摘要
目的了解中重度烧伤患者康复期不同时间点创伤后成长及情绪调节策略情况,探讨创伤后成长与情绪调节策略的相关性,为针对性的开展护理干预提供依据.方法采用便利抽样法对2017年12月至2019年1月在山东省临沂市人民医院烧伤整形中心的115例中重度烧伤康复期患者为研究对象.采用一般资料调查表、简体中文版创伤后成长评定量表(C-PTGI)、情绪调节量表(ERQ)分别于出院当日(T1)、出院后3个月(T2)及6个月(T3)进行问卷调查.结果患者T1、T2、T3创伤后成长总分分别为(58.18±9.51)、(48.65±9.31)、(47.43±8.76)分,3个时间点创伤后成长总分呈下降趋势,差异有统计学意义(F=339.732,P<0.01);患者情绪调节策略中的认知重评维度T1、T2、T3得分分别为(27.10±4.13)、(26.95±3.76)、(26.11±3.60)分,呈下降趋势,差异有统计学意义(F=27.798,P<0.01),表达抑制维度得分分别为(14.42±4.39)、(15.20±3.30)、(15.21±3.56)分,呈上升趋势,差异有统计学意义(F=13.675,P<0.01),认知重评得分与创伤后成长总分及各维度得分呈正相关(r=0.230~0.555,P<0.05),表达抑制得分与创伤后成长总分及个人力量、新的可能性维度得分呈负相关(r=-0.230^-0.420,P<0.05).结论中重度烧伤患者康复期创伤后成长不容乐观,应重视对中重度烧伤患者康复期情绪调节策略的引导,并进行有针对性的干预,以促进患者的创伤后成长.
Objective To investigate the posttraumatic growth and emotional regulation strategies of patients with moderate and severe burns at different time points in the rehabilitation period,and to explore the correlation between posttraumatic growth and emotional regulation strategies,so as to provide a basis for targeted nursing intervention.Methods By convenience sampling method,115 convalescent patients with moderate and severe burns in Linyi People′s Hospital burn plastic surgery center were investigated by General Information Questionnaire,Chinese Posttraumatic Growth Inventory(C-PTGI),Emotion Regulation Scale(ERQ)respectively on the day of discharge(T1),3 months and 6 months after hospital discharge(T2,T3)from December 2017 to January 2019.Results The post-traumatic growth scores of patients T1,T2 and T3 were 58.18±9.51,48.65±9.31 and 47.43±8.76,respectively.The post-traumatic growth scores showed a downward trend at three time points,and the difference was statistically significant(F=339.732,P<0.01).The scores of T1,T2 and T3 in the cognitive reassessment dimensions of patients′emotion regulation strategies were respectively 27.10±4.13,26.95±3.76,26.11±3.60.The scores are going down and the differences were statistically significant(F=27.798,P<0.01).The expression inhibition scores were 14.42±4.39,15.20±3.30,15.21±3.56 respectively.The scores are the rise and the differences were statistically significant(F=13.675,P<0.01).There were positive correlations between cognitive reassessment scores and posttraumatic growth scores、scores of all dimensions(r=0.230-0.555,P<0.05).The expression inhibition scores were negatively correlated with the total post-traumatic growth scores,personal strength,and scores of new possibility dimensions(r=-0.230--0.420,P<0.05).Conclusion Posttraumatic growth of patients with moderate to severe burns is not optimistic in the rehabilitation period.Therefore,it is necessary to pay attention to the guidance of emotional regulation strategies for patients with moderate to sever
作者
程海英
吕利明
刘培培
王硕
Cheng Haiying;LV Liming;Liu Peipei;Wang Shuo(Nursing College of Shandong University of Traditional Chinese Medicine,Ji′nan 250355,China)
出处
《中国实用护理杂志》
2019年第25期1921-1927,共7页
Chinese Journal of Practical Nursing
关键词
烧伤
创伤后成长
情绪调节策略
纵向研究
Burns
Post-traumatic growth
Emotion regulation strategy
Longitudinal study
