The Mediating Effect of Psychological Resilience Between Self-efficacy and Readiness for Hospital Discharge in Patients After Biliary Tract Surgery
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.
Biliary tract surgeryReadiness for hospital dischargePsychological resilienceSelf-efficacyMediating effect
万方数据
维普
