[1]朱金扬,李颖,汪凤兰.脑卒中患者心理痛苦对创伤后成长的影响:反刍性沉思的中介作用[J].解放军护理杂志,2021,38(03):18-21.[doi:10.3969/j.issn.1008-9993.2021.03.005]
　ZHU Jinyang,LI Ying,WANG Fenglan.Effect of Psychological Distress on Posttraumatic Growth among Stroke Patients: The Mediating Role of Rumination[J].Nursing Journal Of Chinese People’s Laberation Army,2021,38(03):18-21.[doi:10.3969/j.issn.1008-9993.2021.03.005]
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脑卒中患者心理痛苦对创伤后成长的影响:反刍性沉思的中介作用()
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《解放军护理杂志》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年03期
页码:
18-21
栏目:
论著
出版日期:
2021-03-15

文章信息/Info

Title:
Effect of Psychological Distress on Posttraumatic Growth among Stroke Patients: The Mediating Role of Rumination
文章编号:
1008-9993(2021)03-0018-04
作者:
朱金扬; 李颖; 汪凤兰
(华北理工大学 护理与康复学院,河北 唐山063200)
Author(s):
ZHU Jinyang; LI Ying; WANG Fenglan
(College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063200,Hebei Province,China)
关键词:
脑卒中;  心理痛苦;  创伤后成长;  反刍性沉思;  中介作用
Keywords:
stroke;  psychological distress;  posttraumatic growth;  rumination;  mediating role
分类号:
R471
DOI:
10.3969/j.issn.1008-9993.2021.03.005
文献标志码:
A
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。
Abstract:
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.

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-11-28 【 修回日期 】 2021-03-05
【 作者简介 】 朱金扬,硕士在读,护士,从事临床护理研究
【 通信作者 】 汪凤兰,电话:0315-8805731
更新日期/Last Update: 2021-03-15