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纸质出版:2014
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王艺,彭李,于永菊,李敏.创伤后康复期患者创伤后成长特点与心理弹性和社会支持的关系[J].陆军军医大学学报(原第三军医大学学报),2014,36(02):170-173.
Wang Yi,Peng Li,Yu Yongju,Li Min.Characteristics of posttraumatic growth and its relationship with resilience and social support in rehabilitation patients after traumatic injury[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(02):170-173.
王艺,彭李,于永菊,李敏.创伤后康复期患者创伤后成长特点与心理弹性和社会支持的关系[J].陆军军医大学学报(原第三军医大学学报),2014,36(02):170-173. DOI:
Wang Yi,Peng Li,Yu Yongju,Li Min.Characteristics of posttraumatic growth and its relationship with resilience and social support in rehabilitation patients after traumatic injury[J].J Amry Med Univ (J Third Mil Med Univ),2014,36(02):170-173. DOI:
目的 研究创伤后康复期患者创伤后成长特点与社会支持和心理弹性的关系。 方法 采用创伤后成长评定量表(posttraumatic growth inventory
PTGI)、心理弹性量表(Connor-Davidson resilience scale, CD-RISC)、社会支持评定量表(social support questionnaire
SSQ)对重庆市两所三级甲等医院康复科各种意外创伤后遗留肢体功能障碍的196名住院患者进行问卷调查。 结果 ①创伤后康复期患者创伤后成长总分为(34.76±18.68)分,其中人际关系分值为(13.59±7.39),新的可能性分值为(6.88±4.98),个人力量分值为(6.38±4.66),精神变化分值为(2.27±2.13),欣赏生活分值为(5.78±2.99)。②不同性别、不同年龄、不同文化程度患者创伤后成长总分及各因子分差异没有统计学意义(
P
0.05)。③创伤后康复期患者创伤后成长与心理弹性总分、坚韧性、力量、乐观性、社会支持总分、家庭内支持和家庭外支持呈正相关(r=0.510、0.461、0.495、0.444、0.216、0.200、0.184;
P
0.05,
P
0.01)。④高心理弹性组在PTG总分及各因子得分上显著高于低心理弹性组(
P
0.01);高社会支持组在PTG总分及人际关系、新的可能性和个人力量得分上显著高于低社会支持组(
P
0.05,
P
0.01)。⑤心理弹性、家庭内支持、家庭外支持对PTG预测显著,共能解释PTG变异的20.3%。 结论 创伤后康复期患者的创伤后成长与患者的心理弹性、社会支持密切相关,而且心理弹性和社会支持对创伤后康复期患者创伤后成长预测作用显著。
Objective To study the characteristics of posttraumatic growth and its relationship with resilience and social support in rehabilitation patients after traumatic injury. Methods One hundred and ninety-six rehabilitation in-patients w
ith dysfunction after traumatic injury admitted in two high-grade hospitals in Chongqing
China were assessed according to the posttraumatic growth inventory (PTGI)
Connor-Davidson Resilience Scale (CD-RISC)
and social support questionnaire (SSQ). Results The total posttraumatic growth score was 34.76±18.68
with an interpersonal score of 13.59±7.39
a new possibility score of 6.88±4.98
a personal power score of 6.38±4.66
a mental change score of 2.27±2.13
and an appreciate life score of 5.78±2.99. No significant difference was found in each factor and between the total score of PTG and distinct sex
age as well as education (
P
0.05). The posttraumatic growth in rehabilitation patients after traumatic injury was positively correlated with the total CD-RISC
resilience
power
optimism
social support (SS) score
support from family
and support out of family (r=0.510
0.461
0.495
0.444
0.216
0.200
0.184;
P
0.01
P
0.05). The total score of PTG and each factor were significantly higher in high resilience score group than in low resilience score group (
P
0.01). The total score of PTG and the interpersonal
new possibility and personal power scores were significantly higher in high social support score group than in low social support score group (
P
0.05
P
0.01). Resilience
support from family
and support out of family of rehabilitation patients after traumatic injury could be used to effectively predict the posttraumatic growth with an explanation rate of 20.3%. Conclusion Resilience and social support in rehabilitation patients after traumatic injury are closely correlated with the posttraumatic growth
and can thus be used as important predictive factors.
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