急诊观察室留观患者心理压力反应与心理弹性相关性研究.docVIP

急诊观察室留观患者心理压力反应与心理弹性相关性研究 　　[摘要]目的 调查急诊观察室留观患者的心理压力反应及其心理弹性情况，并分析二者的相关性。方法 选取2016年6～12月在我院急诊观察室留观的232例患者作为研究?ο螅?采用压力反应问卷（SRQ）和中国成年人心理弹性量表对其进行调查。结果 患者心理压力反应的平均得分为（53.79±10.44）分，其中情绪反应和躯体反应的得分明显高于国内常模，差异有统计学意义（P0.01）；行为反应的得分明显低于国内常模，差异有统计学意义（P0.01）；心理弹性的得分为（80.07±14.97）分，其中注重问题解决应对风格的得分最高，接纳性的得分最低；心理弹性总分及各维度得分与情绪反应及躯体反应得分成负相关（P0.01），与行为反应得分成正相关（P0.05）。结论 急诊留观患者存在一定的心理压力反应，并且其心理弹性与心理压力密切相关，临床医护人员可根据其具体心理弹性情况提供针对性护理，以促进疾病的康复。 　　[关键词]急诊观察室；心理压力反应；心理弹性；相关性 　　[中图分类号] R395 [文献标识码] A [文章编号] 1674-4721（2017）12（c）-0164-04 　　[Abstract]Objective To investigate the psychological stress and psychological resilience in emergency observation patients，and to analyze its correlation.Methods 232 patients in the emergency observation room of our hospital from June to December 2016 were selected as the subjects，and investigated by stress-reaction questionnaire and Chinese adult Resilience Scale.Results The patients psychological pressure reaction score was （53.79±10.44） points，the emotional response and body reaction score were significantly higher than the national norm，the differences were statistically significant （P0.01）.The behavioral response was significantly lower than the national norm，the difference was statistically significant （P0.01）.The resilience score was （80.07±14.97） points，and the coping style in solving focus was the highest score，in the acceptance was the lowest score.There were negatively correlated between the total score of resilience and the scores of each dimension were with emotional response and somatic reaction score （P0.01），and positively correlated with behavioral response score （P0.05）.Conclusion There are widespread psychological stress reactions in emergency observation patients，the psychological resilience is closely related to psychological pressure，and clinical doctors and nurses can provide targeted nursing according to their specific psychological resilience，so as to promote the rehabilitation of diseases. 　　[Key words]Emergency observation roo