Path Analysis Of Self-Efficacy And Coping Style On The Psychological Resilience Of Trauma Patients

Objective1.Understand the status quo of self-efficacy,coping style and resilience of trauma patients.2.Analyze the influencing factors of resilience.3.To explore the correlation among self-efficacy,coping style and resilience.4.Construct the path analysis model among the three,and provide reference basis for helping traumatic patients improve their self-efficacy,change their coping styles,reduce psychological pressure,improve and maintain good psychological resilience,and provide psychological nursing support for patients’ follow-up rehabilitation treatment.MethodsThis study is a cross-sectional survey.The trauma patients hospitalized in a hospital from December 2019 to October 2020 were investigated by questionnaire,and 339 questionnaires were finally analyzed.The survey tools include general data questionnaire,General Self-Efficacy Scale(GSES),The Medical Coping Modes Questionnaire(MCMQ)and Chinese version of Connor-Davidson Resilience Scale(CD-RISC).Epidata3.1 software was used for data entry,and SPSS25.0 and AMOS24.0 statistical software were used for analysis.Results1.General data show that male patients are the majority;The maximum age of patients is85 years old and the minimum age is 18 years old.The reason for the injury was that 62.8% of the patients were injured by falls,and 33.0% of the car accidents ranked second.There were195 patients with limb injuries,accounting for 57.5%.The severity of trauma was 6-10 points and 95.9%.2.The self-efficacy score of trauma patients was(23.93±5.21).Face coping dimension score(17.24±4.80),avoidance coping dimension score(13.93±3.90),yield coping dimension score(8.29±2.58);The score of resilience was(59.79±12.93).3.The influencing factors of resilience of trauma patients are gender,trauma severity and age(P < 0.05).4.Correlation analysis shows that self-efficacy,coping style,resilience and their three dimensions are positively correlated with each other(P < 0.01).Surrender coping is negatively correlated with self-efficacy,face coping,resilience and their three dimensions(P< 0.01).5.Path analysis shows that self-efficacy and face-to-face coping style have both direct and indirect effects on resilience,while yield coping style has direct effect on resilience,while avoidance coping style has no statistical difference on resilience.Conclusion1.The self-efficacy level of trauma patients is at a medium-high level,so evaluation should be strengthened in clinical nursing work to encourage patients to respond to trauma events with a positive attitude.Among the three dimensions of coping style,it is more inclined to face coping style,which should guide patients to improve their emotions and enhance their belief in adopting positive coping style.Psychological resilience is at a medium level,so patients are encouraged to express the possible factors that affect their psychological state and actively solve the difficulties that affect patients’ psychological resilience.2.We should pay attention to the psychological elasticity of women and elderly patients,give psychological counseling,patients with severe trauma can help solve physical and psychological difficulties,so that patients can cooperate with medical staff voluntarily,improve patients’ compliance and improve prognosis.3.There are correlations among self-efficacy,coping style,resilience and all dimensions of trauma patients.That is to say,the higher the patient’s self-efficacy,the more positive the coping style will be,and the higher the level of psychological resilience will be.On the contrary,the lower the patient’s self-efficacy,the lower the psychological resilience.4.In clinical practice,patients’ self-efficacy level should be enhanced,and patients should be encouraged to adopt positive coping styles,so as to enhance the level of psychological resilience,which is of great significance for improving patients’ quality of life,optimizing disease outcomes and improving patients’ nursing satisfaction.