[1]曾秋霞,何海燕,徐春美,等.急性心肌梗死患者创伤后成长特征及其与社会支持和应对方式的关系[J].第三军医大学学报,2018,40(02):176-182.
 ZENG Qiuxia,HE Haiyan,XU Chunmei,et al.Characteristics of posttraumatic growth and their association with social support and coping style in patients with acute myocardial infarction[J].J Third Mil Med Univ,2018,40(02):176-182.
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急性心肌梗死患者创伤后成长特征及其与社会支持和应对方式的关系(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
40卷
期数:
2018年第02期
页码:
176-182
栏目:
医学心理学
出版日期:
2018-01-30

文章信息/Info

Title:
Characteristics of posttraumatic growth and their association with social support and coping style in patients with acute myocardial infarction
作者:
曾秋霞何海燕徐春美刘蕾曾登芬
陆军军医大学(第三军医大学)第三附属医院野战外科研究所:护理部,心内科;解放军总医院第一附属医院护理部
Author(s):
ZENG Qiuxia HE Haiyan XU Chunmei LIU Lei ZENG Dengfen

Department of Nursing, Department of Cardiology, Institute of Surgery Research, Third Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042; Department of Nursing, First Affiliated Hospital of General Hospital of Chinese PLA, Beijing, 100048, China

关键词:
急性心肌梗死创伤后成长社会支持应对方式
Keywords:
acute myocardial infarction posttraumatic growth social support copying style
分类号:
R395.1;R542.22
文献标志码:
A
摘要:

目的探讨急性心肌梗死患者创伤后成长特征,及其与社会支持、应对方式的相关性。方法采用一般资料调查问卷、简体中文版创伤后成长评定量表(C-PTGI)、领悟性社会支持量表(PSSS)、医学应对问卷(MCMQ)对陆军军医大学第三附属医院心内科307例首发性急性心肌梗死患者进行调查。结果急性心肌梗死患者创伤后成长总分为(62.72±8.12)分。转换分数后,患者人生感悟维度条目均分最高,为(3.47±0.48)分;新的可能性维度条目均分最低,为(2.55±0.63)分。多元线性回归分析结果显示,年龄、人均月收入、病程、家庭内支持、面对五项因素进入回归方程,共同解释创伤后成长水平34.9%的变异量。结论急性心肌梗死患者创伤后成长处于中等水平,年龄、人均月收入、病程、家庭内支持、面对五项因素是其主要影响因素。

Abstract:

ObjectiveTo explore the characteristics of posttraumatic growth and analyze their relationship with social support and copying style in patients with acute myocardial infarction.  MethodsThe sample chosen for this survey consisted of 307 patients with firsttime acute myocardial infarction treated in Daping Hospital. The patients were surveyed using general data questionnaire, ChinesePosttraumatic Growth Inventory (CPTGI), Perceived Social Support Scale (PSSS) and Medical Coping Questionnaire (MCMQ). ResultsThe mean total score of posttraumatic growth was 62.72±8.12 in these patients. After score transformation, the average score in the dimension of life comprehension was 3.47±0.48, which was the highest item score, whereas the score in the dimension of new possibilities was only 2.55±0.63, the lowest among the items. Age, average income per person in the family, course of disease, family support and coping style were the 5 variables in the regression equation by multiple linear regression analysis, and they jointly accounted for 34.9% of the variance of posttraumatic growth. ConclusionPatient with acute myocardial infarction maintain a moderate level of posttraumatic growth. Age, average income per person in the family, course of disease, family support and coping style are main factors affecting posttraumatic growth.

参考文献/References:

