内科理论与实践 ›› 2021, Vol. 16 ›› Issue (05): 325-330.doi: 10.16138/j.1673-6087.2021.05.008

• 论著 • 上一篇    下一篇

帕金森病患者照料者心理弹性水平及影响因素

董正椽a, 王刚b   

  1. a.社工部 上海交通大学医学院附属瑞金医院,上海 200025
    b.神经内科,上海 200025
  • 收稿日期:2021-01-26 出版日期:2021-10-20 发布日期:2022-07-25

Analysis and predictive factors of resilience of caregivers for patients with Parkinson disease

DONG Zhengchuana, WANG Gangb   

  1. a. Department of Social Work, Shanghai 200025, China
    b. Department of Neurology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2021-01-26 Online:2021-10-20 Published:2022-07-25

摘要:

目的:研究帕金森病(Parkinson disease, PD)患者照料者的心理弹性水平及其影响因素。方法:采用一般资料调查表、PD Hoehn-Yahr(H-Y)分级、心理弹性量表(Connor-Davidson resilience scale, CD-RISC)、一般自我效能感量表(general self-efficacy scale, GSES)及简易应对方式问卷(simplified coping style questionnaire, SCSQ)为测量工具,对149名PD患者照料者进行调查。结果:PD患者照料者的心理弹性总分为(50.99±18.87)分,3个维度中坚韧性维度(26.10±10.65)分,力量性维度(17.22±5.94)分,乐观性维度(7.66±3.17)分。在多元线性回归分析中,影响心理弹性水平的自变量为自我效能感>积极应对>平均月收入>和家庭成员相处关系(调整后R2=0.654,P=0.000)。结论:PD患者照料者的心理弹性有待提高。结合影响因素,可通过开展患者家庭个案心理辅导等方式提升其心理弹性水平。

关键词: 帕金森病, 照料者, 心理弹性

Abstract:

Objective To study the level of resilience of caregivers for the patients with Parkinson disease (PD) and its predictive factors. Methods A total of 149 caregivers for the patients with PD were investigated by general information questionnaire, Connor-Davidson resilience scale, Hoehn and Yahr scale, general self-efficacy scale and simplified coping style questionnaire. Results The total resilience score of caregivers for PD patients was 50.99±18.87. The scores of three dimensions including tenacity dimension, strength dimension, and optimism dimension were 26.10±10.65, 17.22±5.94, and 7.66±3.17, respectively. In multiple linear regression model(adjusted R2=0.654), the predictive factors of caregivers’ resilience for PD patients were self-efficacy, positive coping, average monthly income, and the relationship with family members (influence ranking from large to small). Conclusions The caregivers’ resilience of PD patients need to be improved. Combined with the predictive factors, caregivers’ resilience could be improved by providing counseling for PD patients’ families.

Key words: Parkinson disease, Caregiver, Resilience

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