张婷

摘要：目的探討老年前列腺增生患者心理弹性与社会支持、应对方式的相关性及影响因素。方法选取2018年5月至2020年5月我院收治的老年前列腺增生患者100例，采用心理弹性量表、领悟社会支持量表、简易应对方式问卷评价其心理弹性、社会支持水平及应对方式，分析其相关性，并对其影响因素进行单因素分析及多因素分析。结果100例患者心理弹性得分为（60.91±13.02）分，各维度评分从高至低依次为坚韧、自强、乐观。100例患者社会支持得分均低于国内常模，差异有统计学意义（P<0.05）。100例患者积极应对得分低于国内常模，消极应对得分高于国内常模（P<0.05）。单因素分析可见，患者不同病情程度、学历水平、家庭经济状况的心理弹性水平比较，差异有统计学意义（P<0.05）。多因素分析可见，病情程度、学历水平、家庭经济状况、社会支持、应对方式最终进入回归方程。患者心理弹性与社会支持、积极应对呈正相关，与消极应对呈负相关（P<0.05）。结论老年前列腺增生患者心理弹性水平较差，尤其是病情程度重、学历水平低、家庭收入低下患者，应改善社会支持及应对方式，提高其心理弹性。

关键词：老年;前列腺增生;心理弹性;社会支持;应对方式;相关性;影响因素

[Abstract] Objective To explore the correlation and influencing factors of mental resilience， social support and coping styles in elderly patients with prostate hyperplasia. Methods A total of 100 elderly patients with benign prostatic hyperplasia admitted to our hospital from May 2018 to May 2020 were selected， and their mental resilience， social support level and coping style were evaluated using the psychological resilience scale， the social support scale for comprehension， and the simple coping style questionnaire. Analyze its correlation， and conduct single-factor and multi-factor analysis of its influencing factors. Results The psychological resilience score of 100 patients was （60.91±13.02） points， and the scores of each dimension were tenacity， self-improvement， and optimism in descending order. The social support scores of 100 patients were all lower than the domestic norm， and the difference was statistically significant （P<0.05）. The scores of 100 patients in active coping were lower than the domestic norm， and the scores in negative coping were higher than the domestic norm （P<0.05）. Univariate analysis shows that there is a statistically significant difference in the psychological elasticity of patients with different disease levels， educational backgrounds， and family economic conditions （P<0.05）. Multi-factor analysis shows that the degree of illness， education level， family economic status， social support， and coping style finally enter the regression equation. The mental resilience of patients was positively correlated with social support and active coping， and negatively correlated with negative coping （P<0.05）. Conclusion The mental resilience of elderly patients with BPH is poor， especially those with severe illness， low educational level， and low family income. Social support and coping styles should be improved to improve their psychological resilience.

[Key words] old age; prostate hyperplasia; psychological resilience; social support; coping style; correlation; influencing factors

【中图分类号】R749.055  【文献标识码】A  【文章编号】1673-9026（2021）09-343-02

前列腺增生作为一种常见慢性疾病，多发于老年男性，临床症状主要表现为膀胱刺激征及尿路梗阻症状，易引发患者焦躁抑郁等不良心理状况[1]。心理弹性指社会个体面对挫折、困难等逆境表现出的调控适应及有效应对能力，保持较好心理弹性水平对于改善老年前列腺增生患者心理情绪、提高疾病治疗信心及疾病防治能力有重要意义[2]。研究指出，社会支持及应对方式与个体适应及应对应激事件联系密切[3]。在本研究中对我院收治老年前列腺增生患者，分析其心理弹性水平与社会支持、应对方式的相关性，并分析其影响因素，从而改善患者临床心理护理。结果示下。

1资料与方法

1.1 一般资料选取2018年5月至2020年5月我院收治的老年前列腺增生患者100例，年龄61～83岁，平均（68.85±11.71）岁;病……