摘要
目的探究心理弹性在人工全膝关节置换术后患者自我效能与功能恢复中的中介效应,为促进人工全膝关节置换术后功能恢复提供理论依据。方法采用横断面研究。选择2021年9月至2022年3月在首都医科大学附属北京积水潭医院矫形骨科行人工全膝关节置换术患者250例作为研究对象,采用自制的人口学调查问卷调查患者人口学资料,采用一般自我效能感量表(GSES)、心理弹性量表(CD-RISC)、美国特种外科医院(HSS)膝关节评分评估术后患者自我效能、心理弹性、膝关节功能。结果共回收有效问卷225份。患者GSES、CD-RISC、HSS膝关节评分分别为(26.45±3.75)、(68.01±2.85)、(71.76±4.53)分。心理弹性与自我效能、HSS膝关节评分呈正相关(r=0.535、0.675,均P<0.05),自我效能与HSS膝关节评分呈正相关(r=0.688,P<0.05)。分层回归分析结果表明,自我效能、坚韧、力量、乐观、心理弹性纳入方程,调整R2=0.812,模型拟合良好,通过中介模型显示,心理弹性在自我效能与功能恢复间起部分中介作用,其中介效应占总效应的25.49%。结论人工全膝关节置换术后患者膝关节功能恢复处于中等水平,改善心理弹性及自我效能有望促进关节功能恢复。
Objective To explore the mediating effect of psychological resilience on self-efficacy and knee functional recovery of patients after artificial total knee arthroplasty,and to provide theoretical basis for promoting functional recovery after artificial total knee arthroplasty.Methods This was a cross-sectional survey study.A total of 250 patients undergoing artificial total knee arthroplasty at the Orthopedics Department of Beijing Jishuitan Hospital Affiliated to Capital Medical University were set as the research objects from September 2021 to March 2022,self-designed demographic questionnaire,General Self-Efficacy Scale(GSES),Connor Davidson Resilience Scale(CD-RISC)and Hospital for Special Surgery(HSS)scale were used to evaluate postoperative self-efficacy,psychological reselience and knee function.Results A total of 225 valid questionnaires were recovered.The GSES score,CD-RISC score and knee function score of 225 patients were(26.45±3.75),(68.01±2.85)and(71.76±4.53)points,respectively.Psychological resilience was positively correlated with self-efficacy and knee function score(r=0.535,0.675,both P<0.05),and self-efficacy was positively correlated with knee function score(r=0.688,both P<0.05).Stratified regression analysis in showed that self-efficacy,tenacity,strength,optimism,and psychological resilience were included in the equation,adjusted for R2=0.812,indicating good fit of the model.The mediation model showed that psychological resilience was partially mediated between self-efficacy and functional recovery,with its mediation effects accounting for 25.49%of the total effect.Conclusions The recovery of knee function in patients after artificial total knee arthroplasty is at a moderate level,and improving psychological resilience and self-efficacy may probably promote the recovery of knee function.
作者
孙康
李林
张然
Sun Kang;Li Lin;Zhang Ran(the First Ward of Orthopedics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 102208,China;the Second Ward of Orthopedics,Beijing Jishuitan Hospital,Capital Medical University,Beijing 102208,China)
出处
《中国实用护理杂志》
2023年第28期2212-2217,共6页
Chinese Journal of Practical Nursing
关键词
功能恢复
膝关节
人工
心理弹性
自我效能
中介效应
Recovery of function
Knee prosthesis
Psychological resilience
Self-efficacy
Mediation effect
