[1]尹希,常菲,徐欢,等.应对方式在手部烧伤患者烧伤结局与伤残接受度间的中介效应[J].军事护理,2023,40(05):54-57.[doi:10.3969/j.issn.2097-1826.2023.05.013]
　YIN Xi,CHANG Fei,XU Huan,et al.Mediating Effect of Coping Styles between Burn Outcomes and Acceptance of Disability among Patients with Burnt Hands[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(05):54-57.[doi:10.3969/j.issn.2097-1826.2023.05.013]
点击复制

应对方式在手部烧伤患者烧伤结局与伤残接受度间的中介效应
分享到：

《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年05期
页码:
54-57
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Mediating Effect of Coping Styles between Burn Outcomes and Acceptance of Disability among Patients with Burnt Hands
文章编号:
2097-1826(2023)05-0054-04
作者:
尹希1; 常菲1; 徐欢1; 邵丽佳1; 李佳1; 李金1; 曹洁1; 周萍2
(1.张家港市第一人民医院 苏州大学附属张家港医院 烧伤整形科,江苏 苏州 215600; 2.张家港市第一人民医院苏州大学附属张家港医院 护理部)
Author(s):
YIN Xi1; CHANG Fei1; XU Huan1; SHAO Lijia1; LI Jia1; LI Jin1; CAO Jie1; ZHOU Ping2
(1.Department of Burns and Plastic Surgery,Zhangjiagang First People's Hospital/Zhangjiagang Hospital Affiliated to Soochow University,Suzhou 215600,Jiangsu Province,China; 2.Department of Nursing,Zhangjiagang First People's Hospital/Zhangjiagang Hospital Affiliated to Soochow University)
关键词:
手部烧伤结局;  伤残接受度;  应对方式;  中介效应
Keywords:
burnt hand outcome;  acceptance of disability;  coping style;  mediating effect
分类号:
R49
DOI:
10.3969/j.issn.2097-1826.2023.05.013
文献标志码:
A
摘要:
目的 探讨应对方式在手部烧伤患者烧伤结局与伤残接受度之间的中介效应。方法 采用方便抽样法选择苏州市某三甲医院2021年4月至2022年6月收治的156例手部烧伤患者为调查对象,采用医学应对方式问卷、伤残接受度量表、中文版手部烧伤结局评估工具对其进行评分。结果(1)3种应对方式与伤残接受度的相关性:面对(r=0.661)呈正相关,回避(r=-0.442)呈负相关,屈服(r=-0.621)呈负相关(均P<0.01)。(2)结构方程模型显示3种应对方式对伤残接受度的预测:面对为直接正向预测(β=0.072)、回避与屈服为直接负向预测(β=-0.081、β=-0.115)(均P<0.01); 手部烧伤结局通过应对方式对伤残接受度发挥间接效应(总中介效应=0.046,直接效应=0.160,总效应=0.206,中介效应占比22.33%,P<0.05)。结论 手部烧伤结局可通过应对方式影响患者的伤残接受度,其中面对起正向作用,屈服、回避均起负向作用; 建议采用多种干预措施减少患者有关屈服及回避的负向应对,提高其对手部伤残的接受度。
Abstract:
Objective To explore the mediating effect of coping styles between burn outcomes and acceptance of disability among patients with burnt hands.Methods Convenient sampling was used to select 156 patients with burnt hands from a tertiary hospital in Suzhou City from April,2021 to June,2022.The Medical Coping Modes Questionnaire,Acceptance of Disability Scale,and Chinese Version-Burnt Hand Outcome Tool were used for scoring.Results Acceptance of disability was positively correlated with confrontation(r=0.661),and negatively correlated with avoidance(r=-0.442)and yielding(r=-0.621)(all P<0.01).Structural equation model showed that confrontation directly and positively predicted acceptance of disability(β=0.072),avoidance and yielding directly and negatively predicted acceptance of disability(β=-0.081,β=-0.115)(all P<0.01).The burnt hand outcome exerted an indirect effect on acceptance of disability through coping styles(total mediating effect=0.046,direct effect=0.160,total effect=0.206,mediating effect accounting for 22.33% of total effect,P<0.05).Conclusions The burnt hand outcome can affect the patients' acceptance of disability through coping styles,in which confrontation plays a positive role,and yielding and avoidance play negative roles.It is suggested to adopt various intervention measures to reduce negative coping styles of yielding and avoidance,so as to improve their acceptance of hand disability.

