摘要
目的:对我院2018-2019年骨折患者术后创伤成长现状及其影响路径进行分析。方法:采用一般资料问卷调查表、医学应对方式问卷、领悟社会支持量表和创伤后成长评定量表对我院于2018年1月-2019年6月收治的156例骨折患者进行调查,基于相关分析和结构方程模型理论分析骨折患者术后创伤成长的影响路径。结果:骨折患者创伤后评分为(62.23±6.41)分,性别、学历、年龄、婚姻和职业状况、骨折原因以及护理级别均会对骨折患者创伤后成长评分产生显著影响(P<0.001)。创伤后成长与面对应对、领悟社会支持评分均呈正相关(r=0.568,P<0.01;r=0.558,P<0.01);创伤后成长与回避应对、屈服应对均呈负相关(r=-0.354,P<0.01;r=-458,P<0.01);社会支持评分与面对应对评分呈正相关(r=0.342,P<0.01),与回避应对、屈服应对均呈负相关(r=-0.195,P<0.01;r=-0.189,P<0.01);社会支持对于创伤后成长水平具有直接正向预测作用(路径系数β=0.45),社会支持也能通过应对方式(面对、回避、屈服)对创伤后成长产生间接正向预测作用(β=0.414、0.05、0.08)。结论:骨折患者术后创伤成长水平需进一步提升,社会支持可以直接影响创伤后成长或作用于应对方式间接影响创伤后成长,对骨折患者提供更多社会支持并引导患者产生积极应对心理可以改善骨折患者术后创伤成长水平。
Objective:To explore the current status of trauma growth and its influence path in patients with fractures in our hospital from 2018 to 2019.Methods:A survey of 156 fracture patients treated in our hospital from January 2018 to June 2019 was performed using the General Information Questionnaire,Coping Style Scale,Perceived Social Support Scale,and Postoperative Trauma Growth Scale.Based on correlation analysis and structural equation model theory,the influence path of postoperative trauma growth in fracture patients was analyzed.Results:The post-traumatic score of fracture patients was(62.23±6.41)points.Gender,education,age,marital and occupational status,causes of fractures,and nursing level all had significant effects on posttraumatic growth scores of fracture patients(P<0.001).Post-traumatic growth was positively correlated with coping and perceived social support scores(r=0.568,P<0.01;r=0.558,P<0.01),and negatively correlatedwith avoidance and yielding responses(r=-0.354,P<0.01;r=-458,P<0.01);The social support score was positively correlated with the face coping score(r=0.342,P<0.01),and negatively correlated with both the avoidance response and the yielding response(r=-0.195,P<0.01;r=-0.189,P<0.01);Social support had a direct positive predictive effect on the level of post-traumatic growth(path coefficientβ=0.45),and social support could also have an indirect positive predictive effect on post-traumatic growth through three coping styles(facing,avoiding,and yielding)(β=0.414,0.05,0.08).Conclusion:The level of post-traumatic growth of patients with fractures needs to be further improved.Social support can directly affect post-traumatic growth or indirectly affect post-traumatic growth by acting on coping styles.Providing more social support to fracture patients and guiding patients to respond positively can improve the post-traumatic growth level of fracture patients.
作者
刘建会
张滟
徐敏
马婷婷
LIU Jianhui;ZHANG Yan;XU Min;MA Tingting(Nursing Department,Xinhua Hospital of Xinhua Medical Group,Huainan 232052,China)
出处
《现代医学》
2021年第2期223-227,共5页
Modern Medical Journal
关键词
骨折
创伤后成长
影响路径
社会支持
模型
fracture
posttraumatic growth
path of influence
social support
model
