摘要
目的调查髋关节置换患者的正念心理特质、家庭关怀度及康复依从性现状,探讨髋关节置换患者正念心理特质、家庭关怀度与康复依从性间的内在关联,明确正念心理特质的中介效应。方法采用方便抽样法,于2017年7月—2018年6月选择在北京大学深圳医院骨关节科行髋关节置换手术的101例患者,采用五因素正念量表、家庭关怀度量表及康复依从性量表对其进行问卷调查,采用Pearson相关分析对患者康复依从性与家庭关怀度及正念心理特质相关性进行分析,建立假设模型对正念心理特质在患者家庭关怀度与康复依从性间的中介效应进行分析。结果最终收集有效问卷90份。90例髋关节置换患者的五因素正念量表总分为(115.01±8.99)分,家庭关怀度量表总分为(7.27±0.84)分,康复依从性量表总分为(5.27±0.92)分。髋关节置换患者正念心理特质、家庭关怀度与康复依从性呈正相关(r值分别为0.562、0.491;均P<0.01)。构建中介模型显示,家庭关怀度对康复依从性有正向预测作用(P<0.05),正念心理特质对康复依从性有正向预测作用(P<0.05),正念心理特质在髋关节置换患者家庭关怀度与康复依从性间起中介作用。结论本研究中髋关节置换患者的家庭关怀度、正念心理特质及康复依从性均处于中等水平,患者的正念心理特质、家庭关怀度与术后康复依从性均呈正相关,正念心理特质在家庭支持度与康复依从性之间存在中介作用。医护人员可以通过对髋关节置换患者开展正念心理干预,提高家庭关怀度,促进患者康复依从性。
Objective To investigate the status quo of psychological characteristics of mindfulness,family concern and rehabilitation compliance of patients undergoing hip arthroplasty and to explore the internal relationships between psychological characteristics of mindfulness,family concern and rehabilitation compliance of patients undergoing hip arthroplasty in order to clarify the mediating effect of psychological characteristics of mindfulness.Methods Using the convenient sampling method,a total of 101 patients who underwent hip arthroplasty in Department of Orthopedics in Peking University Shenzhen Hospital from July 2017 to June 2018 were selected as research objects.Five Facet Mindfulness Questionnaire(FFMQ),Family Adaptability,Partnership,Growth,Affection,and Resolve(Family APGAR)Index and Rehabilitation Compliance Scale were used to conduct questionnaire surveys.The Pearson correlation analysis were used to analyze the correlations between rehabilitation compliance,family concern and psychological characteristics of mindfulness.Then a hypothetical model was established to analyze the mediating effect of psychological characteristics of mindfulness between family concern and rehabilitation compliance.Results Finally,90 valid questionnaires were collected.The total scores of FFMQ,Family APGAR Index and Rehabilitation Compliance Scale were respectively(115.01±8.99),(7.27±0.84)and(5.27±0.92).The psychological characteristics of mindfulness,family concern and rehabilitation compliance of patients with hip replacement were positively correlated(r=0.562,0.491;P<0.01).The constructed mediation model showed that family concern had a positive predictive effect on rehabilitation compliance(P<0.05),psychological characteristics of mindfulness had a positive predictive effect on rehabilitation compliance(P<0.05),and psychological characteristics of mindfulness played a mediating role between family concern and rehabilitation compliance of patients with hip replacement.Conclusions In this study,family concern,psychological characteristics of mindfulness and rehabilitation compliance of patients with hip replacement are all at a moderate level.Psychological characteristics of mindfulness of patients,family concern and postoperative rehabilitation compliance are positively correlated,and psychological characteristics of mindfulness has a mediating role between family concern and rehabilitation compliance.Medical staff can carry out mindfulness psychological interventions for patients with hip replacement to improve family concern and promote rehabilitation compliance of patients.
作者
刘佩
赵久波
许昌
黎琼
Liu Pei;Zhao Jiubo;Xu Chang;Li Qiong(Department of Orthopedics,Peking University Shenzhen Hospital,Shenzhen 518016,China;School of Psychology,Southern Medical University,Guangzhou 510522,China;Department of Medical Affairs,Peking University Shenzhen Hospital,Shenzhen 518016,China;Department of Orthopedics,Shenzhen University General Hospital,Shenzhen 518000,China)
出处
《中华现代护理杂志》
2021年第3期316-322,共7页
Chinese Journal of Modern Nursing
基金
深圳市医疗卫生三名工程项目(SZSM201612092)。
关键词
关节成形术
置换
髋
横断面研究
正念心理特质
家庭关怀度
康复依从性
中介作用
Arthroplasty,replacement,hip
Cross-sectional study
Psychological characteristics of mindfulness
Family concern
Rehabilitation compliance
Mediating effect
