心理一致感在冠脉支架置入术后病人社会支持与创伤后成长之间的中介作用研究
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摘要
目的探讨心理一致感在冠脉支架置入术后病人社会支持与创伤后成长之间的中介效应,为提高冠脉支架置入术后病人创伤后成长水平提供理论依据。方法采用便利抽样的方法,选取2017年11月-2018年4月在辽宁省两家三甲医院的心内科就诊的244例行冠脉支架置入术后病人,采用一般资料调查表、心理一致感量表(SOC-13)、创伤后成长量表(PTGI)、社会支持量表(SSRS)进行调查。结果冠脉支架置入术后病人觉心理一致感得分为(66. 31±9. 61)分;社会支持得分为(39. 06±7. 91)分;创伤后成长得分为(56. 63±12. 33)分,社会支持总分与创伤后成长总分呈正相关(r=0. 434,P <0. 05),心理一致感总分与创伤后成长总分呈正相关(r=0. 556,P <0. 05),心理一致感在冠脉支架置入术后病人社会支持与创伤后成长之间起部分中介效应,中介效应为0. 316,占总效应的46. 74%。结论冠脉支架置入术后病人社会支持主要通过心理一致感的中介作用对冠脉支架置入术后病人创伤后成长产生间接效应,且心理一致感在社会支持与创伤后成长之间起到中介效应。
Objective To investigate the mediation effect of psychological consistency on the relationship between social support and post-traumatic growth after coronary stent implantation,and to provide a reference for improving the post-traumatic growth of patients after coronary stent implantation. Methods A convenient sampling method was used to select 244 patients underwent coronary stent implantation in the Department of Cardiology at the two of the top three hospitals in Liaoning Province from November 2017 to April 2018. General information questionnaires and social support questionnaires( SSRS) were used. Post-Traumatic Growth Scale( PTGI),and Consensus of Sentiment( SOC-13) were also investigated. Results After coronary stent implantation,the patient's sense of coherence score was( 66. 31 ± 9. 61),with the social support score of( 56. 63 ± 12. 33)and the post-traumatic growth score of( 56. 63 ± 12. 33). There was a positive correlation between social support and post-trauma growth( r = 0. 434,P < 0. 05) and a positive correlation between sense of coherence and posttraumatic growth( r = 0. 556,P < 0. 05). The sense of coherence played a partial mediation role between the patient 's social support and post-traumatic growth after coronary stenting. The mediation effect was 0. 316,accounting for 46. 74% of the total effect. Conclusion The social support of patients after coronary stent implantation has an indirect effect on post-traumatic growth through the mediation effect of sense of coherence. And the sense of coherence plays a mediating effect between social support and post-traumatic growth.
Objective To investigate the mediation effect of psychological consistency on the relationship between social support and post-traumatic growth after coronary stent implantation,and to provide a reference for improving the post-traumatic growth of patients after coronary stent implantation. Methods A convenient sampling method was used to select 244 patients underwent coronary stent implantation in the Department of Cardiology at the two of the top three hospitals in Liaoning Province from November 2017 to April 2018. General information questionnaires and social support questionnaires( SSRS) were used. Post-Traumatic Growth Scale( PTGI),and Consensus of Sentiment( SOC-13) were also investigated. Results After coronary stent implantation,the patient's sense of coherence score was( 66. 31 ± 9. 61),with the social support score of( 56. 63 ± 12. 33)and the post-traumatic growth score of( 56. 63 ± 12. 33). There was a positive correlation between social support and post-trauma growth( r = 0. 434,P < 0. 05) and a positive correlation between sense of coherence and posttraumatic growth( r = 0. 556,P < 0. 05). The sense of coherence played a partial mediation role between the patient 's social support and post-traumatic growth after coronary stenting. The mediation effect was 0. 316,accounting for 46. 74% of the total effect. Conclusion The social support of patients after coronary stent implantation has an indirect effect on post-traumatic growth through the mediation effect of sense of coherence. And the sense of coherence plays a mediating effect between social support and post-traumatic growth.
引文
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[12]刘永闯,郭丽娜,刘堃.觉知压力对城市社区老年人抑郁的影响:睡眠质量指数的中介效应[J].现代预防医学,2016,43(8):1425-1428.
