全膝关节置换术患者术前心理一致感现状及其影响因素分析
Current status and influencing factors of preoperative psychological consistency in patients undergoing total knee arthroplasty
李亚可 1苏晴晴 2李琪 2吕静 1李海燕2
作者信息
- 1. 青岛大学护理学院,山东青岛 266000
- 2. 青岛大学附属医院关节外科,山东青岛 266000
- 折叠
摘要
目的:探讨全膝关节置换术(TKA)患者术前心理一致感现状及其影响因素.方法:选取2023年3-10月在青岛市某三甲医院关节外科住院的217例TKA患者为研究对象.采用一般情况调查表、心理一致感量表、美国特种外科医院膝关节功能评分、中国大五人格问卷简版、领悟社会支持量表、医学应对方式问卷对TKA患者进行调查,并分析术前心理一致感的影响因素.结果:TKA患者术前心理一致感得分为(56.73±9.35)分.多元线性回归分析结果显示,文化程度、神经质人格、领悟社会支持和屈服应对是TKA患者术前心理一致感水平的影响因素(P＜0.05).结论:TKA患者术前心理一致感水平较低,临床应加强对TKA患者心理一致感的关注,提高患者的社会支持水平,避免消极应对方式,从而提高其生活质量和满意度.
Abstract
Objective:To explore the current status and influencing factors of preoperative psychological consistency in patients undergoing total knee arthroplasty(TKA).Methods:217 TKA patients hospitalized in the Department of Joint Surgery of a 3A hospital in Qingdao from March to October 2023 were selected as the study subjects.A survey was conducted on TKA patients using general situation questionnaire,psychological consistency scale-13,hospital for special surgery knee score,simplified version of the Chinese Big Five personality questionnaire,perceived social support scale,and medical coping style questionnaire.The influencing factors of preoperative psychological consistency were analyzed.Results:The preoperative psychological consistency score of TKA patients was(56.73±9.35)points.The results of multiple linear regression analysis showed that educational level,neurotic personality,perceived social support,and coping strategies were the influencing factors of preoperative psychological consistency level in TKA patients(P＜0.05).Conclusion:TKA patients have a low level of preoperative psychological consistency,and clinical attention should be paid to the psychological consistency to improve their social support level,avoid negative coping styles,and thus improve their quality of life and satisfaction.
关键词
全膝关节置换术/心理一致感/影响因素Key words
total knee arthroplasty/psychological consistency/influencing factors引用本文复制引用
基金项目
青岛市2021医药卫生科研计划(2021-WJZD182)
出版年
2024
NETL
NSTL
万方数据