摘要
目的旨在分析心理复原力对青年神经根型颈椎病患者术后自我效能和自我管理的影响。方法选取石家庄市3家医院骨科于2015年1月—2017年12月行非连续椎体全切除减压术青年神经根型颈椎病患者128例作为研究对象。调查自我效能、自我管理和心理复原力3者间关系。结果青年神经根型颈椎病患者生活自我效能得分为41.59±3.15,自我管理得分为52.62±3.18,心理复原力得分为66.73±8.92。青年神经根型颈椎病患者自我效能和自我管理呈显著正相关(r=0.460,P<0.01),心理复原力和自我管理呈显著正相关(r=0.371,P<0.01),心理复原力和自我效能呈显著正相关(r=0.386,P<0.01)。心理复原力在青年神经根型颈椎病患者术后自我效能与自我管理间呈显著部分中介效应(β=0.605,P<0.01)。AMOS模型方程拟合结果可得,术后自我效能对自我管理的直接效应为1.33,总效应为1.89;自我效应对心理复原力的直接效应为1.47;心理复原力对自我管理直接效应为0.38;心理复原力在自我效应和自我管理间的间接效应为0.56,约占总效应的29.63%。结论青年神经根型颈椎病患者心理复原力和术后自我效能可以影响自我管理,而心理复原力对自我效能和自我管理间的关系起着显著的间接促进作用。
[Objective]To analyze the effect of psychological resilience on postoperative self-efficacy and self-management in young patients with cervical spondylotic radicular disease. [Methods] A total of 128 young patients with cervical spondylotic radicular disease,who were treated with discontinuous vertebral body resection in the orthopedics department of three hospitals in Shijiazhuang from January 2015 to December 2010,were selected as the research object,to analyze the relationship among selfefficacy, self-management and psychological resilience. [Results]Among young patients with cervical spondylotic radicular disease,the score of self-efficacy,self-management and psychological resilience was 41.59 ±3.15,52.62 ±3.18 and 66.73 ±8.92, respectively. There was a significant positive correlation between self-efficacy and self-management in young patients with radicular cervical spondylosis(r=0.460,P<0.01),there was a significant positive correlation between psychological resilience and self-management(r=0.371,P<0.01),and there was a significant positive correlation between psychological resilience and selfefficacy( r=0.386,P<0.01). The psychological resilience had a partial mediation effect between self-efficacy and self-management among young patients with cervical spondylotic radicular disease (β=0.605,P<0.01). Fitting results of AMOS model equation showed that the direct effect of self-efficacy on self-management was 1.33,the total effect was 1.89,the direct effect of self-efficacy on psychological resilience was 1.47,the direct effect of psychological resilience to self-management was 0.38,and the indirect effect of psychological resilience between self-efficacy and self-management 0.56,accounting for 29.63% of the total effect. [Conclusion]The psychological resilience and postoperative self-efficacy of the patients with radicular cervical spondylosis can affect self-management,while psychological resilience plays a significant indirect role in promoting the relationship between selfefficacy and self-management.
作者
王晓静
张然
李莉
底超
WANG Xiao-jing;ZHAHG Ran;LI Li;DI Chao(Department of Orthopedics ,First Hospital of Shijiazhuang,Shijiazhuang Hebei,050011,China)
出处
《职业与健康》
CAS
2018年第24期3379-3384,共6页
Occupation and Health
基金
河北省卫生厅科研基金重点研究计划(20160797)
关键词
心理复原力
神经根型颈椎病
青年患者
自我效能
自我管理
Psychological resilience
Cervical spondylotic radicular disease
Young patients
Self-efficacy
Self-management
