大面积毁损伤病人反刍性沉思水平影响因素及变化趋势

Analysis of influencing factors of ruminant meditation in patients with extensive damage and its change trend

目的:探讨大面积毁损伤病人反刍性沉思水平影响因素及变化趋势。方法:便利选取206例大面积毁损伤病人,采用一般资料调查表、中文版创伤后成长评定量表和中文版事件相关反刍性沉思问卷进行调查。结果:206例大面积毁损伤病人反刍性沉思水平总分为(18.54±7.48)分。多元逐步回归分析结果显示,年龄、受伤原因、受伤时间及已花费医疗费用进入侵入性反刍性沉思回归方程(ΔR^(2)=0.567);文化程度进入目的性反刍性沉思回归方程(ΔR^(2)=0.104);年龄和受伤时间进入反刍性沉思总分回归方程(ΔR^(2)=0.264)。相关性分析显示,受伤时间<2周,病人目的性反刍性沉思水平与创伤后成长总分相关性无统计学意义;侵入性反刍性沉思与创伤后成长总分呈负相关。结论:大面积毁损伤病人反刍性沉思处于中等偏下水平,创伤后2周内侵入性反刍性沉思水平高于目的性反刍性沉思水平。提示临床护理人员重点关注创伤后2周内的病人心理状态,尤其是低收入、高年龄及机械伤毁损伤病人。

Objective:To explore the influencing factors and trends of ruminant meditation in patients with extensive damage.Methods:Totally 206 patients with extensive damage were selected by convenience sampling,and the general information questionnaire,Chinese version of Post⁃Traumatic Growth Inventory(PGI)and Chinese version of Event⁃Related Rumination Inventory(ERI)were used to conduct the survey.Results:The total score of ruminant meditation in 206 patients with extensive damage was 18.54±7.48.Multiple step regression analysis showed that age,injury cause,injury time and medical expenses entered into the regression equation of intrusive rumi⁃nant meditation(ΔR^(2)=0.567).The education level entered into the regression equation of purposeful ruminant meditation(ΔR^(2)=0.104),and age and injury time entered into the regression equation of ruminant total score(ΔR^(2)=0.264).Correlation analysis showed that there was no significant correlation between the level of purposeful ruminant and the total score of PGI when the injury time was less than two weeks.Intrusive ruminative rumination was negatively associated with total score of PGI.Conclusions:Rumination meditation in patients with extensive trauma was at a low⁃to⁃medium level,and intrusive rumination meditation was higher than purposeful rumination in two weeks after trauma.It was suggested that clinical nursing staff should pay more attention to the psychological state of the patients with traumatic injury within two weeks after traumatic injury,especially the patients with low income,high age and mechanical injury.