探讨断指再植术后患者重返工作自我效能的现状并分析其影响因素，为制定针对性干预措施、提升患者重返工作自我效能提供依据。

选择2023年9月至2024年8月于合肥市第二人民医院手术室接受断指再植术治疗的患者为研究对象，采用一般资料调查问卷、重返工作自我效能量表、自我同情量表、医院焦虑抑郁量表及家庭关怀度指数问卷对患者进行调查。分析断指再植术后患者重返工作自我效能与自我同情、焦虑、抑郁、家庭功能的相关性。采用多元线性回归分析断指再植术后患者重返工作自我效能的影响因素。

共发放问卷142份，回收有效问卷139份，有效回收率为97.89%。断指再植术后患者重返工作自我效能量表总分为（4.59±0.85）分，自我同情量表总分为（78.42±8.63）分；焦虑81例，抑郁74例；家庭功能良好61例，一般49例，较差29例。单因素分析结果显示，不同工作性质、月收入、断指数量、焦虑状态、抑郁状态、家庭功能的断指再植术后患者重返工作自我效能评分比较，差异有统计学意义（P<0.05）。断指再植术后患者重返工作自我效能与自我同情、家庭功能呈正相关（r=0.439、0.429，P=0.004、0.005），与焦虑、抑郁呈负相关（r=-0.311、-0.297，P=0.035、0.042）。多元线性回归分析结果显示，工作性质、月收入、焦虑、抑郁、家庭功能及自我同情是断指再植术后患者重返工作自我效能的影响因素（P<0.05）。

断指再植术后患者重返工作自我效能处于中等偏下水平，与工作性质、月收入、焦虑、抑郁、家庭功能及自我同情有关。医护人员可从负性情绪、家庭功能、自我同情等方面制定针对性干预措施。

To investigate the current situation of return-to-work self-efficacy （RTW-SE） in patients after replantation of severed fingers and analyze its influencing factors， provide evidence for developing targeted interventions to improve patients' RTW-SE.

Patients who underwent replantation of severed fingers in operating room of the Second People's Hospital of Hefei from September 2023 to August 2024 were selected as the research objects. Data were collected using the general information questionnaire， return-to-work self-efficacy scale， self-compassion scale， hospital anxiety and depression scale， and family care index questionnaire. The correlations between RTW-SE and self-compassion， anxiety， depression， and family function were analyzed. Multiple linear regression was performed to analyze influencing factors of RTW-SE in patients after replantation of severed fingers.

A total of 142 questionnaires were distributed， and 139 valid questionnaires were returned， with a valid return rate of 97.89%. The score of RTW-SE in patients after replantation of severed fingers was 4.59±0.85， while the score of the self-compassion scale was 78.42±8.63. Among the patients， 81 cases exhibited anxiety symptoms and 74 cases demonstrated depressive symptoms. Family function was rated as good in 61 cases， moderate in 49 cases， and poor in 29 cases. Univariate analysis revealed statistically significant differences in RTW-SE score among patients with different occupational types， monthly incomes， number of amputated digits， anxiety status， depression status， and family function （P<0.05）. In patients after replantation of severed fingers， RTW-SE showed positive correlations with self-compassion （r=0.439， P=0.004） and family functioning （r=0.429， P=0.005）， while demonstrating negative correlations with anxiety （r=-0.311， P=0.035） and depression （r=-0.297， P=0.042）. Multiple linear regression analysis identified that occupational type， monthly income， anxiety， depression， family function， and self-compassion were significant influencing factors of RTW-SE in patients after replantation of severed fingers（P<0.05）.

Patients after replantation of severed fingers demonstrated moderate-to-low levels of RTW-SE， which is significantly associated with occupational type， monthly income， anxiety， depression， family function， and self-compassion. Medical staff should develop targeted interventions focusing on negative emotional states， family support systems， and self-compassion enhancement to improve RTW-SE in patients after replantation of severed fingers.