[1]潘晶雪,虞正红,计顺意.胆道外科术后患者心理弹性在自我效能与出院准备度间的中介作用[J].医学信息,2024,37(08):88-94.[doi:10.3969/j.issn.1006-1959.2024.08.017]
　PAN Jing-xue,YU Zheng-hong,JI Shun-yi.The Mediating Effect of Psychological Resilience Between Self-efficacy and Readiness for Hospital Discharge in Patients After Biliary Tract Surgery[J].Journal of Medical Information,2024,37(08):88-94.[doi:10.3969/j.issn.1006-1959.2024.08.017]
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胆道外科术后患者心理弹性在自我效能与出院准备度间的中介作用()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年08期
页码:
88-94
栏目:
论著
出版日期:
2024-04-15

文章信息/Info

Title:
The Mediating Effect of Psychological Resilience Between Self-efficacy and Readiness for Hospital Discharge in Patients After Biliary Tract Surgery
文章编号:
1006-1959（2024）08-0088-07
作者:
潘晶雪; 虞正红; 计顺意
（复旦大学附属中山医院普外科，上海 200032）
Author(s):
PAN Jing-xue; YU Zheng-hong; JI Shun-yi
(Department of General Surgery,Zhongshan Hospital of Fudan University,Shanghai 200032,China）
关键词:
胆道外科手术; 出院准备度; 心理弹性; 自我效能; 中介效应
Keywords:
Biliary tract surgery; Readiness for hospital discharge; Psychological resilience; Self-efficacy; Mediating effect
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2024.08.017
文献标志码:
A
摘要:
目的 探讨胆道外科术后患者心理弹性、自我效能对出院准备度的影响，分析心理弹性在自我效能与出院准备度间的中介作用。方法 本研究为横断面研究，采用便利抽样法，选取2021年10月-2022年6月上海市某三级甲等医院的156例胆道外科术后患者，以自行编制的一般人口学和疾病相关资料、心理弹性量表、自我效能量表和出院准备度量表于出院前4 h对患者进行调查。采用 Pearson相关分析探讨各变量间的相关性；采用SPSS的Process插件进行中介效应分析。结果 共发放问卷156份，回收有效问卷149份，问卷有效率为95.51%。调查患者年龄为16~85岁，平均（58.85±14.35）岁，其中男67例（44.97%），女82例（55.03%）。婚姻状况、文化程度、现居住地离医院距离远近对胆道外科术后患者心理弹性得分有影响（P＜0.05）。胆道外科术后患者出院准备度为（165.51±34.85）分，心理弹性为（70.40±16.01）分，自我效能为（27.93±5.88）分。胆道外科术后患者自我效能与心理弹性呈正相关（r=0.575），心理弹性与出院准备度呈正相关（r=0.556），自我效能和出院准备度呈正相关（r=0.362）。多元逐步回归分析显示，出院带管数量、心理弹性进入回归模型，以上2个自变量可解释胆道外科术后患者出院准备度总变异的41.00%。路径分析表明，心理弹性在自我效能与出院准备度间起到完全中介作用，中介效应占总效应的82.77%。结论 胆道外科术后术后患者出院准备度处于较高水平，自我效能对出院准备度的影响是通过心理弹性来实现的，自我效能在影响患者出院准备度过程中，心理弹性起到了完全中介作用。应制定相应的干预措施提高胆道外科术后患者心理弹性，进而提高其出院准备度。
Abstract:
Objective To explore the influence of psychological resilience and self-efficacy on readiness for hospital discharge in patients after biliary surgery, and to analyze the mediating effect of psychological resilience between self-efficacy and readiness for hospital discharge.Methods This study was a cross-sectional study. A total of 156 patients after biliary tract surgery in a tertiary hospital in Shanghai from October 2021 to June 2022 were selected by convenient sampling method. The patients were investigated with self-made general demographic and disease-related data, psychological resilience scale, self-efficacy scale and readiness for hospital discharge scale at 4 hours before discharge. Pearson correlation analysis was used to explore the correlation between variables. The Process plug-in of SPSS was used to analyze the mediating effect.Results A total of 156 questionnaires were distributed and 149 valid questionnaires were collected, with an effective rate of 95.51%. The age of the patients was 16-85 years old, with an average of (58.85±14.35)years old, including 67 males (44.97%) and 82 females (55.03%). Marital status, education level, and distance from the hospital to the current place of residence had an impact on the psychological resilience scores of patients after biliary surgery (P<0.05). The readiness for hospital discharge of patients after biliary surgery was (165.51±34.85)scores, the psychological resilience was (70.40±16.01)scores, and the self-efficacy was (27.93±5.88)scores. Self-efficacy was positively correlated with resilience (r=0.575), resilience was positively correlated with readiness for hospital discharge (r=0.556), and self-efficacy was positively correlated with readiness for hospital discharge (r=0.362). Multiple stepwise regression analysis showed that the number of discharged tubes and psychological resilience entered the regression model, and the above two independent variables could explain 41.00% of the total variation of discharge readiness of patients after biliary surgery. Path analysis showed that psychological resilience played a complete mediating role between self-efficacy and discharge readiness, and the mediating effect accounted for 82.77%.Conclusion The readiness for hospital discharge of patients after biliary surgery is at a high level. The influence of self-efficacy on readiness for hospital discharge is achieved through psychological resilience. Psychological resilience plays a complete mediating role in the process of self-efficacy affecting patients’ readiness for hospital discharge. It should formulate corresponding intervention measures to improve the psychological resilience of patients after biliary surgery, so as to improve their readiness for hospital discharge.

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更新日期/Last Update: 1900-01-01