摘要
目的探讨意外创伤患者认知评价和认知加工与社会支持对创伤后成长的影响,并分析其影响路径。方法采用认知评价量表、事件相关反刍性沉思量表、社会支持量表及中文版创伤后成长问卷对336例意外创伤患者进行横断面调查。结果意外创伤患者创伤后成长(PTG)总分(58.74±13.53)分;目的性反刍总分、反刍性沉思总分与创伤后成长总分及各维度均呈正相关(r=0.578、0.439,P<0.01);侵入性反刍总分与创伤后成长总分呈负相关(r=-0.144,P<0.01);社会支持与创伤后成长总分呈正相关(r=0.492,P<0.01)。积极认知评价与目的性反刍性沉思在社会支持与创伤后成长之间起部分中介作用,中介效应为0.142,占总效应的13%。结论社会支持不仅可直接正向预测创伤后成长,还可通过积极认知评价和目的性反刍性沉思的中介作用间接预测创伤后成长。
Objective To explore the impact of cognitive evaluation,processing and social support on post-traumatic growth of patients with accidental trauma,and analyzed their impact path.Methods Cognitive evaluation scale,event-related rumination meditation scale,social support scale and Chinese version of post-traumatic growth questionnaire were used to conduct a cross-sectional survey on 336 patients with accidental trauma.Results The total score of post-traumatic growth(PTG)of patients with accidental trauma(58.74±13.53)and the total score of purposeful rumination and total rumination were positively correlated with the total score of post-traumatic growth and all dimensions(r=0.578,0.439,P<0.01);the total score of invasive rumination was negatively correlated with the total post-traumatic growth score(r=-0.144,P<0.01);the social support was positively correlated with the total post-traumatic growth score(r=0.492,P<0.01).Positive cognitive evaluation and purposeful rumination meditation played a partial mediating role between social support and post-traumatic growth.The mediating effect was 0.142,accounting for 13%of the total effect.Conclusion Social support not only directly predicted the post-traumatic growth,but also indirectly affected the post-traumatic growth through social support positive cognitive evaluation,and purposeful rumination.
作者
张斌涛
张爱华
Zhang Bintao;Zhang Aihua(Department of Anesthesia and Surgery,Xianyang Central Hospital,Shaanxi Province,Xianyang 712000,China;School of Nursing,Shandong First Medical University Shandong Academy of Medical Sciences,Taian 271016,China)
出处
《中国实用护理杂志》
2021年第12期900-906,共7页
Chinese Journal of Practical Nursing
基金
2018年度山东省高校科研发展计划(人文社科类)A类项目(J18RA103)
泰山医学院高层次课题培育计划(2017GCC17)。
关键词
意外创伤
认知评价
反刍性沉思
社会支持
创伤后成长
Accidental trauma
Post-traumatic growth
Cognitive evaluation
Social support
Ruminating meditation