文章摘要
罕见病患者心理弹性及相关因素研究
Research on Psychological Resilience of Patients with Rare Diseases and Its Relevant Factors
投稿时间:2026-04-11  修订日期:2026-08-17
DOI:
中文关键词: 罕见病  心理弹性  社会支持  家庭弹性
英文关键词: Rare disease  Psychological resilience  Social support  Family resilience
基金项目:安徽省教育厅重大科研项目(人文社会科学类2025AHGXSK20016 )
作者单位邮编
陶洁 中国科学技术大学附属第一医院(安徽省立医院) 230001
李振坤 中国科学技术大学附属第一医院(安徽省立医院) 
刘乃鹏 中国科学技术大学附属第一医院(安徽省立医院) 
魏申奥 安徽医科大学卫生管理学院 
卢曼曼* 安徽医科大学卫生管理学院 230032
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中文摘要:
      目的 探究罕见病患者心理弹性现状及相关因素,为提升其心理弹性提供理论依据。方法 2025 年 1—4 月采用横断面调查,以滚雪球抽样在安徽省多家医院对罕见病患者开展问卷调查,经非参数检验、相关分析及多元线性回归分析相关因素。结果 共发放问卷387份,回收有效问卷361份,问卷有效回收率为93.3%。单因素分析显示不同BMI、受教育程度、职业状况、宗教信仰、家庭年收入、治疗阶段、共病和社会保险数量罕见病群体心理弹性有显著性差异(P < 0.05)。相关分析显示心理弹性与社会支持和家庭弹性呈显著正相关(r = 0.388、0.632;P < 0.001)。多元线性回归结果显示社会支持、家庭弹性与治疗阶段是罕见病患者心理弹性的关联因素(P < 0.05)。结论 罕见病患者心理弹性与多因素相关,社会支持与家庭弹性为正向关联,治疗阶段为负向关联。临床应针对性构建支持体系、提升家庭弹性并实施个性化干预,以改善患者心理健康与生活质量。
英文摘要:
      Objective To explore the status quo and relevant factors of mental resilience in rare disease patients, and provide theoretical basis for improving mental resilience in rare disease patients. Methods A cross-sectional survey was conducted in Anhui Province from January to April 2025. Using snowball sampling, questionnaires were distributed to rare disease patients in multiple hospitals in Anhui Province. Non-parametric tests, correlation analysis, and multiple linear regression analysis were performed to identify relevant factors.. Results A total of 387 questionnaires were sent out and 361 valid questionnaires were recovered, the effective recovery rate was 93.3%. Single factor analysis showed that there were significant differences in psychological elasticity among rare disease groups with different BMI, education level, occupation status, religious belief, family annual income, treatment stage, comorbidity and social insurance number (P < 0.05). Correlation analysis showed that psychological resilience was positively correlated with social support and family resilience (r = 0.388、0.632;P < 0.001). Multiple linear regression analysis showed that social support, family flexibility and treatment stage were the relevant factors of psychological flexibility in patients with rare diseases (P < 0.05). Conclusion The psychological resilience of patients with rare diseases is related to multiple factors. Social support and family resilience have a positive correlation, while the treatment stage has a negative correlation. In the intervention and treatment of rare disease patients, we should pay attention to these factors, strengthen the construction of social support system, improve family elasticity and formulate individualized intervention strategies according to the psychological characteristics of patients at different treatment stages, so as to enhance the psychological elasticity of rare disease patients, improve their mental health status and improve their quality of life.
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