摘要
目的 分析自我效能感在心理弹性与髋关节置换术后康复水平间的中介效应。方法 选取2021年6月至2024年6月于医院行髋关节置换术的患者95例,采用Connor-Davidson心理韧性量表(Connor-Davidson resilience scale,CDRISC)、一般自我效能感量表(general self-efficacy scale,GSES)、Harris髋关节功能评分量表对其进行问卷调查;采用Pearson相关性分析法分析髋关节置换术患者心理弹性、Harris髋关节功能及自我效能感评分的相关性;采用AMOS 23.0软件建立结构方程模型,分析自我效能感在心理弹性与Harris髋关节功能之间的中介效应;采用偏差校正百分比Bootstrap法检验中介效应。结果 髋关节置换术患者心理弹性、Harris髋关节功能及自我效能感得分分别为(63.02±15.54)分、(74.28±9.14)分、(24.66±6.81)分;Pearson相关性分析显示,心理弹性评分与Harris髋关节功能评分、自我效能感评分均为正相关(P<0.001);Harris髋关节功能评分与自我效能感评分为正相关(P<0.001);在AMOS中完成路径图构建后进行模型拟合,结果显示模型拟合较好,可以继续进行路径系数分析;心理弹性对Harris髋关节功能影响的直接效应、间接效应均显著(β=0.007,t=6.549,P<0.001;β=0.011,t=7.021,P<0.001);间接效应的中介效应值为0.177,占总效应(0.416)的42.55%。Bootstrap分析显示,两条中介通径的Bootstrap 95%CI均不含0,且P<0.05,表明自我效能感在心理弹性与髋关节置换术后康复水平间的中介效应模型成立,即中介效应显著。结论 自我效能感在心理弹性与髋关节置换术后Harris髋关节功能间具有中介作用,心理弹性可直接预测康复水平,也可通过自我效能感间接预测Harris髋关节功能。
Objective To explore the mediating effect of the role of self-efficacy in the relationship between psychological resilience and postoperative rehabilitation outcomes among patients undergoing hip replacement surgery.Methods A total of 95 patients undergoing hip replacement surgery from June 2021 to June 2024 were recruited.The Connor-Davidson Resilience Scale(CD-RISC),the General Self-Efficacy Scale(GSES),and the Harris Hip Score(HHS)were administered to patients as part of a comprehensive assessment.Pearson correlation analysis was used to evaluate the relationships among psychological resilience,Harris hip function,and self-efficacy.A structural equation model was constructed using AMOS 23.0 software to investigate the mediating effect of self-efficacy on psychological resilience and Harris hip function.The bias-corrected percentile Bootstrap method was employed to test the significance of the mediating effect.Results The mean scores for psychological resilience,Harris hip function,and self-efficacy in hip replacement patients were evaluated using the Harris hip function scoring system,which is a widely used method to assess hip joint function,often applied to measure the outcomes of hip preservation and joint replacement.The scoring system ranges from 0 to 100,with scores of 90 and above indicating excellent outcomes,80-89 as good,70-79 as fair,and below 70 as poor 63.02±15.54,74.28±9.14,and 24.66±6.81,respectively.Pearson correlation analysis indicated that there were significant positive correlations:one between psychological resilience and Harris hip function,another between psychological resilience and self-efficacy(both P<0.001),and also between Harris hip function and self-efficacy(P<0.001).Since structural equation modeling demonstrated a good model fit,further analysis of path coefficients could be conducted.Both the direct and indirect effects of psychological resilience on Harris hip function were statistically significant(β=0.007,t=6.549,P<0.001.β=0.011,t=7.021,P<0.001).The indirect pathway mediated by self-efficacy accounted for 42.55%of the total effect(0.416),with a mediation effect value of 0.177,as supported by research indicating the significant role of self-efficacy in mediating psychological outcomes.Bootstrap analysis confirmed that the 95%confidence intervals for the two mediating pathways did not include zero(P<0.05),thereby supporting the significance of the mediating model.Conclusion Empirical studies have shown that self-efficacy plays a key mediating role in the relationship between psychological resilience and various outcomes,such as academic performance and mental health.postoperative rehabilitation outcomes(as measured by Harris hip function)in hip replacement patients.Psychological resilience not only directly forecasts rehabilitation outcomes but also indirectly affects them via self-efficacy.
作者
高迎娜
赵慧
GAO Yingna(The Chinese People's Armed Police Force of Henan Provincial General Hospital,Zhengzhou 450052,Henan,China)
出处
《牡丹江医科大学学报》
2026年第1期73-77,共5页
Journal of Mudanjiang Medical University
关键词
髋关节置换术
心理弹性
自我效能感
康复
Hip replacement surgery
Psychological resilience
Self-efficacy
Rehabilitation
