[1]刘艳,孙雯敏,何国军,等.心理弹性在癫痫患者病耻感与生活质量间的中介作用[J].军事护理,2021,38(07):29-32.[doi:10.3969/j.issn.1008-9993.2021.07.007]
 LIU Yan,SUN Wenmin,HE Guojun,et al.Mediating Role of Psychological Resilience between Stigma and Quality of Life in Patients with Epilepsy[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(07):29-32.[doi:10.3969/j.issn.1008-9993.2021.07.007]
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心理弹性在癫痫患者病耻感与生活质量间的中介作用
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年07期
页码:
29-32
栏目:
论著
出版日期:
2021-07-15

文章信息/Info

Title:
Mediating Role of Psychological Resilience between Stigma and Quality of Life in Patients with Epilepsy
文章编号:
1008-9993(2021)07-0029-04
作者:
刘艳1孙雯敏2何国军1朱娟3
(1.盐城市第一人民医院 神经内科,江苏 盐城 224000; 2.盐城市第一人民医院 护理部; 3.江苏医药职业学院 护理学院,江苏 盐城 224000)
Author(s):
LIU Yan1SUN Wenmin2HE Guojun1ZHU Juan3
(1.Department of Neurology,Yancheng No.1 People's Hospital,Yancheng,224000,Jiangsu Province,China; 2.Department of Nursing,Yancheng No.1 People's Hospital; 3.School of Nursing,Jiangsu Vocational College of Medicine,Yancheng,224000,Jiangsu Province,China)
关键词:
癫痫 病耻感 心理弹性 生活质量 中介作用
Keywords:
epilepsy stigma psychological resilience quality of life mediating role
分类号:
R471
DOI:
10.3969/j.issn.1008-9993.2021.07.007
文献标志码:
A
摘要:
目的 探讨心理弹性在癫痫患者病耻感和生活质量间的中介作用。方法 采取便利抽样的方法,选取2019年1月至2020年10月于江苏省盐城市某三级甲等医院神经内科住院治疗的290例癫痫患者作为研究对象,采用一般资料调查表、Kilifi癫痫患者羞耻感量表(Kilifi stigma scale for epilepsy,KSSE)、心理弹性量表(Connor-Davidson resilience scale,CD-RISC)及癫痫患者生活质量量表31项(quality of life in epilepsy inventory-31 scale,QOLIE-31)对其进行调查。结果 癫痫患者病耻感得分为(11.32±2.84)分、心理弹性得分为(50.56±5.46)分、生活质量得分为(40.24±6.02)分; 病耻感与生活质量、心理弹性呈负相关(r=-0.361,P<0.01; r=-0.297,P<0.01),心理弹性与生活质量呈正相关(r=0.345,P<0.01); 心理弹性在病耻感与生活质量间起到中介作用,中介效应占总效应的25.4%。结论 癫痫患者病耻感和心理弹性可预测其生活质量,较高水平的病耻感可降低患者的生活质量,可通过提高患者心理弹性水平的间接作用改善其生活质量。临床护理工作者应对癫痫患者给予更多的心理照护,加强患者坚韧、自强和乐观性格的培养。
Abstract:
Objective To explore the relationship among psychological resilience,stigma and quality of life in patients with epilepsy.Methods By convenience sampling method, a total of 290 epileptic patients who were hospitalized in the Department of Neurology,a tertiary hospital in Yancheng,Jiangsu Province from January 2019 to October 2020 were selected as the research objects.The general information questionnaire,Kilifi Stigma Scale for Epilepsy,Connor-Davidson Resilience Scale and quality of life in epilepsy inventory-31 scale were used for investigation.Results The scores of stigma,resilience and quality of life were(11.32±2.84),(50.56 ± 5.46)and(40.24 ± 6.02),respectively; there were negative correlations among stigma,quality of life and resilience(r=-0.361,P<0.01; r=-0.297,P<0.01),and there was a positive correlation between resilience and quality of life(r=0.345,P<0.01). Resilience played a mediating role between stigma and quality of life, accounting for 25.4% of the total effect. Conclusions The stigma and resilience of epilepsy patients can predict their quality of life,higher level of stigma can reduce the quality of life of patients,and their quality of life can be improved through the indirect effect of improving the level of resilience.Clinical nurses should give more psychological care to patients with epilepsy,strengthen the exercise of patient's tenacity,self-improvement and optimistic character.

