Current status and influencing factors of psychological resilience in aneurysmal subarachnoid hemorrhage patients

Abstract

Objective To investigate the psychological resilience of patients with aneurysmal subarachnoid hemorrhage (aSAH) and analyze the influencing factors. Methods From July to December of 2018, 160 inpatients with aSAH from Neurosurgery Department of a ClassⅢ Grade A hospital in Shanxi Province were selected as the study subjects. Cornor-Davidson Resilience Scale (CD-RISC) , General Self-efficacy Scale, Self-rating Anxiety (SAS) and Self-rating Depression Scale (SDS) and Self-designed General Information Questionnaire were used to investigate them and analyzed the influencing factors of the psychological resilience score in the inpatients with aSAH. Results A total of 154 valid questionnaires were collected, with an effective recovery rate of 96.25%. The total score of resilience of aSAH patients was (56.50±16.637) , which was lower than that of the domestic norm (65.4±13.9) , with statistical significance (P<0.05) ; the general self-efficacy score was (2.20±0.557) , the anxiety score was (49.09±6.526) , and the depression score was (49.69±6.660) . Psychological resilience and each dimensions of aSAH patients were positively correlated with general self-efficacy (P<0.05) and negatively correlated with anxiety (P<0.05) . Multivariate analysis showed that educational level, type of nursing care, general self-efficacy and anxiety were the influencing factors of psychological resilience of aSAH patients (P<0.05) , explaining 63.9% variation of their psychological resilience. Conclusions The psychological resilience level of aSAH patients is generally low, and their educational level, type of nursing care, general self-efficacy and anxiety are important factors affecting their resilience level. Key words: Aneurysmal subarachnoid hemorrhage; Psychological resilience; Influencing factor; Negative emotion; Self-efficacy