养老机构膝骨关节炎患者的心理弹性状况及影响因素

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摘要目的了解养老机构膝骨关节炎（KOA）患者的心理弹性状况并分析其影响因素。方法采用便利抽样法，选取2018年3～7月太原市两所条件与规模相当的养老机构中150例KOA患者作为研究对象。采用心理弹性量表（CD-RISC）、简明疼痛量表（BPI）、疼痛自我效能问卷（PSEQ）、老年抑郁量表和自行设计的一般资料调查问卷对其进行调查。结果共收回有效问卷142份，有效回收率为94.67%。养老机构KOA患者的心理弹性总分为（60.62±12.65）分，低于常模（65.40±13.90）分（P＜0.05）；疼痛自我效能得分为（36.66±10.91）分，其与养老机构 KOA 患者的心理弹性（r=0.875，P＜0.001）及坚韧（r=0.804，P＜0.001）、自强（r=0.779，P＜0.001 ）、乐观（r=0.394，P＜0.001）三个维度得分均成显著正相关；婚姻状况、文化程度、子女数、亲友看望老人频率、情绪状态及疼痛自我效能是养老机构KOA患者心理弹性的影响因素（P＜0.05），共解释其心理弹性79.7%的变异。结论养老机构KOA患者的心理弹性水平总体偏低，其婚姻状况、文化程度、子女数、亲友看望老人频率、情绪状态、疼痛自我效能是影响其心理弹性水平的重要因素。养老机构的医护人员应重视KOA患者的心理问题，进行针对性的心理干预和支持，提高KOA患者的心理弹性水平。

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	李帅妙
	杨支兰
	许娟

关键词 ：养老机构, 膝骨关节炎, 心理弹性

Abstract：Objective To investigate the psychological relasticity of knee osteoarthritis patients in old age institutions and its influence factors.Methods Convenience sampling method was used,150 KOA patients from two pension institutions which the same size and condition in Taiyuan,Shanxi were selected as the subjects from March to July 2018.Psycho-elasticity scale（CD-RISC）,concise pain scale(BPI),pain self-efficacy questionnaire(PSEQ),geriatric depression scale and self-designed general information questionnaire were used to investigate them.Results A total of 142 valid questionnaires were collected,with an effective recovery rate of 94.67%.The total score of KOA elderly people was(60.62±12.65)points.It was lower than the norm(65.40±13.90)points(P＜0.05).Pain self-efficacy score was(36.66±10.91)points.It was positively correlated with psychological resilience(r=0.875,P＜0.001)and toughness(r=0.804,P＜0.001),self-reliance(r=0.779,P＜0.001),optimism(r=0.394,P＜0.001)of KOA patients in.old age institutions Number of children,the frequency of visiting the elderly to relatives and friends,emotional state and pain self-efficacy were the influencing factors of psychological resilience of KOA patients (P＜0.05),which explained 79.7%of the variation of psychological resilience.Conclusion Medical staff in old-age institutions should pay attention to the psychological problems of KOA patients,and carry out targeted psychological intervention and support,so as to improve the psychological resilience level of KOA patients.

Key words： Pension institution Knee osteoarthritis Psychological resilience

基金资助:山西省中医药管理局科研课题（2016zyyc09）

作者简介: 李帅妙（1991-），女，2016 级在读硕士研究生，护师，研究方向：老年护理

引用本文:

李帅妙;杨支兰;许娟. 养老机构膝骨关节炎患者的心理弹性状况及影响因素[J]. 中国当代医药, 2019, 26(5): 191-195.
LI Shuai-miao;YANG Zhi-lan; XU Juan. Psychological relasticity of knee osteoarthritis patients in old age institutions and its influence factors. 中国当代医药, 2019, 26(5): 191-195.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2019/V26/I5/191

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