|
|
|
| Mediating effect of meaning in life between family care and post-traumatic growth in patients after craniocerebral injury surgery |
| CHEN Wei1 SHEN Li2 ZHAO Li2 |
1.Department of Nursing, Lu’an Hospital of Traditional Chinese Medicine of Anhui Province, Anhui Province, Lu’an 237000, China;
2.the First Department of Neurosurgery, Lu’an Hospital of Traditional Chinese Medicine of Anhui Province, Anhui Province, Lu’an 237000, China |
|
|
|
Abstract Objective To analyze relationship between family care, meaning in life, and post-traumatic growth in patients after craniocerebral injury surgery, to explore mediating effect of meaning in life between family care and post-traumatic growth. Methods One hundred and thirty-four patients after craniocerebral injury surgery treated in Lu’an Hospital of Traditional Chinese Medicine of Anhui Province from January 2020 to May 2021 were selected and followed up for three months after discharge. At the end of follow up, family care, meaning in life and post-traumatic growth of patients were evaluated. Mediating effect of meaning in life between family care and post-traumatic growth in patients was mainly analyzed. Results In this study, 134 questionnaires were distributed and 120 valid questionnaires were recovered, and effective recovery rate was 89.55%. The average family APGAR index (APGAR) score was (4.10±1.49) points, as moderate family dysfunction, average meaning in life questionnaire (MLQ) score was (30.65±6.03) points, and average post-traumatic growth inventory (PTGI) score was (50.20±6.57) points. Meaning in life of patients after craniocerebral injury surgery was positively correlated with family care and post-traumatic growth, and family care was positively correlated with post-traumatic growth (r ＞ 0, P ＜ 0.05). The results of linear regression analysis showed that meaning of life played a partial mediating effect in the impact of family care on post-traumatic growth in patients after craniocerebral injury surgery, the contribution rate was 39.87%. Conclusion The post-traumatic growth level of patients after craniocerebral injury surgery needs to be improved, family care can not only affect the level of post-traumatic growth through intermediary of meaning of life, but also directly affect post-traumatic growth level of patients after craniocerebral injury surgery.
|
|
|
|
|
|
[1] 尚彬，云德波，罗波，等.标准大骨瓣减压手术对颅脑损伤患者单核细胞趋化蛋白-1、超敏C反应蛋白水平的影响及其因素分析[J].创伤外科杂志，2019，21（6）：25-27.
[2] 周灵静，林莎莎，蒲秋江，等.2016—2019年达州市颅脑外伤存活司机创伤后成长状况及相关因素分析[J].安徽医药，2021，25（8）：1572-1576.
[3] 蓝飞红，蒋维连，莫文静.团体接纳与承诺疗法对颅脑损伤恢复期患者创伤后成长的效果研究[J].中国实用护理杂志，2019，35（7）：506-510.
[4] 孟红丽，唐春，郭玲，等.高龄IVF-ET反复种植失败患者创伤后成长现状及与生育生活质量的相关性研究[J].生殖医学杂志，2021，30（8）：1092-1095.
[5] 余欣欣，邓丽梅.农村留守初中生社会支持与生命意义感的关系：乐观的中介作用[J].现代预防医学，2019，46（15）：2807-2809，2815.
[6] 袁淑蕾，刘敏杰，方云.血液肿瘤患者生命意义的质性研究[J].护理学杂志，2019，34（21）：32-35.
[7] 蔡利，单岩，李艳艳，等.自尊水平在中青年腹膜透析患者家庭功能及应对方式间的中介效应[J].现代预防医学，2020，47（11）：2085-2088.
[8] 陈娟娟，李惠萍，杨娅娟，等.家庭韧性对癌症患者心理韧性的影响：领悟社会支持和生命意义感的链式中介作用[J].中国临床心理学杂志，2019，27（6）：1205-1209.
[9] 陈孝平，汪建平，赵继宗.外科学[M].9版.北京：人民卫生出版社，2018：184-197.
[10] Smilkstein G，Ashworth C，Montano D. Validity and reliability of the family APGAR as a test of family function [J]. J Fam Pract，1982，15（2）：303-311.
[11] 罗艳，周瑶，周通，等.湖南省农村老年慢性病患者自我忽视,赋能及家庭关怀度的相关性研究[J].职业与健康，2019，35（15）：2081-2084.
[12] Steger MF，Frazier P，Oishi S，et al. The meaning in life questionnaire：assessing the presence of and search for meaning in life [J]. J Couns Psychol，2006，53（1）：80-93.
[13] 刘思斯，甘怡群.生命意义感量表中文版在大学生群体中的信效度[J].中国心理卫生杂志，2010，24（6）：478-482.
[14] Tedeschi RG，Calhoun LG. The posttraumatic growth inventory：measuring the positive legacy of trauma [J]. J Trauma Stress，1996，9（3）：455-471.
[15] 汪际，陈瑶，王艳波，等.创伤后成长评定量表的修订及信效度分析[J].护理学杂志，2011，26（14）：26-28.
[16] 张丽燕，陆宇晗.癌症幸存者创伤后成长干预措施的研究进展[J].中华现代护理杂志，2019，25（26）：3313-3316.
[17] 张慧，刘桂霞.化疗期肺癌患者自我感受负担与疾病感知，乐观倾向及创伤后成长的相关性[J].广东医学，2020， 41（2）：169-173.
[18] 梁首勤，李翔，高飞，等.中年肝硬化患者自我感受负担与家庭功能的相关性分析[J].护士进修杂志，2019，34（11）：999-1001.
[19] 曾海宽，赵久波，张小远.大一新生生命意义感在其家庭功能与自杀风险之间的中介效应[J].中国全科医学，2018，21（36）：4521-4526.
[20] 高冉，史铁英，李艳娇，等.乳腺癌患者生命意义感对创伤后成长的影响[J].中国护理管理，2018，18（3）：373-377.
[21] 汪靖园，李瑞华，张昊，等.领悟社会支持在胃癌患者家庭功能和创伤后成长间的中介效应[J].中国医学伦理学，2019，32（11）：1481-1486.
[22] 秦秀群，曲峰蕾，李咏梅，等.孤独症谱系障碍患儿父母创伤后成长与心理弹性和家庭功能的相关性研究[J].中国实用护理杂志，2020，36（18）：1400-1404.
[23] 贾颖杰，刘鸿芹，张锐.食管癌手术患者恐惧疾病进展,家庭关怀感知与创伤后成长关系研究[J].浙江医学，2021，43（16）：1776-1780.
[24] 郭燕，朱颖涛，赵丹，等.血液透析患儿父母创伤后成长与家庭环境的相关性研究[J].中华现代护理杂志，2020， 26（28）：3955-3959.
[25] 邵红.家庭关怀在老年慢性病患者身心舒适与幸福感的中介效应研究[J].中国当代医药，2021，28（18）：163-167.
[26] 孙运兰，魏静.“医院-社区-家庭”管理模式对慢性心力衰竭患者延续护理中自我管理能力和生活质量的影响[J].中国现代医生，2020，58（34）：185-188. |
|
|
|
