Objective:To explore the current status of trauma growth and its influence path in patients with fractures in our hospital from 2018 to 2019.Methods: A survey of 156 fracture patients treated in our hospital from January 2018 to June 2019 was performed using the General Information Questionnaire, Coping Style Scale, Perceived Social Support Scale, and Postoperative Trauma Growth Scale. Based on correlation analysis and structural equation model theory, the influence path of postoperative trauma growth in fracture patients was analyzed. Results:The post-traumatic score of fracture patients was (62.23±6.41) points. Gender, education, age, marital and occupational status, causes of fractures, and nursing level all had significant effects on post-traumatic growth scores of fracture patients (P<0.001). Post-traumatic growth was positively correlated with coping and perceived social support scores (r=0.568, P<0.01; r=0.558, P<0.01), and negatively correlated with avoidance and yielding responses (r=-0.354,P<0.01; r=-458,P<0.01); The social support score was positively correlated with the face coping score (r=0.342, P<0.01), and negatively correlated with both the avoidance response and the yielding response (r=-0.195, P<0.01; r=-0.189, P<0.01);Social support had a direct positive predictive effect on the level of post-traumatic growth (path coefficient β=0.45), and social support could also have an indirect positive predictive effect on post-traumatic growth through three coping styles (facing, avoiding, and yielding) (β=0.414,0.05,0.08). Conclusion:The level of post-traumatic growth of patients with fractures needs to be further improved. Social support can directly affect post-traumatic growth or indirectly affect post-traumatic growth by acting on coping styles. Providing more social support to fracture patients and guiding patients to respond positively can improve the post-traumatic growth level of fracture patients. |
[1] 汪际,陈瑶,王艳波,等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志,2011,26(14):26-28.
[2] 刘谆谆,刘敏杰,张兰凤.癌症患者创伤后成长干预模式的研究进展[J].中华行为医学与脑科学杂志,2014,23(8):767-768.
[3] 王雁飞.社会支持与身心健康关系研究述评[J].心理科学,2004,27(5):1175-1177.
[4] 何云涓,卢曼曼,陈贵梅,等.公立医院医务人员焦虑与社会支持、领悟社会支持及应对方式的相关性研究[J].中华疾病控制杂志,2019,23(30):328-331.
[5] 王新燕,张桂青,石志坚,等.创伤住院患者创伤后应激障碍与应对方式、社会支持及防御方式的关系的研究[J].现代预防医学,2015,42(3):473-475.
[6] TEDESCHI R G,CALHOUN L G.The posttraumatic growth inventory:measuring the positive legacy of trauma[J].J Trauma Stress,1996,9(3):455-471.
[7] BLUMENTHAL J A,BURG M M,BAREFOOT J,et al.Social support,type A behavior,and coronary artery disease[J].Psychosomatic Medicine,1987,49(4):331-340.
[8] 沈晓红,姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学,2000,9(1):18-20.
[9] 冯正直,夏本立,杨国愉,等.军人应对方式量表的常模及结果分析[J].中国心理卫生杂志,2006,20(10):667-670.
[10] 栾贝贝,王维利,朱宇.癌症患者主要照顾者创伤后成长与应对方式、自我效能感的关系研究[J].中国全科医学,2016,19(19):2339-2343.
[11] 王雪,张国惠,唐永利.骨折患者创伤后成长现状及影响因素调查[J].护理学杂志,2016,31(10):50-52.
[12] AN Y,YUAN G,ZHANG N,et al.Longitudinal crosslagged relationships between mindfulness,posttraumatic stress symptoms,and posttraumatic growth in adolescents following the Yancheng tornado in China[J].Psychiatry Res,2018,266(23):334-340.
[13] KHANJANI M S,YOUNESI S J,KHANKEH H R,et al.Exploring facilitators of post-traumatic growth in patients with spinal cord injury:a qualitative study[J].Electronic Physician,2017,9(1):3544-3553.
[14] 赫丽杰,王海宽,胡月飞,等.直肠癌永久性肠造口患者伤残接受度与应对方式及社会支持的相关性分析[J].中华现代护理杂志,2018,24(34):4156-4159.
[15] 赵秋月,谷玥.早期原发性肝癌术后患者创伤后成长现状及其影响因素分析[J].中华现代护理杂志,2018,24(36):4411-4414.
[16] 王美兰,陆连芳,于清舒.社会支持、应对方式对造口患者创伤后成长影响的路径分析[J].中国实用护理杂志,2018,34(27):2127-2132. |
