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胫骨骨折患者心理弹性水平及其相关影响因素分析

Analysis of psychological resilience level and related influencing factors in patients with tibial fractures
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摘要 目的:探析胫骨骨折患者的心理弹性影响因素。方法:纳入医院收治的84例胫骨骨折患者,采用心理弹性量表(CD-RISC)评估胫骨骨折患者心理弹性,多元线性回归分析胫骨骨折患者心理弹性水平的影响因素。结果:84例胫骨骨折患者心理弹性水平评分为(52.50±5.37)分,心理弹性较差;经单因素分析,年龄<60岁、家庭功能不健康、并发症、疾病接受度低下的胫骨骨折患者CD-RISC评分低于年龄≥60岁、家庭功能健康、无并发症以及疾病接受度良好患者(P<0.05);多元线性分析显示,年龄<60岁、家庭功能不健康、有并发症、疾病接受度低下是胫骨骨折患者心理弹性水平较差的危险因素(P<0.05)。结论:胫骨骨折患者心理弹性水平较差,年龄<60岁、家庭功能不健康、有并发症、疾病接受度低下是胫骨骨折患者心理弹性水平较差的危险因素,应实施针对性护理。 Objective:To explore the influencing factors of psychological resilience in patients with tibial fractures.Method:A total of 84 patients with tibial fractures admitted to the hospital were included.The Psychological Resilience Scale(CD-RISC)was used to assess the psychological resilience of the patients with tibial fractures.Linear regression analysis was conducted to analyze the influencing factors of the psychological resilience level of the patients with tibial fractures.Result:The psychological resilience level of the 84 patients with tibial fractures was(52.50±5.37)points,indicating poor psychological resilience.Univariate analysis showed that patients aged<60 years,with impaired family function,complications,or low disease acceptance had significantly lower CD-RISC scores than those aged≥60 years with healthy family function,no complications,and high disease acceptance(all P<O.05).Multiple linear regression analysis revealed that age<60 years,impaired family function,presence of complications,and low disease acceptance were independent risk factors for poor psychological resilience in patients with tibial fractures(all P<0.05).Conclusion:Patients with tibial fractures have a relatively poor level of psychological resilience.Age<60 years,impaired family function,complications,and low disease acceptance are independent risk factors for reduced psychological resilience in this population,which provides a clinical basis for targeted psychological intervention in patients with tibial fractures.
作者 刘星 朱娴 LIU Xing;ZHU Xian(Yichun Traditional Chinese Medicine Hospital,Yichun 336000,Jiangxi;Wanzai County Traditional Chinese Medicine Hospital,Yichun 336100,Jiangxi)
出处 《安徽医专学报》 2026年第1期152-154,共3页 Journal of Anhui Medical College
基金 宜春市指导性科技计划项目(编号:2023ZDJH2819)。
关键词 胫骨骨折 心理弹性 疾病接受度 并发症 tibial fracture psychological resilience disease acceptance complication
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