突发公共卫生事件背景下医务人员社会支持与创伤后成长的关系:目的性反刍的中介作用

The relationship between social support and post-traumatic growth of medical staff in the context of public health emergencies:the mediating role of purposeful rumination

目的探究重大突发公共卫生事件背景下医护人员反刍、社会支持与创伤后成长的相关性,以及目的性反刍在社会支持与创伤后成长之间的中介效应。方法2023年3-7月采用方便抽样的方法选取湖北省内2家三甲医院的423名医护人员作为研究对象,采用事件相关性反刍性沉思量表、创伤后成长量表、多维度领悟社会支持量表进行调查,并对数据进行分析。结果事件相关性反刍性沉思量表的侵入性反刍得分为8.00(1.00,10.00)分,目的性反刍得分为10.00(6.00,12.00)分。多维度领悟社会支持量表得分为72.00(60.00,74.00)分。创伤后成长量表得分为60.00(51.00,73.00)分。社会支持、目的性反刍均与创伤后成长呈正相关(r=0.393、0.253,P<0.05);目的性反刍在社会支持对医护人员创伤后成长产生影响的过程中具有部分中介作用,占总效应的11.01%。结论社会支持、目的性反刍可促进创伤后成长,目的性反刍在社会支持和创伤后成长之间存在部分中介效应。可为促进重大突发公共卫生事件背景下医护人员的心理成长提供参考依据。

Objective To explore the correlation between rumination,social support and post-traumatic growth of medical staff in the context of major public health emergencies,and the mediating effect of purposeful rumination between social support and post-traumatic growth.Methods From March to July 2023,a total of 423 medical staff from two tertiary hospitals in Hubei Province were selected as the research objects by convenient sampling method.The event-related rumination scale,post-traumatic growth scale and multi-dimensional perceived social support scale were used to investigate and analyze the data.Results The invasive rumination score of the event-related rumination scale was 8.00(1.00,10.00)scores,and the purposeful rumination score was 10.00(6.00,12.00)scores.The score of Multidimensional Perceived Social Support Scale was 72.00(60.00,74.00)scores.The post-traumatic growth scale score was 60.00(51.00,73.00)scores.Social support and purposeful rumination were positively correlated with post-traumatic growth(r=0.393,0.253,P<0.05).Purposeful rumination played a partial mediating role in the process of social support affecting the post-traumatic growth of medical staff,accounting for 11.01%of the total effect.Conclusion Social support and purposeful rumination can promote post-traumatic growth and purposeful rumination has a partial mediating effect between social support and post-traumatic growth.It can provide reference for promoting the psychological growth of medical staff in the context of major public health emergencies.