Preparation and Evaluation of Psychological Resilience Assessment Tool for Adolescent Patients Undergoing Neck Scar Resection and Skin Grafting

doi:10.3969/j.issn.1673-0364.2020.03.018

Abstract

Abstract:

Objective To develop a psychological resilience scale for adolescents with severe neck scar.

Methods Scale item pools were constructed through literature search and patient interviews. Delphi expert consultation method, item analysis, coefficient of variation, item-item correlation coefficient, item-dimension correlation coefficient, internal consistency coefficient, factor analysis were applied. The items were screened and the reliability and validity were checked.

Results Six principal factors were extracted through principal component factor analysis. The relationship between the distribution and dimensions of the common factors was basically consistent with the oretical framework of "Kumper's Psychological Elasticity". The correlation coefficient between dimensions of the scale was 0.402-0.691, and the correlation between dimensions was statistically significant (P<0.01). The correlation coefficient between dimensions and the total score was 0.701-0.832, and the correlation between dimensions and the total score was statistically significant (P<0.01). The total Cronbach's α coefficient of this scale was 0.872, indicating good reliability.

Conclusion The formed psychological resilience scale for adolescents with severe neck scar has good reliability and validity, and it can be widely used in the assessment of psychological resilience for adolescents undergoing neck scar resection and skin grafting.

Key words: Neck scar, Adolescents, Resection and skin grafting, Psychological resilience, Reliability, Validity

CLC Number:

R619⁺.6

Ying HUANG, Weiwei BIAN. Preparation and Evaluation of Psychological Resilience Assessment Tool for Adolescent Patients Undergoing Neck Scar Resection and Skin Grafting[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2020, 16(3): 245-249.

Figures/Tables 3

Table 1

Psychological resilience scale for adolescents undergoing neck scar resection and skin grafting and the commonality of each item

条目名称	公因子方差		条目名称	公因子方差
初始值	萃取值	初始值	萃取值
1.失败总是让我感到无助	1.000	0.656	17.我有困难会主动找别人倾述	1.000	0.603
2.我很难调节住自己不愉快的情绪	1.000	0.583	18.我的父母从来不责备我的过错	1.000	0.597
3.我的生活有明确的目标	1.000	0.578	19.面对困难时,我会集中注意力	1.000	0.623
4.经历挫折后我一般会更加成熟更加有经验	1.000	0.639	20.我需要很长时间才能忘记不愉快的经历	1.000	0.710
5.失败和挫折会让我怀疑自己的能力	1.000	0.448	21.我的父母总是鼓励我去尝试新鲜事物	1.000	0.542
6.当我遇到不愉快的事情时总是找不到倾述的对象	1.000	0.536	22.我能够在很短的时间里调整自己的情绪	1.000	0.443
7.我有一个同龄的好朋友,可以分担我的困难和忧愁	1.000	0.537	23.逆境对我的成长有帮助	1.000	0.563
8.我的父母很尊重我的意见	1.000	0.645	24.我觉得任何事物都有好的一面	1.000	0.530
9.当我遇到困难需要帮助时,我不知道该去找谁	1.000	0.561	25.我对自己有目标,并能努力实现	1.000	0.705
10.我觉得与结果相比,事情的过程更能帮助我成长	1.000	0.595	26.我心情不好的时候不愿意向别人倾述	1.000	0.539
11.面对困难,我一般会制定计划和解决方案	1.000	0.655	27.我的情绪波动很大,容易大起大落	1.000	0.543
12.我习惯把事情憋在心里而不是向别人倾述	1.000	0.523	28.这次手术对我基本没有什么用处	1.000	0.512
13.我认为逆境对人有激励作用	1.000	0.578	29.这次手术对我来说弊大于利	1.000	0.489
14.我的父母喜欢干涉我的想法	1.000	0.690	30.这次手术对我帮助很大	1.000	0.410
15.在家里没人重视我的想法	1.000	0.596	31.这次手术能够帮我弥补外形的缺陷	1.000	0.552
16.父母缺乏给予我信息和精神上的支持	1.000	0.647

Table 1

Table 2

Table 3

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Item	Component						Item	Component
Item		1	2	3	4	5	Item	6	1	2	3	4	5	6
1	0.741						17			0.682
2	0.641						18			0.673
3	0.581						19			0.637
4	0.565						20			0.625
5	0.515						21			0.592
6		0.632					22				0.602
7		0.594					23				0.591
8		0.582					24				0.532
9		0.576					25				0.511
10		0.504					26				0.483
11		0.475					27				0.437
12			0.653				28					0.517
13			0.546				29					0.501
14			0.469				30					0.477
15			0.431				31					0.426
16				0.695

维度 Dimensions	目标专注 Focused	情绪控制 Emotion control	积极认知 Positive cognitive	家庭支持 Family support	人际协助 Social support	手术事件 Surgery
情绪控制(Emotion control)	0.691^**
积极认知(Positive cognitive)	0.402^**	0.408^**
家庭支持(Family support)	0.422^**	0.555^**	0.537^**
人际协助(Social support)	0.612^**	0.591^**	0.664^**	0.584^**
手术事件(Surgery)	0.503^**	0.617^**	0.631^**	0.571^**	0.701^**
总分(Total)	0.832^**	0.812^**	0.701^**	0.709^**	0.742^**	0.712^**