参考文献/References:

[1] KARIKARI T K,CHARWAY-FELLI A,HOGLUND K,et al.Commentary:global, regional, and national burden of neurological disorders during 1990-2015:a systematic analysis for the global burden of disease study 2015[J].Front Neurol,2018,9(3):201-204.
[2] 张咪.癫痫患者对癫痫知晓程度及精神共患病与生活质量的研究[D].西安:西安医学院,2020.
[3] 宋杰,李真,许阳,等.癫痫患者羞耻感现状调查及影响因素分析[J].中华护理杂志,2016,51(1):40-44.
[4] GHANEAN H,JACOBSSON L,NOJOMY M.Self-perception of stigma in persons with epilepsy in Tehran, Iran[J].Epilepsy Behav,2013,28(2):163-167.
[5] BAKER D,ECCLES F J R,CASWELLl H L.Correlates of stigma in adults with epilepsy:asystematic review of quantitative studies[J].Epilepsy Behav,2018,83(6):67-80.
[6] STEWART D E,YUEN T.A systematic review of resilience in the physically ill[J].Psychosomatics,2011,52(3):199-209.
[7] 刘欢,李成媛,黄辉,等.造血干细胞移植术后患者疲乏、心理弹性与抑郁的相关性[J].解放军护理杂志,2020,37(11):47-50,58.
[8] BOLTON K W,PRAETORIUS R T,SMITH-OSBORNE A.Resilience protective factors in an older adult population:a qualitative interpretive metasynthesis[J].Soc Work Res,2016,40(3):171-182.
[9] 董佳,周郁秋,孙玉静.青年精神分裂症病人病耻感与自尊、心理弹性相关性及其影响因素[J].护理研究,2018,32(20):3189-3192.
[10]MBUBA C K,ABUBAKAR A,ODERMATT P,et al.Development and validation of the kilifi stigma scale for epilepsy in Kenya[J].Epilepsy Behav,2012,24(1):81-85.
[11]CONNOR K M,DAVIDSON J R.Development of a new resilience scale:the Connor-Davidson resilience scale(CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.
[12]YU X N,ZHANG J X.Factors analysis and psychometric evaluation of the Connor-Davidson resilience scale(CD-RISC)with Chinese people[J].Soc Behav Personal,2007,35(1):19-30.
[13]HU Y,GUO Y,WANG Y Q,et al.Reliability and validity of a Chinese version of the quality of life in epilepsy inventory(QOLIE-31-P)[J].J Zhejiang Univ-SC A,2009,38(6):605-610.
[14]ADJEI P,NKROMAH K,AKPALU A,et al.A cross-sectional comparative study of perceived stigma between patients with epilepsy and patients living with HIV/AIDS in Accra, Ghana[J].Epilepsy Behav,2018,89(12):1-7.
[15]朱雪瑞.照料者焦虑抑郁与成人癫痫患者焦虑抑郁及生活质量之间的相关性分析[D].郑州:郑州大学,2019.
[16]任雅欣,周英,黄美凌,等.护士心理弹性状况及其影响因素[J].中华行为医学与脑科学杂志,2014,23(3):258-260.
(本文编辑:沈园园)

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-03-26 【 修回日期 】 2021-06-27
【 基金项目 】 江苏省高职院校青年教师企业实践项目(苏高职培函[2020]11号95); 江苏省盐城市创新团队项目(盐卫科教[2017]18号17)
【 作者简介 】 刘艳,本科,主管护师,从事神经内科相关疾病护理及护理管理工作
【 通信作者 】 孙雯敏,电话:0515-88592872
更新日期/Last Update: 2021-07-15