[13]袁园,黄颖梅.冠心病PCI患者疾病管理能力与负性情绪对创伤后成长的影响[J].齐鲁护理杂志,2017,23(21):4-6.
[14] Zeligman M,Varney M,Grad R,et al. Posttraumatic growth in individuals with chronic illness:the role of social support and meaning making[J]. Journal of Counseling&Development,2018,96:53-63.
[15] Xiu DM,Mc Gee SL,Maercker A. Sense of coherence and posttraumatic growth:the moderating role of value orientation in Chinese and Swiss bereaved parents[J]. Journal of Loss&Trauma,2018,23(3):259-270.
[16] Nosheen A,Riaz MN,Malik NI,et al. Mental health outcomes of sense of coherence in individualistic and collectivistic culture:Moderating role of social support[J]. Pakistan Journal of Psychological Research,2017,32(2):563-579.
[17] Tan KK,Chan SW,Wang WA. A salutogenic program to enhance sense of coherence and quality of Life for older People in the community:A feasibility randomized controlled trial and process evaluation[J]. Patient Education and Counseling,2016,99(1):108-116.
[2] Rahimi R,Heidarzadeh M,shoaee R. The relationship between posttraumatic growth and social support in patients with myocardial infarction[J]. Canadian Journal of Cardiovascular Nursing,2016,26(2):19-24.
[3]李振云,王爱敏,李婷,等.老年冠心病患者心理一致感的现状及影响因素分析[J].护理学报,2016,23(18):17-21.
[4] Kase T,Endo S,Oishi K. Process linking social support to mental health through a sense of coherence in Japanese university students[J]. Mental Health&Prevention,2016,4(3-4):124-129.
[5]沈琴,李惠萍,杨娅娟,等.乳腺癌患者心理一致感对社会支持与创伤后成长的中介作用[J].中国健康教育,2016,32(12):1099-1102.
[6]王骏,万晓燕,许燕玲.内科护理学[M].大连:大连理工大学出版社,2016.
[7]程玲灵,杨芳,赵立辉,等.乳腺癌住院患者自我效能感及创伤后应激障碍对其创伤后成长的影响[J].现代预防医学,2017,44(11):1979-1982,1990.
[8] Hicks JA,Trent J,Davis WE,et al. Positive affect,meaning in life,and future time perspective:an application of socioemotional selectivity theory[J]. Psychology&Aging,2012,27(1):181-189.
[9] Antonovsky A. The structure and properties of the sense of coherence scale[J]. Social Science&Medicine,1993,36(6):725-733.
[10]付莉,王燕,万彬,等.四川省艾滋病护理人员心理一致感与职业倦怠及其相关性研究[J].现代预防医学,2018,45(9):1559-1562.
[11]刘小兰,徐琴娟,李涓涓. MHD患者社会支持和反刍性沉思对创伤后成长影响的路径分析[J].现代预防医学,2018,45(8):1528-1531.
[12]刘永闯,郭丽娜,刘堃.觉知压力对城市社区老年人抑郁的影响:睡眠质量指数的中介效应[J].现代预防医学,2016,43(8):1425-1428.
[13]袁园,黄颖梅.冠心病PCI患者疾病管理能力与负性情绪对创伤后成长的影响[J].齐鲁护理杂志,2017,23(21):4-6.
[14] Zeligman M,Varney M,Grad R,et al. Posttraumatic growth in individuals with chronic illness:the role of social support and meaning making[J]. Journal of Counseling&Development,2018,96:53-63.
[15] Xiu DM,Mc Gee SL,Maercker A. Sense of coherence and posttraumatic growth:the moderating role of value orientation in Chinese and Swiss bereaved parents[J]. Journal of Loss&Trauma,2018,23(3):259-270.
[16] Nosheen A,Riaz MN,Malik NI,et al. Mental health outcomes of sense of coherence in individualistic and collectivistic culture:Moderating role of social support[J]. Pakistan Journal of Psychological Research,2017,32(2):563-579.
[17] Tan KK,Chan SW,Wang WA. A salutogenic program to enhance sense of coherence and quality of Life for older People in the community:A feasibility randomized controlled trial and process evaluation[J]. Patient Education and Counseling,2016,99(1):108-116.