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  

Mediating effect of resilience on relationship between rumination and Posttraumatic Growth in hemodialysis patients

作　　者：李婷[1] 王爱敏[1] 李振云[1] 朱颀娜 朱月华[2] 上官静[1] 梁萍萍[1] 

机构地区：[1]青岛大学护理学院,山东省青岛市266021 [2]青岛大学附属医院血液净化中心

出　　处：《中国护理管理》2016年第9期1211-1215,共5页Chinese Nursing Management

摘　　要：目的 :分析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中的中介作用。方法 :对218例中青年血液透析患者采用一般资料调查表、创伤后成长量表、心理弹性量表和事件相关反刍性沉思问卷进行调查。使用回归分析与Bootstrap程序对心理弹性在创伤后成长与反刍性沉思之间的中介作用进行检验。结果 :创伤后成长与心理弹性呈正相关(r=0.76,P<0.01);与侵入性反刍性沉思呈负相关(r=-0.14,P<0.05),与目的性反刍性沉思呈正相关(r=0.55,P<0.01)。目的性反刍性沉思对创伤后成长有正向预测作用(β=0.169,P<0.01);心理弹性在目的性反刍性沉思与创伤后成长之间具有部分中介效应,中介效应占总效应的6.1%。结论 :心理弹性在创伤后成长与反刍性沉思具有中介作用。Objective： To explore the mediating effect of resilience on the relationship between rumination and Posttraumatic Growth in hemodialysis patients. Methods： Totally 218 patients with hemodialysis from the affiliated hospital of Qingdao University were assessed with the general information questionnaire, Posttraumatic Growth Inventory （PTGI）,Connor-Davidson Resilience Scale （CD-RISC） and the Event Related Rumination Inventory （ERRI）. Regression analysis and Bootstrap were used to test the mediating effect of resilience on the relationship between rumination and Posttraumatic Growth. Results： Posttraumatic Growth was positively correlated with resilience anddeliberate rumination （r=0.76 and r=0.55, P〈0.01）, and was negatively correlated with intrusive rumination （r=-0.14, P〈0.05）. Deliberate rumination was positively associated with Posttraumatic Growth （β=0.169, P〈0.01）. In addition, resilience mediated the relationship between rumination and Posttraumatic Growth, and the value of mediating effect was 6.1%. Conclusion： Resilience may play a partial mediating role between rumination and Posttraumatic Growth in hemodialysis patients.

关 键 词：创伤后成长 心理弹性 反刍性沉思 中介作用 

分 类 号：R47[医药卫生—护理学]