[1]MOZAFFARIAN D, BENJAMIN E J, GO A S, et al. Executive summary: heart disease and stroke statistics2016 update: a report from the American Heart Association[J]. Circulation, 2016, 133(4): 447-454. DOI: 10.1161/CIR.0000000000000366.
[2]GUSTAD L T, LAUGSAND L E, JANSZKY I, et al. Symptoms of anxiety and depression and risk of acute myocardial infarction: the HUNT 2 study[J]. Eur Heart J, 2014, 35(21): 1394-1403. DOI: 10.1093/eurheartj/eht387.
[3]ZHANG P. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention[J]. Cell Biochem Biophys, 2015, 72(2): 503-507. DOI: 10.1007/s1201301404952.
[4]TEDESCHI R G, CALHOUN L G. The posttraumatic growth inventory: measuring the positive legacy of trauma[J]. J Trauma Stress, 1996, 9(3): 455-472. DOI: 10.1002/jts. 2490090305.
[5]RAHIMI R, HEIDARZADEH M, SHOAEE R. The relationship between posttraumatic growth and social support in patients with myocardial infarction[J]. Can J Cardiovasc Nurs, 2016, 26(2): 19-24.
[6]赵静, 曹枫林, 许玉华. 急性心肌梗死患者创伤后成长的预测因素[J]. 中国心理卫生杂志, 2015, 29(2): 87-91. DOI: 10.3969/j.issn.10006729.2015.02.002.
ZHAO J, CAO F L, XU Y H. Predictive factors of posttraumatic growth in patients with acute myocardial infarction[J]. Chin Ment Health, 2015, 29(2): 87-91.  DOI: 10.3969/j.issn.10006729.2015.02.002.
[7]TEDESCHI R G, CALHOUN L G. Posttraumatic growth: conceptual foundations and empirical evidence[J]. Psych Inq, 2004, 15(1): 1-18.
[8]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. DOI: 10.3870/hlxzz.2011.14.026.
WANG J, CHEN Y, WANG Y B, et al. Revision of the Posttraumatic Growth Inventory and testing its reliability and validity[J]. J Nurs Sci, 2011, 26(14): 26-28. DOI: 10.3870/hlxzz.2011.14.026.
[9]ZIMET G D, POWELL S S, FARLEY G K, et al. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support[J]. J Pers Assess, 1990, 55(3/4): 610-617. DOI: 10.1080/00223891.1990.9674095.
[10]姜乾金.领悟性社会支持量表[J].中国行为医学科学, 2001, 10: 41-42.
JIANG Q J. The Perceived Social Support Scale[J]. Chin J Behav Med Sci, 2001, 10: 41-42.
[11]沈晓红, 姜乾金.医学应对方式问卷中文版701例测试报告[J].中国行为医学科学, 2000, 9(1): 18-20. DOI:10.3760/cma.j.issn. 16746554. 2000.01.008.
SHEN X H, JIANG Q J. Report on application of Chinese version of MCMQ in 701 patients[J]. Chin J Behav Med Sci, 2000, 9(1): 18-20. DOI: 10.3760/cma.j.issn.16746554.2000.01.008.
[12]汪际.创伤后成长评定量表及其意外创伤者常模的研制[D].上海:第二军医大学,2011.
WANG J. Dvelopment of posttraumatic growth inventory and its norm for patient with accidental trauma[D].Shanghai: Second Military Medical University, 2011.
[13]郭晓岚, 赵艾, 问芳芳, 等. 急性心肌梗死电除颤成功患者体验及护理需求的质性研究[J]. 护理学杂志, 2015, 30(21): 35-38. DOI: 10.3870/j.issn.10014152. 2015.21.035.
GUO X L, ZHAO A, WEN F F, et al.A qualitative on experience and nursing needs of acute myocardial infarction patients after successful defibrillation[J]. J Nurs Sci, 2015, 30(21): 35-38. DOI: 10.3870/j.issn.10014152.2015.21.035.
[14]李婷, 王爱敏, 李振云, 等.血液透析患者创伤后成长状况及影响因素分析[J].护理学杂志, 2016, 31(17): 7-10. DOI: 10.3870/j.issn.10014152.2016.17.007.
LI T, WANG A M, LI Z Y, et al. The level and factors associated with posttraumatic growth among hemodialysis patients[J]. J Nurs Sci, 2016, 31(17): 7-10. DOI: 10.3870/j.issn.10014152.2016.17.007.
[15]王芳, 张静, 王春梅, 等. 心肌梗死患者应对方式对创伤后成长的影响分析[J]. 安徽医学, 2015, 36(12):1510-1514. DOI:10.3969/j.issn.10000399.2015.12.024.
WANG F, ZHANG J, WANG C M, et al.Influence of copying styles on posttraumatic growth among patients with myocardial infraction[J]. Anhui Med J, 2015, 36(12): 1510-1514. DOI: 10.3969/j.issn.10000399.2015.12.024.
