摘要
目的调查良性中心气道狭窄介入治疗患者创伤后成长现状,并分析影响因素,为提高患者治疗耐受性、改善生命质量提供依据。方法便利抽样法选取2020年5月至2022年5月中国人民解放军海军军医大学第一附属医院收治的良性中心气道狭窄并行介入治疗的患者为研究对象,采用一般资料调查表、中文版创伤后成长问卷、领悟社会支持量表及慢性病患者健康素养量表进行横断面调查。采用多元线性回归分析患者创伤后成长的影响因素。结果共发放问卷183份,有效回收问卷172份,有效回收率为93.99%(172/183);172例患者创伤后成长得分为(62.66±9.54)分;Pearson相关性分析显示,领悟社会支持、健康素养与创伤后成长呈正相关(r=0.483、0.246,均P<0.05);多元线性回归分析显示,狭窄程度、介入治疗次数、社会支持、健康素养是良性中心气道狭窄介入治疗患者创伤后成长的主要影响因素(t值为-3.46~4.55,均P<0.05),可共同解释创伤后成长得分变异的38.9%。结论良性气道狭窄介入治疗患者创伤后成长处于中等水平,狭窄程度、介入治疗次数是创伤后成长的限制因素,而社会支持、健康素养水平高有利于患者获得更多的创伤后成长。医护人员可通过健康教育增强患者疾病认知,可通过微信群、微信公众号方式提供更多疾病知识获取渠道,以促进患者创伤后成长,降低治疗过程中的痛苦体验。
Objective To investigate the post-traumatic growth status of patients with benign central airway stenosis undergoing interventional therapy,and analyze the influencing factors,so as to provide basis for the formulation of measures to improve the treatment tolerance and quality of life of patients.Methods Patients with benign central airway stenosis treated by interventional therapy in the First Affiliated Hospital of Second Military Medical University from May 2020 to May 2022 were selected by convenient sampling.The general information questionnaire,Chinese Version of Post-traumatic Growth Inventory,Perceived Social Support Scale and Chronic Disease Patients′Health Literacy Management Scale were used to conduct a cross-sectional survey.Multivariate linear regression was used to analyze the influencing factors of patients′posttraumatic growth.Results A total of 183 questionnaires were distributed,and 172 questionnaires were effectively collected,with an effective recovery rate of 93.99%(172/183).The posttraumatic growth score of 172 patients was(62.66±9.54)points;Pearson correlation analysis showed that perceived social support,health literacy and post-traumatic growth were positively correlated(r=0.483,0.246,both P<0.05).Multivariate linear regression analysis showed that the degree of stenosis,the number of interventional therapy,social support,and health literacy were the main influencing factors for the post-traumatic growth of patients with benign central airway stenosis undergoing interventional therapy(t values were-3.46-4.55,all P<0.05),could jointly explain 38.9%of the variation in post-traumatic growth scores.Conclusions The post-traumatic growth of patients with benign airway stenosis undergoing interventional therapy is at a moderate level.The degree of stenosis and the number of interventional therapy are the limiting factors for post-traumatic growth.Systematic health education,social support and health literacy are conducive to more post-traumatic growth of patients.Medical staff can enhance patients'disease awareness,and provide more channels for acquiring disease knowledge through WeChat groups and WeChat official account,so as to promote patients'post-traumatic growth and reduce their painful experience during treatment.
作者
夏莹
孟丽华
李杉
杨阳
石荟
王琴
Xia Ying;Meng Lihua;Li Shan;Yang Yang;Shi Hui;Wang Qin(Department of Respiratory and Critical Care Medicine,the First Affiliated Hospital of Second Military Medical University,Shanghai 200433,China)
出处
《中国实用护理杂志》
2023年第28期2185-2190,共6页
Chinese Journal of Practical Nursing
基金
国家自然科学基金(82000102)。
关键词
横断面研究
良性气道狭窄
介入手术
创伤后成长
影响因素
Cross-sectional studies
Benign airway stenosis
Interventional surgery
Post-traumatic growth
Influence factors
