社会支持和反刍性沉思对肺结核患者创伤后成长影响的路径分析

Path analysis of the influence of social support and ruminant meditation on post-traumatic growth of pulmonary tuberculosis patients

目的探究肺结核患者的社会支持、反刍性沉思对其创伤后成长(PTG)影响的路径及关系。方法选取2018年1月至2019年8月就诊患者156例作为研究对象,采用社会支持评定量表、事件相关反刍性沉思问卷以及创伤后成长评定量表进行调查分析,最终得到有效问卷150份,利用路径分析方法分析三者之间的相互影响关系。结果患者创伤后成长、社会支持以及反刍性沉思得分分别为(62.71±12.28)、(38.19±9.79)和(27.28±11.18)分;社会支持、目的性反刍性沉思直接正向影响肺结核患者的PTG(效应值为0.57);社会支持通过目的性反刍性沉思间接正向影响患者PTG(间接值为0.77),目的性反刍性沉思是其中的中介变量。结论肺结核患者的PTG、反刍性沉思水平以及社会支持皆有待提升,社会支持可以直接、间接影响肺结核患者的PTG水平。

Objective To explore the path and relationship between social support and ruminant meditation of tuberculosis patients on their post-traumatic growth(PTG).Methods A total of 156 patients treated from January 2018 to August 2019 were selected as the research objects.The social support rating scale,event-related ruminant meditation questionnaire,and post-traumatic growth rating scale were used for investigation and analysis,and 150 valid questionnaires were obtained.The path analysis method was used to analyze the mutual influence between people.Results The patient′s post-traumatic growth,social support and ruminant meditation scores were(62.71±12.28),(38.19±9.79)and(27.28±11.18)points,respectively;social support and purposeful ruminant meditation directly affected tuberculosis patient's PTG(effect value was 0.57);social support indirectly positively affected the patient's PTG through purposeful ruminant meditation(indirect value was 0.77),and purposeful ruminant meditation was the mediating variable.Conclusion The PTG,ruminant contemplation level and social support of pulmonary tuberculosis patients need to be improved.Social support can directly and indirectly affect the PTG level of pulmonary tuberculosis patients.