[16]LEUNG Y W, GRAVELYWITTE S, MACPHERSON A, et al. Posttraumatic growth among cardiac outpatients: degree comparison with other chronic illness samples and correlates[J].J Health Psychol, 2010, 15(7): 1049-1063. DOI: 10.1177/1359105309360577.
[17]BLUVSTEIN I, MORAVCHICK L, SHEPS D, et al. Posttraumatic growth, posttraumatic stress symptoms and mental health among coronary heart disease survivors[J]. J Clin Psychol Med Settings, 2013, 20(2): 164-172. DOI: 10.1007/s108800129318z.
[18]BENYAMINI Y, ROZINER I, GOLDBOURT U, et al. Depression and anxiety following myocardial infarction and their inverse associations with future health behaviors and quality of life[J]. Ann Behav Med, 2013, 46(3): 310-321. DOI: 10.1007/s1216001395093.
[19]GARNEFSKI N,KRAAIJ V,SCHROEVERS M J,et al. Posttraumatic growth after a myocardial infarction: a matter of personality, psychological health, or cognitive coping?[J]. J Clin Psychol Med Settings, 2008, 15(4): 270-277. DOI: 10.1007/s1088000891365.
[20]张春琦, 杨丽. 鼻咽癌病人创伤后成长状况及其影响因素分析[J]. 护理研究, 2016, 30(30): 3752-3755. DOI: 10.3969/j.issn.10096493.2016.30.011.
ZHANG C Q, YANG L. Analysis of posttraumatic growth status of patients with nasopharyngeal carcinoma and influencing factors[J]. Chin Nurs Res, 2016, 30(30): 3752-3755. DOI: 10.3969/j.issn.10096493. 2016. 30. 011.
[21]苏娅丽, 王丕琳, 刘均娥, 等.康复期乳腺癌患者创伤后成长及其影响因素分析[J].护理管理杂志, 2014, 14(1): 4-6.
SU Y L, WANG P L, LIU J E, et al. The status and influence factors of posttraumatic growth in rehabilitative breast cancer patients[J]. J Nurs Administr, 2014, 14(1): 4-6.
[22]严洁芳. 乳腺癌术后化疗病人创伤后成长现状及影响因素[J].护理研究, 2016, 30(6C): 2280-2281. DOI: 10.3969/j. is sn.10096493.2016.18.037.
YAN J F. Status of posttraumatic growth of patients with breast cancer receiving postoperative chemotherapy and its influencing factors[J]. Chin Nurs Res, 2016, 30(6C): 2280-2281. DOI: 10.3969/j.issn.10096493.2016.18.037.
[23]胡琛, 刘晓虹. 慢性重症疾病患者创伤后成长的研究进展[J]. 第二军医大学学报, 2013, 34(6): 676-681. DOI: 10.3724/SP.J.1008.2013.00676.
HU C, LIU X H.Posttraumatic growth of patients with serious chronic disease: research progress[J]. Acad J Sec Mil Med Univ, 2013, 34(6): 678-681. DOI: 10.3724/SP.J.1008.2013.00676.
[24]宋晶, 张爱华.冠心病介入治疗患者反刍性沉思对其创伤后成长的影响[J].护理学杂志, 2016, 31(5): 15-16. DOI: 10.3870/j.issn.10014152.2016.05.015.
SONG J, ZHANG A H. The impact of rumination on posttraumatic growth in patients after percutaneous coronary intervention[J]. J Nurs Sci, 2016, 31(5): 15-16. DOI: 10.3870/j.issn.10014152.2016.05.015.
[25]HELGESON V S,REYNOLDS K A,TOMICH P L. A metaanalytic review of benefit finding and growth[J]. J Consult Clin Psychol, 2006, 74(5): 797-816. DOI: 10.1037/0022006X.74. 5.797.
[26]栾毅.多支血管病变及术后eGFR对急性心肌梗死患者1年预后的影响[D].杭州:浙江大学, 2013.
LUAN Y. Multivessel lesions and postPCI eGFR predict 1year outcome of acute myocardial infarction[D]. Hangzhou: Zhejiang University, 2013.
[27]BYRA S. Posttraumatic growth in people with traumatic longterm spinal cord injury: predictive role of basic hope and coping [J]. Spinal Cord, 2015, 54(6): 478-482. DOI: 10.1038/sc.2015.177.
[28]PREZSANGREGORIO M , MARTíNRODRGUEZ A, BORDAMAS M, et al. Coping Strategies in Liver Transplant Recipients and Caregivers According to Patient Posttraumatic Growth[J]. Front Psychol, 2017, 8: 18. DOI: 10.3389/fpsyg. 2017.00018.
[29]SHEIKH A I. Posttraumatic Growth in the Context of Heart Disease[J]. J Clin Psychol Med Settings, 2004, 11(4): 265-273. DOI: 10.1023/B: JOCS.0000045346.76242.73.

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更新日期/Last Update: 2018-01-30