Min Hui, Rong Mingmei
Gynecology Department, The First Affiliated Hospital with Nanjing Medical University (Jiangsu Province Hospital), Nanjing, Jiangsu Province, China.
Medicine (Baltimore). 2025 May 9;104(19):e42415. doi: 10.1097/MD.0000000000042415.
This study aimed to analyze the current state of discharge readiness among gynecological patients of childbearing age and to investigate the mediating role of perceived social support in the relationship between psychological resilience and discharge readiness. Convenience sampling was used to conduct a questionnaire survey of 197 gynecological patients of childbearing age at a tertiary hospital in Jiangsu Province. The survey utilized a general information questionnaire, perceived social support scale, psychological resilience scale, and discharge readiness scale. The total scores for perceived social support (74.54 ± 8.84), psychological resilience (97.25 ± 16.73), and discharge readiness (106.18 ± 15.08) among the patients were all above average. Correlation analysis indicated that both perceived social support and psychological resilience were positively associated with discharge readiness (P < .05). The intermediary effect revealed that perceived social support partially mediates the relationship between psychological resilience and discharge readiness. Psychological resilience can directly and positively predict patients' discharge readiness, and indirectly predict discharge readiness through perceived social support. Healthcare providers should mobilize external social support resources while enhancing internal psychological interventions to improve patient discharge readiness.
本研究旨在分析育龄期妇科患者出院准备度的现状,并探讨感知社会支持在心理韧性与出院准备度关系中的中介作用。采用便利抽样法,对江苏省某三级医院的197名育龄期妇科患者进行问卷调查。调查使用了一般信息问卷、感知社会支持量表、心理韧性量表和出院准备度量表。患者的感知社会支持总分(74.54±8.84)、心理韧性总分(97.25±16.73)和出院准备度总分(106.18±15.08)均高于平均水平。相关分析表明,感知社会支持和心理韧性均与出院准备度呈正相关(P<.05)。中介效应显示,感知社会支持在心理韧性与出院准备度的关系中起部分中介作用。心理韧性既能直接正向预测患者的出院准备度,也能通过感知社会支持间接预测出院准备度。医护人员应在加强内部心理干预的同时,调动外部社会支持资源,以提高患者的出院准备度。