Mediating effect of resilience on family function and readiness for hospital discharge in lumbar disc herniation patients after surgery
10.3760/cma.j.issn.1674-2907.2020.01.017
- VernacularTitle:心理弹性在腰椎间盘突出症术后患者家庭功能与出院准备度中的中介效应
- Author:
Xiangna WU
1
;
Jie LI
;
Xiaoqin DONG
;
Zhongke LIN
Author Information
1. 温州医科大学附属第二医院脊柱外科，温州 325027
- Keywords:
Cross-sectional studies;
Lumbar disc herniation;
Family function;
Resilience, psychological;
Readiness for hospital discharge;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2020;26(1):84-88
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the readiness for hospital discharge in lumbar disc herniation (LDH) patients after surgery and to explore the mediating effect of resilience on family function and readiness for hospital discharge by constructing structure equation model.Methods:From January 2018 to March 2019, we selected 212 LDH patients undergoing surgery in Spine Surgery Department at a ClassⅢ Grade A hospital by convenience sampling. All of patients were investigated with the Family APGAR Index (APGAR) , Connor-Davidson Resilience Scale (CD-RISC) and Readiness for Hospital Discharge Scale (RHDS) .Results:Among those LDH patients after surgery, the scores of family function, resilience and readiness for hospital discharge were (7.14±2.05) , (54.29±7.23) and (88.79±8.99) respectively. Family function of patients had positive correlations with resilience ( r=0.401, P<0.01) and readiness for hospital discharge ( r=0.459, P<0.01) ; resilience had a positive correlation with readiness for hospital discharge ( r=0.561, P<0.01) . Readiness had a partial mediating effect on family function and readiness for hospital discharge accounting for 42.18% of the total effect. Conclusions:Family function not only can positively forecast patients' readiness for hospital discharge, but also has the indirect impact on readiness for hospital discharge by readiness. Nurses should pay attention to the assessment for family function and resilience, and improve patients' readiness for hospital discharge by the improvement of family function and resilience.
