Analysis of resilience level and influencing factors in patients with Crohn′s disease
10.3760/cma.j.cn101480-20230510-00078
- VernacularTitle:克罗恩病患者的抗逆力水平及影响因素分析
- Author:
Zhengchuan DONG
1
;
Yang WAN
;
Jing SUN
Author Information
1. 上海交通大学医学院附属瑞金医院社工部，上海 200025
- Publication Type:Journal Article
- Keywords:
Crohn′s disease;
Resilience;
Influencing factors;
Self-efficacy;
Positive coping;
Monthly household income;
Intestinal surgery;
Male
- From:
Chinese Journal of Inflammatory Bowel Diseases
2024;08(2):137-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the level of resilience and influencing factors in patients with Crohn′s disease (CD) .Methods:A cross-sectional survey was conducted. The convenience sampling method was used to select CD patients admitted to Ruijin Hospital of Shanghai Jiao Tong University School of Medicine from November 2021 to July 2022. An electronic questionnaire was distributed for investigation, including general information, Connor-Davidson resilience scale, simplified coping style scale, general self-efficacy scale, emotion regulation questionnaire, family care index scale and perceived social support scale. The influencing factors of resilience in CD patients were analyzed through univariate analysis, Pearson correlation analysis, and multiple linear stepwise regression analysis.Results:A total of 155 valid questionnaires were collected. Among the 155 CD patients, there were 92 males (59.4%) and 63 females (40.6%). The average age was (36.82 ± 12.22) years, with a disease duration of 4.5 (2.0, 10.0) years. The Crohn′s disease activity index score was 70.25 (30.12, 115.19) points, and 38 patients (24.5%) had undergone intestinal surgery. The total score of resilience was (64.25 ± 15.12) points and at a moderate level. Univariate analysis showed that there were significant differences in resilience among CD patients with different genders, employment statuses, medical insurance forms, and whether they had undergone intestinal surgery (all P<0.05). And there were significant differences in the optimism dimension of resilience among CD patients with different education levels and monthly household incomes (all P<0.05). Correlation analysis found that resilience in CD patients was positively correlated with self-efficacy ( r = 0.715, P<0.01), positive coping ( r = 0.553, P<0.01) and negative coping ( r = 0.172, P=0.033) in coping styles, family support ( r = 0.448, P<0.01), friend support ( r = 0.434, P<0.01), and other support ( r = 0.478, P<0.01) in perceived social support, and expression suppression ( r = 0.431, P<0.01) and reappraisal ( r = 0.606, P<0.01) in emotion regulation. Multiple linear stepwise regression analysis revealed that self-efficacy, positive coping, negative coping, gender, whether they had undergone intestinal surgery, and monthly household income were independent influencing factors for resilience in CD patients (all P<0.05), and the influence decreased in sequence. Conclusions:The CD patients with high self-efficacy, more positive coping, less negative coping, high monthly household income, history of intestinal surgery, and being male may have higher level of resilience. And self-efficacy has the greatest impact.
