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    于艳, 郑冬梅. 心理韧性和领悟社会支持在PICC病人心理状态与护理依从性的链式中介效应分析[J]. 蚌埠医科大学学报, 2023, 48(12): 1744-1749. DOI: 10.13898/j.cnki.issn.1000-2200.2023.12.027
    引用本文: 于艳, 郑冬梅. 心理韧性和领悟社会支持在PICC病人心理状态与护理依从性的链式中介效应分析[J]. 蚌埠医科大学学报, 2023, 48(12): 1744-1749. DOI: 10.13898/j.cnki.issn.1000-2200.2023.12.027
    shu
    YU Yan, ZHENG Dong-mei. Chain mediating effect of psychological resilience and perceived social support on the psychological state and nursing compliance of PICC patients[J]. Journal of Bengbu Medical University, 2023, 48(12): 1744-1749. DOI: 10.13898/j.cnki.issn.1000-2200.2023.12.027
    Citation: YU Yan, ZHENG Dong-mei. Chain mediating effect of psychological resilience and perceived social support on the psychological state and nursing compliance of PICC patients[J]. Journal of Bengbu Medical University, 2023, 48(12): 1744-1749. DOI: 10.13898/j.cnki.issn.1000-2200.2023.12.027
    shu

    心理韧性和领悟社会支持在PICC病人心理状态与护理依从性的链式中介效应分析

    Chain mediating effect of psychological resilience and perceived social support on the psychological state and nursing compliance of PICC patients

      摘要
    • 摘要:
      目的探讨心理韧性和领悟社会支持在经外周静脉置入中心静脉导管（PICC）病人心理状态与护理依从性的链式中介效应。
      方法纳入123例PICC病人，评估病人心理韧性、领悟社会支持、心理状态和护理依从性，分析心理韧性和领悟社会支持在PICC病人心理状态与护理依从性间的中介效应。
      结果最终获得有效问卷106份。其中妇科肿瘤病人、发生导管相关并发症病人S-AI、FoP-Q-SF评分高于其他类型肿瘤病人及导管相关并发症未发生者（P < 0.05~P < 0.01）；家庭月收入≥5 000元病人护理依从性评分、S-AI、FoP-Q-SF评分低于 < 5 000元家庭月收入者，PSSS、CD-RISC高于 < 5 000元家庭月收入者（P < 0.05~P < 0.01）。Pearson相关性分析示PICC病人心理韧性评分、领悟社会支持量表评分与心理状态评分呈负相关关系（P < 0.05），与护理依从性评分呈正相关关系（P < 0.05）。心理韧性在PICC病人心理状态与护理依从性的中介效应为21.98%；领悟社会支持在PICC病人心理状态与护理依从性间的中介效应为20.55%。
      结论心理韧性、领悟社会支持与PICC病人心理状态、护理依从性间具显著相关，心理状态可通过影响病人心理韧性和领悟社会支持能力，影响病人护理依从性。

       

      Abstract:
      ObjectiveTo explore the chain mediating effect of psychological resilience and perceived social support on the psychological state and nursing compliance of PICC patients.
      MethodsA total of 123 PICC patients were included, and the patients' psychological resilience, perceived social support, psychological status and nursing compliance were evaluated.The mediating effect of psychological resilience and perceived social support on the relationship between psychological status and nursing compliance in PICC patients were analyzed.
      ResultsA total of 106 valid questionnaires were obtained in the end.The S-AI and FoP-Q-SF scores of patients with gynecological tumors and catheter-related complications were higher than those of patients with other types of tumors and those without catheter-related complications (P < 0.05 to P < 0.01);patients with a monthly household income of ≥ 5 000 yuan had lower scores for nursing compliance, S-AI, and FoP-Q-SF than those with a monthly household income of < 5 000 yuan, while PSSS and CD-RISC were higher than those with a monthly household income of < 5 000 yuan (P < 0.05 to P < 0.01).Pearson correlation analysis showed that psychological resilience score, perceived social support scale score were negatively correlated with psychological state score in PICC patients (P < 0.05), and positively correlated with nursing compliance score (P < 0.05).The mediating effect of psychological resilience on the psychological state and nursing compliance of PICC patients was 21.98%;the mediating effect of perceived social support on the psychological state and nursing compliance of PICC patients was 20.55%.
      ConclusionsPsychological resilience and perceived social support are significantly correlated with the psychological state and nursing compliance of PICC patients.Mental state can affect patients' nursing compliance by affecting their psychological resilience and perceived social support ability.

       

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