摘要
目的探讨意外创伤患者认知加工与自我效能对创伤后成长(posttraumatic growth,PTG)的影响,并分析其认知加工在创伤后成长和自我效能间的中介效应。方法2019年1-11月,采取便利抽样法选取咸阳市某三级甲等医院意外创伤患者385例,采用一般资料调查表、自我效能量表(general self-efficacy scale,GSES)、事件相关性反刍性沉思量表(chinese version of event related rumination inventory,C-ERRI)及中文版创伤后成长问卷(post-traumatic growth inventory,PTGI)对其进行调查。结果意外创伤患者的PTG得分为(58.74±13.53)分;其认知加工、自我效能与PTG呈正相关(均P<0.01);认知加工在自我效能与PTG间起着部分中介作用,自我效能通过目的性反刍性沉思和侵入性反刍性沉思间接作用于PTG,中介效应占总效应的32%。结论意外创伤患者自我效能不仅可以直接正向预测PTG,还可通过认知加工对PTG起间接预测作用。
Objective To explore the impact of cognitive processing and self-efficacy on post-traumatic growth(PTG)in patients with accidental trauma,and to analyze the mediating effect of cognitive processing on post-traumatic growth and self-efficacy.Methods From January 2019 to November 2019,385 patients with accidental trauma were selected from a tertiary hospital in Xianyang by convenience sampling method.Meanwhile,the general data questionnaire,general self-efficacy scale(GSES),the Chinese version of event-related rumination inventory(C-ERRI),and post-traumatic growth inventory(PTGI)were used for investigation.Results PTG score of patients with accidental trauma was 58.74±13.53;cognitive processing and self-efficacy were positively correlated with PTG(all P<0.01);cognitive processing exerted some mediating effect on self-efficacy and PTG;self-efficacy indirectly played a role in PTG through intentional rumination and invasive rumination;the mediating effect accounted for 32%of the total effects.Conclusions The self-efficacy of patients with accidental trauma can not only directly and positively predict PTG,but also indirectly predict PTG through cognitive processing.
作者
张斌涛
张爱华
ZHANG Bintao;ZHANG Aihua(School of Nursing,Shandong First Medical University Shandong Academy of Medical Sciences,Taian 271016,Shandong Province,China;Department of Anesthesia and Surgery,Xianyang Central Hospital,Xianyang 712000,Shaanxi Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2021年第7期37-40,共4页
Nursing Journal of Chinese People's Liberation Army
基金
2018年度山东省高校科研计划项目(人文社科类)A类项目(J18RA103)
泰山医学院高层次培育课题(RKC.2017-2020)。
关键词
意外创伤
认知加工
自我效能
创伤后成长
反刍性沉思
accidental trauma
cognitive processing
self-efficacy
post-traumatic growth
ruminant meditation
