| 王 欢,张淑云,沈 翔,黄 靓,张理军.创伤性骨折患者心理韧性的影响因素调查及对创伤后成长的影响分析[J].,2022,(13):2579-2582 |
| 创伤性骨折患者心理韧性的影响因素调查及对创伤后成长的影响分析 |
| Investigation of the Influencing Factors of Mental Toughness in Patients with Traumatic Fracture and Analysis of its Influence on Posttraumatic Growth |
| 投稿时间：2022-01-07 修订日期：2022-01-31 |
| DOI：10.13241/j.cnki.pmb.2022.13.035 |
| 中文关键词: 创伤性骨折 心理韧性 影响因素 创伤后成长 相关性 |
| 英文关键词: Traumatic fracture Mental toughness Influencing factors Post-traumatic growth Correlation |
| 基金项目:湖南省自然科学基金项目（2016JJ60168） |
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| 中文摘要: |
| 摘要 目的：调查创伤性骨折患者心理韧性的影响因素，并分析其对创伤后成长的影响。方法：选择长沙市第四医院2019年4月～2021年3月收治的197例创伤性骨折患者作为研究对象。采用心理弹性量表（CD-RISC）对所有受试者的心理韧性进行评估，并根据评估结果将其分作A组（CD-RISC评分≥60分）76例以及B组（CD-RISC评分＜60分）121例。以多元逐步回归分析创伤性骨折患者心理韧性的影响因素。此外，以创伤后成长评定量表（C-PTGI）评估所有受试者的创伤后成长状况，并比较A、B组患者的差异。通过Pearson相关性分析心理韧性与创伤后成长的关系。结果：经单因素分析可得：创伤性骨折患者心理韧性与年龄、性别、创伤严重程度以及性格有关（均P＜0.05）。多元逐步回归分析结果发现：性别、年龄、创伤严重程度以及性格均为创伤性骨折患者CD-RISC评分的影响因素（均P＜0.05）。A组患者的C-PTGI各维度（与他人关系、新的可能性、个人力量、精神变化、对生活的欣赏）评分以及总分均高于B组患者（均P＜0.05）。经Pearson相关性分析发现，创伤性骨折患者CD-RISC评分与C-PTGI各维度评分以及C-PTGI总分均呈正相关关系（均P＜0.05）。结论：创伤性骨折患者心理韧性的影响因素包括年龄、性别、创伤严重程度以及性格，且心理韧性与创伤后成长密切相关。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the influencing factors of mental toughness in patients with traumatic fracture, and analysis of its influence on posttraumatic growth. Methods: 197 patients with traumatic fracture who were treated in Changsha fourth hospital from April 2019 to March 2021 were selected as the research objects. The mental toughness of all subjects was evaluated by the Connor-Davidson Resilience Scale (CD-RISC), according to the evaluation results, they were divided into 76 cases in group A (CD-RISC score ≥60 scores) and 121 cases in group B (CD-RISC score < 60 scores). The influencing factors of mental toughness in patients with traumatic fracture were analyzed by multiple stepwise regression. In addition, the post-traumatic growth status of all subjects was evaluated by Chinese post-traumatic growth inventory(C-PTGI), and the differences between group A and group B were compared. The relationship between mental toughness and post-traumatic growth was analyzed by Pearson correlation. Results: The results of univariate analysis showed that the mental toughness of patients with traumatic fracture was related to age, gender, trauma severity and personality(all P＜0.05). Multiple stepwise regression analysis showed that gender, age, trauma severity and personality were the influencing factors of CD-RISC score in patients with traumatic fracture (all P＜0.05). The scores of C-PTGI each dimension (relationship with others, new possibility, personal strength, spiritual change and appreciation of life) and total score in group A were higher than those in group B (all P＜0.05). Pearson correlation analysis showed that there were positive correlation between CD-RISC score, C-PTGI score and C-PTGI total score in patients with traumatic fracture (all P＜0.05). Conclusion: The influencing factors of mental toughness in patients with traumatic fracture include age, gender, trauma severity and personality, and mental toughness is closely related to post-traumatic growth. |
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