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| Mediating effect of ruminant meditation on self-efficacy and coping style of young CSR patients after emergency surgery |
| ZHANG Wenfei1 CHENG Jiqiang2 LI Zhiming2 LI Ming3▲ |
1.Department of Psychological Clinic, Dezhou People′s Hospital, Shandong Province, Dezhou 253000, China;
2.Department of Spine Surgery, Dezhou People′s Hospital, Shandong Province, Dezhou 253000, China;
3.Department of Joint Surgery, Dezhou People′s Hospital, Shandong Province, Dezhou 253000, China |
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Abstract Objective To study the mediating effect of ruminating meditation on self-efficacy and coping styles of young patients with cervical spondylotic radiculopathy (CSR) after emergency surgery. Methods From February 2016 to December 2019, a total of 120 young patients with severe CSR who were treated at Dezhou People′s Hospital were treated as the research object. After training, all researchers used a one-to-one questionnaire survey to analyze the level of ruminant contemplation, self-efficacy, and coping styles in the first week after surgery, and the correlation between ruminant meditation and self-efficacy, coping style scores and mediating effects were studied. Results The questionnaire response rate in this study was 100%. The scores of ruminant meditation, self-efficacy, and coping style of patients with different genders and educational levels were compared, and the differences were statistically significant (P ＜ 0.05). Patients′ ruminating meditation, invasive rumination meditation, purpose rumination meditation and self-efficacy (r = 0.458, 0.521, 0.620) and coping ability (r = 0.521, 0.662, 0.851) showed positive correlation (P ＜ 0.05). Self-efficacy had a direct predictive effect on the purposeful ruminant meditation (r = 0.226, P = 0.000). Through the purposeful ruminant meditation of the patient, the indirect analysis of the patient affects the patient′s coping style. The mediating effect of ruminant meditation on patients indirectly affects the patient′s self-efficacy and coping style. The indirect effect was 0.226 and the mediating effect was 21.56%. The fitting equation of ruminating meditation for the evaluation of patient′s self-efficacy was as follows: Y=0.99+0.33X1+0.56X2 (Y: patient′s self-efficacy; X1: ruminating meditation; X2: coping ability). Conclusion The mediating effect of rumination meditation in young patients with CSR after emergency surgery indirectly affects the patient′s self-efficacy and coping style. After the operation, the patient′s ruminant meditation level can be used to guide clinical treatment.
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[1] 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，2018，11（8）：1528-1531.
[2] 万申敏，卢洪洲，鲍美娟，等.病耻感和反刍性沉思对HIV感染者创伤后成长的影响[J].中国艾滋病性病，2019， 25（8）：828-832.
[3] 汪涛，朱安平，徐松，等.知觉压力与抑郁的关系：反思、沉浸性反刍的多重中介作用[J].第三军医大学学报，2019，41（4）：388-393.
[4] 杨吕凤，朱海波，黄青青.急诊冠状动脉支架植入术后患者反刍性沉思水平对临床预后的影响[J].中华现代护理杂志，2018，24（18）：2160-2164.
[5] 罗丽敏，黑小杰，朱丽萍，等.维持性血液透析患者治疗依从性与反刍性沉思水平的相关分析[J].中华现代护理杂志，2018，24（32）：3913-3916.
[6] 万申敏，卢洪洲，鲍美娟，等.人类免疫缺陷病毒阳性患者社会支持及目的性反刍性沉思对创伤后成长影响的路径分析[J].中国实用护理杂志，2019，35（16）：1207-1214.
[7] Alferayan TA，Abumelha SM，Al Subayyil MS，et al. Congenital unilateral absence of vas deferens with contralateral testicular atrophy [J]. Urol Ann，2020，12（1）：101-102.
[8] 罗文琪，杨光，崔树森，等.91例颈肩上肢痛临床特征与诊断分析[J].中华手外科杂志，2019，35（2）：118-122.
[9] 巩树梅，董超群，梁珍红，等.意外创伤者反刍性沉思水平及影响因素的调查研究[J].中华护理杂志，2015，50（1）：88-91.
[10] 王晓静，张然，李莉，等.心理复原力对青年神经根型颈椎病患者术后自我效能和自我管理关系的中介效应[J].职业与健康，2018，34（24）：3379-3384.
[11] 石明慧，周华丽莹，张力子，等.颈椎病患者心理症状影响因素的路径分析[J].中华现代护理杂志，2017，23（1）：39-44.
[12] 高飞，杨帆，郝丽君，等.军校学员新训应激后成长状况与韧性及反刍性沉思的关系研究[J].武警后勤学院学报：医学版，2018，27（2）：128-132.
[13] 李婷，王爱敏，李振云，等.心理弹性在中青年血液透析患者创伤后成长与反刍性沉思间的中介作用[J].中国护理管理，2016，16（9）：1211-1215.
[14] 宋晶，张爱华，赵雯雯.反刍性沉思研究进展及其对我国创伤护理的启示[J].护士进修杂志，2016，31（7）：600-603.
[15] 蒲廷娅，张月娟，胡琴，等.大学生创伤后成长状况及其与反刍性沉思的关系研究[J].教育学术月刊，2017（1）：84-89.
[16] 颜婷婷，梁珍红，刘晓虹.不同反刍性沉思类型的意外创伤者的注意偏向特点[J].解放军护理杂志，2015（6）：24-26，31.
[17] 张营，周帅帅，刘太芳，等.冠心病介入治疗患者注意偏向及反刍性沉思对创伤后成长的影响[J].中国实用护理杂志，2018，34（18）：1370-1375.
[18] 窦欣宇，朱守林，周晓敏.心理复原力及反刍性沉思在胃癌患者术后压力知觉与创伤后成长间的链式中介效应[J].中国实用护理杂志，2020，36（6）：424-429.
[19] Colzato LS，Kibele A. How Different Types of Meditation Can Enhance Athletic Performance Depending on the Specific Sport Skills [J]. J Cogn Enhanc，2017，1（2）：122-126.
[20] White ND. Mindfulness-Based Cognitive Therapy for Depression，Current Episodes，and Prevention of Relapse [J]. AJLM，2015，9（3）：227-229.
[21] Sala L，Vindreau C，Sweerts S，et al. Mindfulness-Based Cognitive Therapy （MBCT） et boulimie & Binge Eating Disorder [J]. Eur Psychiat，2015，30（8）：S103-S104.
[22] Lau WKW，Leung MK，Chan CCH，et al. Can the neural-cortisol association be moderated by experience-induced changes in awareness? [J]. Sci Rep，2015，5：16620.
[23] Perez GK，Haime V，Jackson V，et al. Promoting Resiliency among Palliative Care Clinicians：Stressors，Coping Strategies，and Training Needs [J]. J Palliat Med，2015，18（4）：332-337.
[24] 钱会娟，郑清如，廖香梅，等.大面积毁损伤患者创伤后成长水平及影响因素研究[J].上海护理，2019，19（6）：17-22.
[25] 马晓庆，余爱萍，钟静静，等.高脂血症重症胰腺炎患者反刍性沉思水平与自我效能、创伤后成长水平的相关性[J].中华现代护理杂志，2018，24（13）：1558-1562. |
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