BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To an...BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To analyze the influencing factors of psychological resilience of patients with traumatic fractures and the effect of psychological resilience on posttraumatic growth(PTG).METHODS This study included 188 patients with traumatic fractures admitted to the First People’s Hospital of Shangqiu from November 2022 to November 2023.The participants were categorized based on the patient’s psychological resilience assessed by the Connor-Davidson Resilience Scale(CD-RISC)into the better resilience group(CD-RISC score≥60 points,n=80)and the poor resilience group(CD-RISC score<60 points,n=108).Patients’sleep quality was assessed with the Pittsburgh Sleep Quality Index(PSQI).The identification of the influencing factors of psychological resilience in patients with traumatic fractures was realized by binary Logistic regression(with factors such as sex,age,injury cause,trauma severity,fracture site,personality,and PSQI included for analysis).The determination of the PTG status of all participants used the Chinese version of the Posttraumatic Growth Inventory(C-PTGI).Furthermore,a Spearman correlation analysis was conducted to analyze the association between psychological resilience and PTG.RESULTS The psychological resilience of patients with traumatic fractures was related to age,sex,trauma severity,and personality.The better resilience group demonstrated statistically lower PSQI scores than the poor resilience group(P<0.05).The Logistic regression analysis revealed sex,age,trauma severity,personality,and sleep quality as influencing factors of CD-RISC scores in patients with traumatic fractures(all P<0.05).The score of each C-PTGI dimension and the total score(relating to others,new possibilities,personal strength,spiritual change,and appreciation of life)were higher in the better resilience group than in the poor resilience group(all P<0.05).Spearman correlation analysis indicated a positive association of the CD-RISC score in patients with traumatic fractures with the scores of all dimensions of C-PTGI and the total C-PTGI score(all P<0.05).CONCLUSION The factors influencing the psychological resilience of patients with traumatic fractures include age,sex,trauma severity,personality,and sleep quality,and psychological resilience is closely associated with PTG.展开更多
目的探讨中文版心理弹性量表(connor-davidson resilience scale,CD-RISC)在非霍奇金淋巴瘤(non-Hodgkin lymphoma,NHL)中的信效度。方法选取福建医科大学附属第二医院2020年1月-2022年12月238例NHL患者作为研究对象。采用中文版CD-RIS...目的探讨中文版心理弹性量表(connor-davidson resilience scale,CD-RISC)在非霍奇金淋巴瘤(non-Hodgkin lymphoma,NHL)中的信效度。方法选取福建医科大学附属第二医院2020年1月-2022年12月238例NHL患者作为研究对象。采用中文版CD-RISC对其进行问卷调查,并分析不同亚组人群评分差异。采用验证性因子分析(confirmatory factor analysis,CFA)评价CD-RISC的信效度。结果CDRISC内在一致性信度指标:总量表Cronbach'sα系数为0.812,坚韧(tenacity,TEN)维度为0.904,自强(strength,STR)维度为0.906,(optimism,OPT)维度为0.755。CD-RISC折半信度Spearman-Brown系数为0.843。验证性因子结果显示,χ^(2)=901.094,自由度(degree of freedom,df)=272,χ^(2)/df=3.313,比较拟合指数(comparative fit index,CFI)、调整拟合优度指数(adjusted goodness of fit index,AGFI)、拟合优度指数(goodness of fit index,GFI)值分别为0.800、0.733、0.777,近似误差均方根(root mean square error of approximation,RMSEA)为0.099。结论中文版CD-RISC在NHL患者中具有很好的信效度,能为测量NHL患者的心理弹性水平提供一种新的工具。展开更多
[ 目的] 翻译1 0 条目简易心理烊性量表（10 - item Connor - Davidson Resilience Scale,CD - R ISC - 10 ）并进行信效度检验,确定其截断值.[ 方法] 对汉化后的C D - R I S C - 1 0 量表各条目进行鉴别系数的判定以删除鉴别力不强的条...[ 目的] 翻译1 0 条目简易心理烊性量表（10 - item Connor - Davidson Resilience Scale,CD - R ISC - 10 ）并进行信效度检验,确定其截断值.[ 方法] 对汉化后的C D - R I S C - 1 0 量表各条目进行鉴别系数的判定以删除鉴别力不强的条目,采用临界比率值（C R ）及项目通俗性（P L ）测定,用鉴别力指数（D ）来衡量项目间的鉴别力.对中文版C D - R I S C - 1 0 量表进行结构效度检验,选择3 0 3名肿瘤患儿父母随机分为探索性因子分析组（E F A 组）1 4 8人和验证性因子分析组（C F A 组）1 5 5人进行因子分析,用Kessler症状评分量表以及医学应对量表进行聚合效度的检测,并确定肿瘤患儿父母心理烊性的截断值.[ 结果] 修订后中文版C D - R IS C - 1 0 量表仍保留1 0 个条目,探索性因子分析共提取了 2 个因子,分别为适应性及軔性,累积方差解释量为61. 859%， C D - R I S C - 1 0 总的Cronbach、a 为0. 8 7 3 ,分半信度为0. 786,各维度重测信度为0. 844-0. 932.肿瘤患儿父母心理烊性的截断值为25. 5 分.[结论]修订后的中文版C D - R I S C - 1 0 量表具有良好的信效度且使用方便,适合临床科室作为肿瘤患儿父母高危心理的初步筛查工具.展开更多
