心理弹性在住院慢性病患者创伤后成长与生存质量间的中介效应

Mediating effect of resilience between posttraumatic growth and quality of life in patients with chronic diseases

目的 了解住院慢性病患者创伤后成长、心理弹性及生存质量现状,探讨三者之间的关系。方法 以便利抽样法选取住院慢性病患者294例,采用一般资料调查表、创伤后成长评定量表、心理弹性量表简表、简明健康调查量表进行调查。结果 住院慢性病患者创伤后成长得分61.0(51.0,70.0)分,心理弹性得分71.0(60.0,81.0)分,生存质量总分为50.8(37.5,65.6)分。创伤后成长与心理弹性、生存质量呈正相关,心理弹性与生存质量呈正相关(均P<0.05)。心理弹性在创伤后成长与生存质量间起完全中介作用(P<0.05)。结论 住院慢性病患者创伤后成长、心理弹性及生存质量处于中等水平,创伤后成长可通过心理弹性影响患者生存质量。医护人员应采取措施提高住院慢性病患者的创伤后成长和心理弹性水平,进而提升其生存质量。

Objective To investigate the levels of posttraumatic growth,resilience,and quality of life of patients with chronic diseases,and to explore the relationship among them.Methods A total of 294 patients with chronic diseases were selected by convenience sampling method and surveyed using a self-designed general information questionnaire,the Posttraumatic Growth Inventory,14-item Resilience Scale and 12-item Short-Form Health Survey.Results The median scores of posttraumatic growth,resilience,and quality of life were 61.0(IQR:51.0-70.0),71.0(IQR:60.0-81.0),and 50.8(IQR:37.5-65.6),respectively.Posttraumatic growth was positively correlated with resilience and quality of life,and resilience was also positively correlated with quality of life(all P<0.05).Resilience fully mediated the relationship between posttraumatic growth and quality of life(P<0.05).Conclusion Patients with chronic diseases report moderate levels of posttraumatic growth,resilience,and quality of life.Posttraumatic growth can affect quality of life of patients through resilience.Medical staff should take measures to enhance post-traumatic growth and psychological resilience of patients with chronic diseases,thus to improve their quality of life.