社会支持和心理资本对老年膝骨关节炎患者自我感受负担的影响
| 作者: |
1陆映霞,
1伍微,
1王冬儿,
1周彩柳
1 佛山市中医院骨科，广东 佛山 528000 |
| 通讯: |
陆映霞
Email: luuyinxia@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2017.06.029 |
摘要
目的：探讨社会支持和心理资本对老年膝骨关节炎(knee osteoarthritis，KOA)患者自我感受负担的影响，并分析其影响路径。方法：采用社会支持评定量表(social support rating scale，SSRS)、心理资本量表(psychological capital questionnaire，PCQ)和自我感受负担量表(self-perceived burden scale，SBPS)对佛山市中医院就诊的383名老年KOA患者进行调查。结果：本组自我感受负担得分为33.82±9.13，处于中等水平；多元逐步回归分析结果显示社会支持与心理资本的自我效能、坚韧顽强、感恩奉献维度共可解释自我感受负担65.3%的方差变异量；进一步路径分析可知，社会支持对自我感受负担既有直接影响又有间接影响，自我效能、坚韧顽强、感恩奉献维度对自我感受负担具有直接影响。结论：老年KOA患者自我感受负担相对严重，护理人员可通过提升患者的社会支持和心理资本，以降低患者的自我感受负担水平，提高患者的心理健康水平。
关键词：
老年
膝骨关节炎
自我感受负担
社会支持
心理资本
Effect of social support and psychological capital on self-perceived burden of senior knee osteoarthritis patients
CorrespondingAuthor: LU Yingxia Email: luuyinxia@126.com
DOI: 10.3978/j.issn.2095-6959.2017.06.029
Abstract
Objective: To discuss the influence of social support and psychological capital on the self-perceived burden of senior knee osteoarthritis (KOA) patients, and to analyze the influence path. Methods: social support rating scale (SSRS), psychological capital questionnaire (PCQ) and self-perceived burden scale (SBPS) were adopted to research on 383 senior KOA patients accepting treatment in Foshan Hospital of Chinese Traditional Medicine. Results: The self-perceived burden score of this group was (33.82±9.13), which was in the medium level. As indicated by the results of multiple stepwise regression analysis, self-efficacy, tenacity and gratitude & contribution of social support and psychological capital could explain 65.3% of variance variation amount of self-perceived burden. As indicated by further path analysis, social support had both direct influence and indirect influence on self-perceived burden; self-efficacy, tenacity and gratitude & contribution had direct influence on self-perceived burden. Conclusion: Self-perceived burden of senior KOA patients is relatively severe. The nurses can improve the social support and psychological capital of the patients to lower their self-perceived burden level and improve their psychological health level.