| 钱会娟,郑清如,廖香梅,黄新艳,周玲,胡三莲.大面积毁损伤骨科患者创伤后成长水平及影响因素研究[J].上海护理,2019,19(6): |
| 大面积毁损伤骨科患者创伤后成长水平及影响因素研究 |
| The Status and influencing factors of posttraumatic growth (PTG) in large mangled extremity syndrome patients |
| DOI： |
| 中文关键词: 大面积毁损伤，创伤后成长，反刍性沉思，影响因素 |
| 英文关键词: |
| 基金项目:上海市第六人民医院院级课题（院内-2050）资助 |
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| 中文摘要: |
| 目的：了解大面积毁损伤骨科患者创伤后成长水平的现状，探讨其影响因素，以便更好指导临床护理工作的开展。
方法：采用方便抽样方法，于2017.07-2018.03入住我院骨科的206例大面积毁损伤者进行问卷调查，采用一般资料调查表、简体中文版创伤后成长评定量表、简体中文版事件相关反刍性沉思问卷实施调查，采用描述性分析、相关性分析，单因素和多因素方差分析进行数据处理分析。
结果:大面积毁损伤骨科患者创伤后成长评定量表得分为（55.42±14.95），其中人生感悟维度条目均分最高（3.90±0.86），新的可能性维度条目均分最低（1.25±0.97）。相关性分析结果显示：不同受伤时间侵入性反刍性沉思与创伤后成长水平均呈负相关（p<0.05）；≥2周目的性反刍性沉思与创伤后成长水平呈正相关（p<0.05）。
单因素方差分析结果：不同性别、年龄、文化程度、职业、家庭年收入、医疗花费、受伤原因、受伤时间、手术次数的患者创伤后成长水平之间有统计学差异（p<0.05）。经多元线性回归分析：性别、年龄、受伤时间、目的性反刍性沉思和侵入性反刍性沉思进入回归方程，解释创伤后成长总变异的49.9%。
结论：临床护理人员应采用适宜心理干预方式帮助伤者度过创伤早期阶段，关注重点人群，促使其降低侵入性反刍性沉思、增加目的性反刍性沉思，以提高伤者创伤后成长的体验，促进伤者生理和心理的恢复。 |
| 英文摘要: |
| 【】Objective: To explore the status and influencing factors of posttraumatic growth(PTG) in large mangled extremity syndrome patients, so as to better guide the clinical nursing work. Methods: Cross-sectional studies. A total of 206 large mangled extremity syndrome patients chosen by convenient sampling method were investigated by general information collector, Chinese version of Posttraumatic Growth Inventory(C-PTGI), Chinese version of Event-Related Rumination Inventory(C-ERRI).Results:The score of PTGI in large mangled extremity syndrome patients was (55.42±14.95), the score of the dimension appreciation of life ranks highest (3.90±0.86), while the dimension new possibilities ranks lowest (1.25±0.97). Posttraumatic growth was negatively correlated with intrusive rumination all the time (p<0.05), and was positively correlated with deliberate rumination after two weeks later (p<0.05). Single factor variance analysis results showed that there were statistical differences between the patients with different gender, age, cultural degree, occupation, family income, medical expenses, causes of injury, time of injury, number of surgeries.Multiple regression analysis showed that sex, age, time since injury, deliberate rumination and intrusive rumination were influencing factors of PTG and all of them could explain49.9% of the total variance of PTG. Conclusion: Clinical nurses should take appropriate psychological intervention to help patients through the early stages of injury, pay more attention on the focus group, and to reduce their intrusive rumination while increase their deliberate rumination to promote the development of PTG, so as to facilitate the recovery of both the physical and psychological injury of the patients. |
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