CAJ | 학술논문

目的：了解脑外伤康复治疗患者韧性水平和应对疲惫现状，探讨两者的相关性，为改善脑外伤患者应对疲惫提供参考。方法：采用中文版CD－RISC韧性量表和简明疲惫评估量表对220例脑外伤患者进行问卷调查，采用pearson相关分析和分层回归分析探讨韧性对脑外伤康复治疗患者应对疲惫的影响。结果：220例脑外伤康复治疗患者韧性总分为（62．57±14．41）；应对疲惫总分为（10．32±2．15），116例处于应对疲惫状态，占52．73％；疲惫组和非疲惫组性别、家庭收入、改良barthel 指数和病程比较，差异均具有统计学意义（均P＜0．05）；疲惫组坚韧性、自强、乐观和韧性总分均显著低于非疲惫组，差异均有统计学意义（P＜0．05）；应对疲惫与坚韧性（r＝－0．412，P＝0．002）、自强（r＝－0．344，P＝0．020）、乐观（r＝－0．353，P＝0．014）和韧性总分（r＝－0．361，P＝0．010）均显著负相关；分层回归分析显示，坚韧性、自强、乐观可联合解释脑外伤康复治疗患者韧性总变异的24．3％。结论：脑外伤患者应对疲惫发生率较高，韧性水平为其影响因素，护士可以此为切入点进行护理干预。
목적：료해뇌외상강복치료환자인성수평화응대피비현상，탐토량자적상관성，위개선뇌외상환자응대피비제공삼고。방법：채용중문판CD－RISC인성량표화간명피비평고량표대220례뇌외상환자진행문권조사，채용pearson상관분석화분층회귀분석탐토인성대뇌외상강복치료환자응대피비적영향。결과：220례뇌외상강복치료환자인성총분위（62．57±14．41）；응대피비총분위（10．32±2．15），116례처우응대피비상태，점52．73％；피비조화비피비조성별、가정수입、개량barthel 지수화병정비교，차이균구유통계학의의（균P＜0．05）；피비조견인성、자강、악관화인성총분균현저저우비피비조，차이균유통계학의의（P＜0．05）；응대피비여견인성（r＝－0．412，P＝0．002）、자강（r＝－0．344，P＝0．020）、악관（r＝－0．353，P＝0．014）화인성총분（r＝－0．361，P＝0．010）균현저부상관；분층회귀분석현시，견인성、자강、악관가연합해석뇌외상강복치료환자인성총변이적24．3％。결론：뇌외상환자응대피비발생솔교고，인성수평위기영향인소，호사가이차위절입점진행호리간예。
Objective: To investigate the resilience level and coping with fatigue in patients with brain injury accepted rehabilitation in some hospital in Zhejiang Province, and analyze the relationship between them, so as to provide a new perspective to improve the coping with fatigue. Methods:220 patients with brain injury were questionnaired by the Connor-Davidson Resilience Scale ( CD-RISC) and the Brief Fatigue As-sessment Scale.The Pearson correlation analysis and hierarchical regression analysis were used to explore the relationship between resilience level and coping with fatigue in brain injury patients accepted rehabilitation.Results:The total scores of resilience and coping with fatigue were respec-tively (62.57 ±14.41)and (10.32 ±2.15) in patients with brain injury accepted rehabilitation, and the incidence of coping with fatigue was 52.73%.There were significant difference of the sex, family income, modified Barthes index and course of disease in the coping with fatigue group and the non-coping with fatigue group (P<0.05);the scores of tenacity, strength, optimism and total score of resilience level in the cop-ing with fatigue group were significantly lower than that in the non-coping with fatigue group (P<0.05);pearson correlation analysis shew that the coping with fatigue was significantly negatively correlated with the tenacity , strength, optimism and total score of resilience level ( r =-0.412, -0.344, -0.353, -0.361, P<0.05);hierarchical regression analysis shew that tenacity, strength, optimism could explained 24. 3% of the total variance of coping with fatigue in brain injury patients accepted rehabilitation (P<0.05).Conclusion: The incidence rate of coping with fatigue in the brain injury patients accepted rehabilitation was in a high level, and the resilience level was its influencing factor, the nursing staff could start from the resilience level to improve the coping with fatigue in patients with brain injury accepted rehabilitation .