炎症性肠病患者心理韧性及心理社会适应与自我管理行为的相关性研究

A Study on the Correlation between Resilience, Psychosocial Adaptation and Self-Management Behavior in Patients with Inflammatory Bowel Disease

摘要: 目的：探讨炎症性肠病患者心理韧性、心理社会适应与自我管理行为现状，及三者之间的关系，为提高患者的自我管理水平提供参考。方法：采用一般资料调查表、炎症性肠病患者心理韧性量表、心理社会适应量表和自我管理行为量表对113例炎症性肠病患者进行问卷调查。采用SPSS26.0进行t检验、方差分析、Pearson相关分析和多元线性回归分析。结果：患者的心理韧性、心理社会适应、自我管理总分分别为(97.42 ± 16.32)、(78.20 ± 11.73)、(132.63 ± 23.40)分，心理韧性、心理社会适应均与自我管理行为呈显著正相关(P < 0.05)。多元回归分析显示，心理韧性量表中的困难主动应对维度，以及心理社会适应量表中的自我效能和社会支持是自我管理行为的主要影响因素，共解释其总变异的63.6%。结论：炎症性肠病患者的自我管理行为与心理韧性、心理社会适应正相关。医护工作者可聚焦增强患者的困难主动应对、自我效能及社会支持，制定相关干预策略，以有效提高患者的自我管理能力，进而改善健康结局。

Abstract: Objective: To explore the status of resilience, psychosocial adaptation and self-management in patients with inflammatory bowel disease (IBD), and their relationships for providing implications to improve patients’ self-management. Methods: The general information questionnaire, the Resilience Scale for IBD patients, the Psychosocial Adaptation Scale for IBD patients and the self-management Behavior Scale for IBD patients were used to investigate 113 patients with IBD. Results: The total scores of resilience, psychosocial adaptation and self-management among IBD patients were (97.01 ± 16.1), (78.20 ±11.73) and (131.49 ± 22.9), respectively. Both resilience and psychosocial adaptation were significantly and positively correlated with self-management behavior of IBD patients (P < 0.05). Multiple regression analysis showed that active responses to difficulties in resilience scale, as well as self-efficacy and social support in psychosocial adaptation scale were the major influencing factors of self-management behaviors among patients with IBD, which explained 63.6% of the total variation of self-management behaviors. Conclusion: The self-management behavior of patients with IBD is positively related to resilience and psychosocial adaptation. Healthcare providers could focus on promoting IBD patients’ active coping with difficulties, self-efficacy and social support to improve patients’ self-management behaviors and enhance their health outcomes.