摘要目的? 调查慢性胃轻瘫患者心理扭力和预感性悲伤的水平,并分析二者间的关系.方法? 采用便利抽样法,选取2014年4月—2016年4月新乡市中心医院收治的慢性胃轻瘫患者121例为研究对象,收集患者的一般资料情况,采用心理扭力量表和预感性悲伤量表调查患者的心理扭力和预感性悲伤水平.采用Pearson相关分析和多元线性回归分析心理扭力与预感性悲伤的关系.结果? 慢性胃轻瘫患者心理扭力得分(268.94±46.14)分,其中条目平均分最高的维度为期望扭力(4.61±0.44)分;预感性悲伤得分为(35.50±5.75)分,其中条目平均分最高的维度为躯体症状(2.46±0.35)分.Pearson相关分析显示,心理扭力总分及各维度得分与预感性悲伤总分及自我意识、悲伤、躯体症状3个维度得分呈正相关(P＜0.05).多元线性回归分析发现,心理扭力4个维度均是预感性悲伤的影响因素.结论? 慢性胃轻瘫患者心理扭力和预感性悲伤水平均较高,二者呈正相关;心理扭力可以预测预感性悲伤情况.护士应采取积极有效的心理干预,降低患者的心理扭力,从而改善患者调剂预感性悲伤的能力.

abstractsObjective? To explore the level of psychological torsion and anticipatory sorrow in patients with chronic gastroparesis and to analyze the relationship between the two. Methods? Totally 121 patients with chronic gastroparesis admitted in Xinxiang Central Hospital from April 2014 to April 2016 were selected using convenient sampling. The patients' general information was collected. The Psychological Strain Scale and the Anticipatory Sorrow Scale were used to evaluate the psychological torsion and anticipatory sorrow levels in these patients. Pearson correlation analysis and multivariate regression analysis were used to analyze the relationship between psychological torsion and anticipatory sorrow. Results? The patients' psychological torsion scored (268.94±46.14), in which the dimension of anticipatory torsion scored the highest, which was (4.61±0.44). Their anticipatory sorrow scored (35.50±5.75), in which the dimension of physical symptom scored the highest, which was (2.46±0.35). The Pearson correlation analysis showed that the total score and scores of various dimensions of psychological torsion were positively correlatively with the total score and scores of the dimensions of self-consciousness, sorrow and physical symptom of anticipatory sorrow (P＜ 0.05). According to the multivariate linear regression analysis, all the four dimensions of psychological torsion were the influencing factors to anticipatory sorrow. Conclusions? The psychological torsion and anticipatory sorrow stand at a high level in patients with chronic gastroparesis, and the two are positively correlated with each other. Psychological torsion may be used to predict anticipatory sorrow. Nurses should take active interventions to reduce the patients' psychological torsion, thereby improving their ability of mediating anticipatory sorrow.