烧伤后瘢痕整形患者康复期创伤后成长及情绪调节策略的关系

Relationship between post-traumatic growth and emotional regulation strategies in patients undergoing post-burn scar plastic surgery during the period of rehabilitation

目的调查烧伤后瘢痕整形患者康复期不同时间点创伤后成长以及情绪调节策略的现状,并探究两者之间的相关性。方法选取某三甲医院2018年3月—2019年6月收治的84例烧伤后瘢痕整形患者,分别于患者出院时、出院后3个月以及出院后6个月运用创伤后成长评定量表(C-PTGI)和情绪调节量表(ERQ)进行问卷调查,比较患者不同时间点调查结果,分析影响患者创伤后成长的因素,对创伤后成长以及情绪调节策略进行相关性分析。结果患者不同时间点C-PTGI各维度及ERQ评分中认知重评呈下降趋势,ERQ评分中表达抑制维度评分呈上升趋势,组间比较差异具有统计学意义(P<0.05)。Pearson相关分析,认知重评与C-PTGI总分及各维度评分呈明显的正相关(r=0.228~0.560,P<0.05);表达抑制与C-PTGI总分、个人力量以及新的可能性维度评分呈明显的负相关(r=-0.423~-0.228,P<0.05)。结论烧伤后瘢痕整形患者康复期不同时间段存在不同的创伤后成长水平和不同方式的情绪调节策略,情绪调节策略与创伤后成长有很大关系,临床中应重视对患者情绪调节策略的引导,通过针对性护理干预来改善患者创伤后成长水平。

Objective To investigate the status quo of post-traumatic growth and emotional regulation strategies of patients undergoing post-burn scar plastic surgery at different time points during the period of rehabilitation,and explore the correlation between the two.Methods A total of 84 patients who underwent post-burn scar plastic surgery and were admitted to a 3A hospital from March 2018 to June 2019 were selected,and the Chinese-posttraumatic growth inventory(C-PTGI)and emotion regulation questionnaire(ERQ)were used for questionnaire surveys at the time of discharge,3 months after discharge,and 6 months after discharge to compare the survey results of patients at different time points,analyze the factors that affected the patient’s post-traumatic growth,and analyze the correlation between post-traumatic growth and emotional regulation strategies.Results The cognitive reappraisal of C-PTGI dimensions and ERQ scores showed a downward trend at different time points,and the expression inhibition dimension scores of ERQ scores showed an upward trend,and the differences between the groups were statistically significant(P<0.05).Pearson correlation analysis showed that the cognitive reappraisal was significantly positively correlated with the C-PTGI total score and scores in each dimension(r=0.228~0.560,P<0.05),expression inhibition was significantly negatively correlated with the C-PTGI total score,personal strength,and new possibility scores(r=-0.423~-0.228,P<0.05).Conclusions Patients undergoing post-burn scar plastic surgery had different levels of post-traumatic growth and different ways of emotion regulation strategies during different periods of recovery.Emotion regulation strategies were closely related to post-traumatic growth.In clinical practice,attention should be paid to the guidance of emotional regulation strategies for patients,and targeted nursing interventions should be used to improve the level of post-traumatic growth of patients.