中国护理管理
中國護理管理
중국호리관리
CHINESE NURSING MANAGEMENT
2015年
5期
544-547
,共4页
陈建芳%王回飞%陈巧红%张珍燕%戴秋丽%陈秀丽
陳建芳%王迴飛%陳巧紅%張珍燕%戴鞦麗%陳秀麗
진건방%왕회비%진교홍%장진연%대추려%진수려
社会关系%质量评价%韧性%脑外伤%外伤性脑损伤
社會關繫%質量評價%韌性%腦外傷%外傷性腦損傷
사회관계%질량평개%인성%뇌외상%외상성뇌손상
social networking%social support%resilience,psychological%brain injuries
目的：了解脑外伤患者社会关系质量和韧性现状，探讨社会关系质量对其韧性的影响，为改善脑外伤患者韧性提供参考。方法：采用社会关系质量量表和中文版CD-RISC韧性量表对238例脑外伤患者进行问卷调查，采用单因素分析和分层回归分析相结合方法探讨社会关系质量对韧性的影响。结果：脑外伤患者韧性和社会关系质量的总分分别为（63.61±12.89）分和（51.21±5.62)分。Pearson相关分析提示，社会关系质量总分、家庭亲密度、家庭承担、朋友关系与韧性总分、坚韧性、力量和乐观均呈正相关(P<0.05)；年龄、改良Barthel指数和Fugl-Meyer运动功能评分与韧性总分呈正相关（r=0.302，0.365，0.346，P<0.05），家庭收入与韧性呈负相关（r=-0.312，P<0.05）。不同性别、付款方式组韧性评分比较，差异有统计学意义（P<0.05）。分层回归分析结果显示，社会关系质量可解释脑外伤患者韧性总变异的22.7%（P<0.05）。结论：脑外伤患者韧性处于中等水平，社会关系质量为其韧性的影响因素，可从社会关系质量入手来改善其韧性水平。
目的：瞭解腦外傷患者社會關繫質量和韌性現狀，探討社會關繫質量對其韌性的影響，為改善腦外傷患者韌性提供參攷。方法：採用社會關繫質量量錶和中文版CD-RISC韌性量錶對238例腦外傷患者進行問捲調查，採用單因素分析和分層迴歸分析相結閤方法探討社會關繫質量對韌性的影響。結果：腦外傷患者韌性和社會關繫質量的總分分彆為（63.61±12.89）分和（51.21±5.62)分。Pearson相關分析提示，社會關繫質量總分、傢庭親密度、傢庭承擔、朋友關繫與韌性總分、堅韌性、力量和樂觀均呈正相關(P<0.05)；年齡、改良Barthel指數和Fugl-Meyer運動功能評分與韌性總分呈正相關（r=0.302，0.365，0.346，P<0.05），傢庭收入與韌性呈負相關（r=-0.312，P<0.05）。不同性彆、付款方式組韌性評分比較，差異有統計學意義（P<0.05）。分層迴歸分析結果顯示，社會關繫質量可解釋腦外傷患者韌性總變異的22.7%（P<0.05）。結論：腦外傷患者韌性處于中等水平，社會關繫質量為其韌性的影響因素，可從社會關繫質量入手來改善其韌性水平。
목적：료해뇌외상환자사회관계질량화인성현상，탐토사회관계질량대기인성적영향，위개선뇌외상환자인성제공삼고。방법：채용사회관계질량량표화중문판CD-RISC인성량표대238례뇌외상환자진행문권조사，채용단인소분석화분층회귀분석상결합방법탐토사회관계질량대인성적영향。결과：뇌외상환자인성화사회관계질량적총분분별위（63.61±12.89）분화（51.21±5.62)분。Pearson상관분석제시，사회관계질량총분、가정친밀도、가정승담、붕우관계여인성총분、견인성、역량화악관균정정상관(P<0.05)；년령、개량Barthel지수화Fugl-Meyer운동공능평분여인성총분정정상관（r=0.302，0.365，0.346，P<0.05），가정수입여인성정부상관（r=-0.312，P<0.05）。불동성별、부관방식조인성평분비교，차이유통계학의의（P<0.05）。분층회귀분석결과현시，사회관계질량가해석뇌외상환자인성총변이적22.7%（P<0.05）。결론：뇌외상환자인성처우중등수평，사회관계질량위기인성적영향인소，가종사회관계질량입수래개선기인성수평。
Objective:To investigate the social relational quality and resilience level in traumatic brain injury patients, and explore the effect of social relational quality on resilience, so as to provide a new perspective to improve the resilience level. Methods:238 brain injury patients were surveyed using Social Relational Quality Scale and Connor-Davidson Resilience Scale (CD-RISC). The single factor analysis and hierarchical regression analysis were used in conjunction to explore the effect of social relational quality on resilience in traumatic injury patients. Results:The total score of social relational quality and resilience level were respectively (63.61±12.89) and (51.21±5.62). The total score of social relational quality, family cohesion, family commitment, and friendship were positively correlated with the total score of resilience, tenacity, strength and optimism (P<0.05);Age, modiifed barthel index and Fuglmeyer motor function score were positively correlated with the total score of resilience (r=0.302, 0.365, 0.346, P<0.05), and the family income was negatively correlated with the total score of resilience (r=-0.312, P<0.05). Thereissigniifcant difference of the total score of resilience among the brain injury patients with different sex and mode of payment (P<0.05). Hierarchical regression analysis showed that the social relational quality could explained 22.7%of the total variance of the resilience level in brain injury patients (P<0.05). Conclusions:The level of resilience was in the middle in brain injury patients, and social relational quality was its inlfuencing factor, the nursing staff could start from the social relational quality to improve the level of resilience.
