目的：探讨狼疮性肾炎（LN）患者心理弹性与自我效能、应对方式的相关性，为护理人员采取干预措施提高患者心理弹性提供依据。方法：选取东部战区总医院国家肾脏疾病临床医学研究中心2017年11月至2018年4月收治的LN患者216例，采用自编一般资料调查表、心理弹性量表、一般自我效能感量表及医学应对方式问卷进行问卷调查，采用Pearson相关性分析探讨患者心理弹性与自我效能、医学应对方式的相关关系，采用t检验比较心理弹性高分组与低分组间的差异。结果：LN患者心理弹性得分为（60.76±13.97）分，总分及各维度得分与一般自我效能呈正相关（r>0.4，P<0.01），与面对、回避应对方式呈正相关（0.4 < r < 0.1，P<0.05），与屈服应对方式呈负相关（-0.4 < r < -0.1，P<0.05），相关强度较弱；心理弹性高分组与低分组间的自我效能、应对方式差异均有统计学意义（P ≤ 0.01）。结论：LN患者心理弹性水平较低，心理弹性与自我效能、应对方式存在相关关系，护理人员可通过改善患者一般自我效能和疾病应对方式提高其心理弹性水平。

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