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目的 :调查分析炎症性肠病(IBD)患者心理韧性与家庭坚韧性之间的关系。方法 :采用自行设计的一般资料调查表、中文版Connor-Davidson心理韧性量表(CD-RISC)和家庭坚韧性量表(Family Hardiness Index,FHI)对104例IBD患者进行问卷调查。结果 :IBD患者的心理韧性总分(62.53±14.97)分,坚韧、力量和乐观各维度得分为(30.64±8.61)、(22.34±4.96)和(9.55±2.82)分;家庭坚韧性总分(58.61±5.95)分,责任、控制和挑战各维度得分为(27.38±3.05)、(17.08±2.29)和(14.15±1.98)分,相关分析显示患者心理韧性总分及各维度得分均与家庭坚韧性得分相关(P<0.05);多因素分析显示责任、挑战和年龄是IBD患者心理韧性的显著预测因子(P<0.05)。结论:家庭坚韧性为IBD患者心理韧性的影响因素,针对患者的家庭坚韧性进行干预,促进家庭支持,可能会提高患者的心理韧性水平,从而帮助患者调控心理及相关症状。
Objective: To investigate the relationship between the psychological toughness and family toughness in patients with inflammatory bowel disease (IBD). Methods: 104 IBD patients were surveyed by self-designed general data questionnaire, Chinese Connor-Davidson psychological resilience scale (CD-RISC) and Family Hardiness Index (FHI). Results: The total scores of toughness, strength and optimism in IBD patients were (62.53 ± 14.97), (30.64 ± 8.61), (22.34 ± 4.96) and (9.55 ± 2.82) 58.61 ± 5.95). The score of each dimension of responsibility, control and challenge were (27.38 ± 3.05), (17.08 ± 2.29) and (14.15 ± 1.98) points respectively. The correlation analysis showed that the total scores of psychological toughness and dimensions of patients were both tough (P <0.05). Multivariate analysis showed that responsibility, challenge and age were significant predictors of psychological resilience in patients with IBD (P <0.05). Conclusion: Family toughness is the influencing factor of psychological resilience in patients with IBD. Intervention on family resilience and family support may improve the psychological resilience of patients and help patients to control their psychological and related symptoms.