摘要
目的探讨脑卒中患者心理痛苦对创伤后成长(posttraumatic growth,PTG)的影响及反刍性沉思的作用。方法2019年10月至2020年11月,采取便利抽样法选择华北理工大学附属医院神经内科和康复科收治的203例脑卒中患者为研究对象,使用一般资料调查表、心理痛苦温度计(distress thermometer,DT)、反刍性沉思问卷(event related rumination inventory,ERRI)和中文版创伤后成长问卷(post-traumatic growth inventory,PTGI-C)对其进行调查。结果脑卒中患者心理痛苦与PTG(r=-0.247,P<0.01)、目的性反刍性沉思(r=-0.161,P<0.05)呈负相关,与侵入性反刍性沉思呈正相关(r=0.292,P<0.01);PTG与侵入性反刍性沉思(r=0.209,P<0.01)、目的性反刍性沉思(r=0.553,P<0.01)呈正相关。心理痛苦对PTG的直接作用显著(β=-0.196,P<0.01),目的性反刍性沉思、侵入性反刍性沉思→目的性反刍性沉思的路径在心理痛苦与PTG间的中介效应分别为占总效应的33.0%、14.8%。结论脑卒中患者的心理痛苦不仅可以直接作用于PTG,还可通过目的性反刍性沉思的独立中介作用、侵入性反刍性沉思→目的性反刍性沉思的链式中介作用间接影响PTG。
Objective To explore the effect of psychological distress on posttraumatic growth(PTG)and the mediating role of rumination among stroke patients.Methods Convenience sampling was used to select 203 stroke patients from the Neurology Department and the Rehabilitation Department of the Affiliated Hospital of North China University of Science and Technology from October,2019 to November,2020.The general information questionnaire,Distress Thermometer(DT),Event Related Rumination Inventory(ERRI)and the Chinese version of Posttraumatic Growth Inventory(PTGI-C)were used for investigation.Results Stroke patients’psychological distress was negatively correlated with PTG(r=-0.247,P<0.01)and deliberate rumination(r=-0.161,P<0.05),and positively correlated with invasive rumination(r=0.292,P<0.01).PTG was positively correlated with invasive rumination(r=0.209,P<0.01),and deliberate rumination(r=0.553,P<0.01).The direct effect of psychological distress on the PTG was statistically significant(β=-0.196,P<0.01).The mediating effect of deliberate rumination and the mediating chain of invasive rumination on deliberate rumination between psychological distress and PTG were 33.0%and 14.8%,respectively.Conclusions Stroke patients’psychological distress can not only directly affect their PTG,but also indirectly affect PTG through the independent mediating role of deliberate rumination and the mediating chain of invasive rumination on deliberate rumination.
作者
朱金扬
李颖
汪凤兰
ZHU Jinyang;LI Ying;WANG Fenglan(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063200,Hebei Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2021年第3期18-21,共4页
Nursing Journal of Chinese People's Liberation Army
关键词
脑卒中
心理痛苦
创伤后成长
反刍性沉思
中介作用
stroke
psychological distress
posttraumatic growth
rumination
mediating role