文摘BACKGROUND Traumatic fractures are mainly caused by various exogenous traumatic events,which not only damage patients’physical health but also affect their psychological state and aggravate stress responses.AIM To analyze the influencing factors of psychological resilience of patients with traumatic fractures and the effect of psychological resilience on posttraumatic growth(PTG).METHODS This study included 188 patients with traumatic fractures admitted to the First People’s Hospital of Shangqiu from November 2022 to November 2023.The participants were categorized based on the patient’s psychological resilience assessed by the Connor-Davidson Resilience Scale(CD-RISC)into the better resilience group(CD-RISC score≥60 points,n=80)and the poor resilience group(CD-RISC score<60 points,n=108).Patients’sleep quality was assessed with the Pittsburgh Sleep Quality Index(PSQI).The identification of the influencing factors of psychological resilience in patients with traumatic fractures was realized by binary Logistic regression(with factors such as sex,age,injury cause,trauma severity,fracture site,personality,and PSQI included for analysis).The determination of the PTG status of all participants used the Chinese version of the Posttraumatic Growth Inventory(C-PTGI).Furthermore,a Spearman correlation analysis was conducted to analyze the association between psychological resilience and PTG.RESULTS The psychological resilience of patients with traumatic fractures was related to age,sex,trauma severity,and personality.The better resilience group demonstrated statistically lower PSQI scores than the poor resilience group(P<0.05).The Logistic regression analysis revealed sex,age,trauma severity,personality,and sleep quality as influencing factors of CD-RISC scores in patients with traumatic fractures(all P<0.05).The score of each C-PTGI dimension and the total score(relating to others,new possibilities,personal strength,spiritual change,and appreciation of life)were higher in the better resilience group than in the poor resilience group(all P<0.05).Spearman correlation analysis indicated a positive association of the CD-RISC score in patients with traumatic fractures with the scores of all dimensions of C-PTGI and the total C-PTGI score(all P<0.05).CONCLUSION The factors influencing the psychological resilience of patients with traumatic fractures include age,sex,trauma severity,personality,and sleep quality,and psychological resilience is closely associated with PTG.
文摘目的探讨中文版心理弹性量表(connor-davidson resilience scale,CD-RISC)在非霍奇金淋巴瘤(non-Hodgkin lymphoma,NHL)中的信效度。方法选取福建医科大学附属第二医院2020年1月-2022年12月238例NHL患者作为研究对象。采用中文版CD-RISC对其进行问卷调查,并分析不同亚组人群评分差异。采用验证性因子分析(confirmatory factor analysis,CFA)评价CD-RISC的信效度。结果CDRISC内在一致性信度指标:总量表Cronbach'sα系数为0.812,坚韧(tenacity,TEN)维度为0.904,自强(strength,STR)维度为0.906,(optimism,OPT)维度为0.755。CD-RISC折半信度Spearman-Brown系数为0.843。验证性因子结果显示,χ^(2)=901.094,自由度(degree of freedom,df)=272,χ^(2)/df=3.313,比较拟合指数(comparative fit index,CFI)、调整拟合优度指数(adjusted goodness of fit index,AGFI)、拟合优度指数(goodness of fit index,GFI)值分别为0.800、0.733、0.777,近似误差均方根(root mean square error of approximation,RMSEA)为0.099。结论中文版CD-RISC在NHL患者中具有很好的信效度,能为测量NHL患者的心理弹性水平提供一种新的工具。
文摘[ 目的] 翻译1 0 条目简易心理烊性量表（10 - item Connor - Davidson Resilience Scale,CD - R ISC - 10 ）并进行信效度检验,确定其截断值.[ 方法] 对汉化后的C D - R I S C - 1 0 量表各条目进行鉴别系数的判定以删除鉴别力不强的条目,采用临界比率值（C R ）及项目通俗性（P L ）测定,用鉴别力指数（D ）来衡量项目间的鉴别力.对中文版C D - R I S C - 1 0 量表进行结构效度检验,选择3 0 3名肿瘤患儿父母随机分为探索性因子分析组（E F A 组）1 4 8人和验证性因子分析组（C F A 组）1 5 5人进行因子分析,用Kessler症状评分量表以及医学应对量表进行聚合效度的检测,并确定肿瘤患儿父母心理烊性的截断值.[ 结果] 修订后中文版C D - R IS C - 1 0 量表仍保留1 0 个条目,探索性因子分析共提取了 2 个因子,分别为适应性及軔性,累积方差解释量为61. 859%， C D - R I S C - 1 0 总的Cronbach、a 为0. 8 7 3 ,分半信度为0. 786,各维度重测信度为0. 844-0. 932.肿瘤患儿父母心理烊性的截断值为25. 5 分.[结论]修订后的中文版C D - R I S C - 1 0 量表具有良好的信效度且使用方便,适合临床科室作为肿瘤患儿父母高危心理的初步筛查工具.
