摘要
目的探讨烧伤康复期患者目的性反刍性沉思、社会支持和创伤后成长三者的关系。方法使用便利取样的方法采用创伤后成长量表(posttraumatic growth inventory,PTGI)、事件相关性反刍性沉思问卷(event correlation rumination meditation,ERRI)和领悟社会支持量表(perceived social support scale,PSSS)对宜宾市第一人民医院整形烧伤科住院的126例烧伤康复期患者进行问卷调查。结果烧伤康复期患者创伤后成长总分、社会支持总分和目的性反刍性沉思评分分别为(62.76±10.59)分、(65.16±8.75)分和(17.36±6.34)分;经Pearson相关性分析显示,烧伤康复期患者创伤后成长总分及各维度得分与目的性反刍性沉思呈正相关(P<0.05);烧伤康复期患者创伤后成长总分及各维度得分与社会支持总分、家庭支持、朋友支持和其他支持呈正相关(P<0.05);烧伤康复期患者目的性反刍性沉思对社会支持与创伤后成长起部分中介作用,中介效应为24.85%。结论目的性反刍性沉思在烧伤康复期患者创伤后成长与社会支持之间具有中介作用,医护人员可通过提高患者目的性反刍性沉思水平,使患者获得更多的创伤后成长。
Objective To explore the relationship among goal rumination,social support and posttraumatic growth in patients with burn rehabilitation.Methods The posttraumatic growth inventory(PTGI),event correlation rumination meditation(ERRI)questionnaire and perceived social support scale(PSSS)questionnaire survey were conducted on 126 cases of burn patients admitted to Yibin First People′s Hospital Department of burns and plastic surgery.Results The total scores of posttraumatic growth,total scores of social support and scores of goal rumination were(62.76±10.59)points,(65.16±8.75)points and(17.36±6.34)points;Pearson correlation analysis showed that the total score of posttraumatic growth and the scores of each dimension were positively correlated with goal rumination(P<0.05);The total score of posttraumatic growth and the scores of each dimension were positively correlated with the total scores of social support,family support,friend support and other support(P<0.05);The goal rumination in burn rehabilitation stage was partly mediated by social support and posttraumatic growth,and the mediating effect was 24.85%.Conclusion The goal rumination plays a mediating role between posttraumatic growth and social support in patients with burn rehabilitation.Medical staff can improve the patient′s goal of rumination,so that patients can get more post-traumatic growth.
作者
肖敏
XIAO Min(Department Plastic and Burn Surgery,the First People′s Hospital of Yibin,Yibin 664000,China)
