients after femoral shaft fracture surgery are all at moderate levels.Clinical medical staff should pay attention to the importance of communication,so that patients can maintain a positive and optimistic psychological state to improve the level of post-traumatic growth.
作者
李亚楠
孙海燕
刘巍
陈小龙
LI Ya-nan;SUN Hai-yan;LIU Wei;CHEN Xiao-long(Department of Orthopedics,Taihe County Hospital of Traditional Chinese Medicine,Taihe Anhui 236600,China)
出处
《蚌埠医学院学报》
CAS
2022年第9期1318-1323,共6页
Journal of Bengbu Medical College
关键词
股骨干骨折
自我效能
家庭关怀度
创伤后成长
中介效应
femoral shaft fracture
self-efficacy
family care
post-traumatic growth
mediating effect
