| 潘奎静,陈 晖,濮士斌,刑 瑛,王琴凤,高会钦,江起庭.心理弹性水平在断指再植患者血管危象发生中的预测价值[J].中国烧伤创疡杂志,2020,(2):128~131. |
| DOI： |
| 中文关键词: 心理弹性 断指再植 血管危象 社会心理因素 人格特质 |
| 英文关键词:Mental resilience Severed finger replantation Vascular crisis Social psychological factors Personality traits |
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| 中文摘要: |
| 【摘要】目的 探讨心理弹性水平在断指再植患者血管危象发生中的预测价值。方法 选取2014年1月至2016年3月南京医科大学附属南京邦德骨科医院手足外科收治96例（115指）断指再植患者作为研究对象，根据其在血管吻合术中及术后是否发生血管危象分为血管危象组（52例，62指）与非血管危象组（44例，53指），对比两组患者心理弹性各维度评分，并采用Logistic回归分析血管危象发生的保护因素，绘制预测血管危象发生的心理弹性维度ROC曲线，计算其对血管危象发生的敏感性与特异性。结果 非血管危象组患者心理弹性各维度（内控性、应对风格、乐观性、社会支持、接纳性）评分均显著高于血管危象组（t=10.540、8.148、9.352、8.195、11.010，P均=0.000）；Logistic回归分析结果显示，内控性、接纳性是血管危象发生的独立保护因素（OR=0.889、0.454，95%CI=0.533～0.952、0.156～0.828，P=0.025、0.001）；内控性、接纳性的ROC曲线下面积（AUC）分别为0.751及0.780，均以0.784为临界值，其预测血管危象发生的敏感度分别为86.531%及90.917%，特异度分别为75.025%及82.711%。结论 心理弹性中的内控性及接纳性是断指再植患者血管危象发生的保护因素。 |
| 英文摘要: |
| 【Abstract】 Objective To explore the predictive value of mental resilience in the occurrence of vascular crisis in patients with severed finger replantation. Methods 96 patients undergoing severed finger replantation (115 fingers), admitted to Hand and Foot Surgery, Nanjing Bond Orthopaedic Hospital Affiliated to Nanjing Medical University from January 2014 to March 2016, were selected as study subjects and then divided into a vascular crisis group (52 cases, 62 fingers) and group without vascular crisis (44 cases, 53 fingers) according to whether vascular crisis occurred during and after anastomosis of blood vessel. Results The scores of different dimensions of mental resilience (including internal control, coping style, optimism, social support, acceptance) in patients of group without vascular crisis were significantly higher than those of vascular crisis group (t = 10.540, 8.148, 9.352, 8.195, 11.010, all P = 0.000); logistic regression analysis showed that internal control and acceptance were independent protective factors for preventing the occurrence of vascular crisis (OR = 0.889, 0.454, 95% CI = 0.533 ～ 0.952, 0.156 ～ 0.828, P = 0.025, 0.001); the area under the ROC curve (AUC) of internal control and acceptance were 0.751 and 0.780, respectively, with 0.78 as their critical values. The sensitivities for predicting the occurrence of vascular crisis were 86.531% and 90.917%, and the specificities were 75.025% and 82.711%. Conclusion Internal control and acceptance in mental resilience are protective factors in the occurrence of vascular crisis in patients with severed finger replantation. |
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