参考文献/References:

[1] KAMOLZ L P,KITZINGER H B,KARLE B,et a1.The treatment of hand burns[J].Burns,2009,35(3):327-337.
[2] 张盼盼,张士庚,张爱华.烧伤患者的心理弹性及伤残接受度对其生命质量的影响[J].中国实用护理杂志,2020(10):778-784.
[3] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,4(4):378-380.
[4] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2009,9(1):18-20.
[5] LINKOWSKI D C.A scale to measure acceptance of disability[J].Rehabil Couns Bull,1971,14(4):236-244.
[6] GROOMES D A G,LINKOWSKI D C.Examining the structure of the revised acceptance disability scale[J].J Rehabil,2007,73(3):3-9.
[7] 陈妮,程云,孙晓春,等.臂丛神经损伤患者伤残接受度与创伤后应激反应的相关性研究[J].中华护理杂志,2009,44(8):677-680.
[8] BACHE S E,O'Connor E F,DRAKE P J H,et al.Development and validation of the burnt hand outcome tool(BHOT):a patient-led questionnaire for adults with hand burns[J].Burns,2018,44(8):2087-2098.
[9] 张娟,柴雪珺,关立锋,等.手部烧伤结局评估工具的汉化和跨文化调试及信效度检验[J].中华烧伤杂志,2021,37(10):978-986.
[10]张盼盼,张士庚,张爱华.烧伤患者的心理弹性及伤残接受度对其生命质量的影响[J].中国实用护理杂志,2020,36(10):778-784.
[11]李琳,吴晓蕾,许乐.烧伤患者伤残接受度与希望水平现状及其相关性研究[J].中华烧伤杂志,2018,34(7):486-491.
[12]肖克珍,李飞,崔少娟,等.全喉切除术后患者负性情绪与应对方式、社会支持的相关性研究[J].中华现代护理杂志,2019,25(12):1553-1556.
[13]李惠萍,杨娅娟,苏丹,等.应对方式在乳腺癌患者疾病感知和创伤后成长中的中介作用[J].中华行为医学与脑科学杂志,2016,25(8):698-702.
[14]袁玉艳,杨富国,王淑云,等.应对方式在永久性肠造口患者伤残接受度与生活质量间的中介效应[J].护理学杂志,2016,31(14):26-29.
[15]中华医学会烧伤外科学分会,中国医师协会烧伤科医师分会.烧伤康复治疗指南(2013版)[J].中华烧伤杂志,2013,29(6):497-504.
[16]彭缨婷,陈萍,陈晓静.共情护理对手外伤康复患者心理弹性、心理状态及生活质量的影响[J].国际护理学杂志,2022,41(13):2368-2371.
[17]叶圣雅,沈晓红,姜乾金,等.心理社会因素与手术康复的关系(一)临床调查与理论探讨[J].中国行为医学科学,1999(3):41-43.
[18]王金萍,吴颖.理性情绪疗法对胸腹联合创伤患者应对方式的影响[J].中华现代护理杂志,2016,22(5):680-683.

备注/Memo

备注/Memo:
【 收稿日期 】2022-09-10 【 修回日期 】2023-02-07
【 基金项目 】苏州大学附属张家港医院临床科研项目“攀登者”计划(ZJGSYY004)
【 作者简介 】尹希,硕士,主管护师,电话:0512-56919262
【 通信作者 】周萍,电话:0512-56919811
更新日期/Last Update: 2023-05-15