107例方舱医院新型冠状病毒肺炎患者创伤后成长现状及影响因素分析

doi:10.16460/j.issn1008-9969.2020.20.054

摘要/Abstract

摘要： 目的分析107例方舱医院内新型冠状病毒肺炎患者创伤后成长现状,分析其影响因素。方法采用方便抽样法,选取2020年2月15—20日收治于武汉市青山方舱医院（A舱）的新型冠状病毒肺炎患者作为研究对象。采用一般情况调查表、Herth希望量表及创伤后成长量表对其进行调查,采用多元线性回归分析新型冠状病毒肺炎患者创伤后成长的影响因素。结果 107例新型冠状病毒肺炎患者创伤后成长总分为（65.75±19.19）分;多元线性回归分析显示,新型冠状病毒肺炎患者文化程度及希望水平进入回归方程（P<0.05）,可解释总变异的35.8%。结论本组方舱医院内新型冠状病毒肺炎患者创伤后成长得分处于较高水平,且受文化程度及希望水平的影响。护理人员应重点关注文化程度较低和希望水平不高的患者,给予其正性引导和人文关怀,有针对性地提高其希望水平, 进而提高其创伤后成长水平。

关键词: 方舱医院, 新型冠状病毒肺炎, 创伤后成长

Abstract: Objective To survey the current status and influence factors of posttraumatic growth (PTG) of 107 COVID-19 patients in mobile hospitals in Wuhan. Methods With convenient sampling, COVID-19 patients admitted to Qingshan Fangcai Hospital (Cabin A) of Wuhan from February 15 to February 20,2020 were chosen and surveyed by using general information questionnaire, Herth Hope Index,and Posttraumatic Growth Inventory. Multiple linear regression analysis was used to analyze the influencing factors of PTG of COVID-19 patients. Results The average total score of patients’ PTG was 65.75±19.19.Multiple linear regression analysis showed that patients’ education level and the level of hope were the principal influence factors (P<0.05),which could explain 35.8% of the total variance. Conclusion COVID-19 patients in mobile hospital have higher post-traumatic growth scores, which are affected by education level and hope level. Nursing staff should focus on patients with low education level and low level of hope.Positive guidance and humanistic care are beneficial to improving the level of hope of the patient, and then promotingPTG level.

Key words: mobile hospital, COVID-19, posttraumatic growth

中图分类号:

R473.51

邹辉煌, 葛高琪, 秦国顺, 胡玉娜, 张红梅, 李黎明. 107例方舱医院新型冠状病毒肺炎患者创伤后成长现状及影响因素分析[J]. 护理学报, 2020, 27(20): 54-58.

ZOU Hui-huang, GE Gao-qi, QIN Guo-shun, HU Yu-na, ZHANG Hong-mei, LI Li-ming. Current Status of Posttraumatic Growth of COVID-19 Patients in Mobile Hospitals and Its Influence Factors:A 107-case Study[J]. Journal of Nursing, 2020, 27(20): 54-58.

参考文献

[1] 刘俊峰,翟晓辉,向准,等.应对新型冠状病毒肺炎疫情的方舱医院建设管理探讨[J].中国医院管理,2020,40(3):12-14.
[2] Tedeschi RG,Calhoun LG.The Posttraumatic Growth Inventory:Measuring the Positive Legacy of Trauma[J].J Trauma Stress,1996,9(3):455-471.DOI:10.1007/bf02103658.
[3] Shakespeare-Finch J,Lurie-Beck J.A Meta-analytic Clarification of the Relationship Between Posttraumatic Growth and Symptoms of Posttraumatic Distress Disorder[J].J Anxiety Disord,2014,28(2):223-229.DOI:10.1016/j.janxdis.2013.10.005.
[4] Siqveland J,Nygaard E,Hussain A,et al.Posttraumatic Growth,Depression and Posttraumatic Stress in Relation to Quality of Life in Tsunami Survivors:A Longitudinal Study[J].Health Qual Life Out,2015,13(1):18.DOI:10.1186/s12955-014-0202-4.
[5] Chen J,Zhou X,Zeng M,et al.Post-traumatic Stress Symptoms and Post-traumatic Growth:Evidence from a Longitudinal Study following an Earthquake Disaster[J].PloS One,2015,10(6):e0127241.DOI:10.1371/journal.pone.0127241.
[6] 赵海峰,董超群,汤妍,等.意外创伤者早期自我表露与创伤后成长的关系研究[J].护理学杂志,2020,35(1):57-60.DOI:10.3870/j.issn.1001-4152.2020.01.057.
[7] An Y,Ding X,Fu F.Personality and Post-traumatic Growth of Adolescents 42 Months after the Wenchuan Earthquake:A Mediated Model[J].Front Psychol,2017(8):2152.DOI:10.3389/fpsyg.2017.02152.
[8] 国家卫生健康委员会办公厅,国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版)的通知:国医办涵[2020]103号[EB/OL].(2020-02-04)[2020-03-15].http://www.gov.cn/zhengce/zhengceku/2020-02/05/content_5474791.htm.
[9] Herth K.Abbreviated Instrument to Measure Hope:Development and Psychometric Evaluation[J].J Adv Nurs,1992,17(10):1251-1259.DOI:10.1111/j.1365-2648.1992.tb01843.x
[10] 赵海平,王健.血液透析患者的社会支持和希望[J].中华护理杂志,2000,35(5):306-308.
[11] Tedeschi R,Calhoun L.Trauma and Transformation:Growing in the Aftermath of Suffering[J].Psyccritiques,1997,42(2):172-173.DOI:10.4135/9781483326931.
[12] 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.
[13] Xu J,Liao Q.Prevalence and Predictors of Posttraumatic Growth among Adult Survivors One Year following 2008 Sichuan Earthquake[J].J Affec Disorders,2011,133(1-2):274-280.DOI:10.1016/j.jad.2011.03.034.
[14] Wei C,Han J,Zhang Y,et al.The Characteristics of Emotional Response of Post-traumatic Stress Disorder and Post-traumatic Growth among Chinese Adults Exposed to an Explosion Incident[J].Front Public Health,2017,5(5):3.DOI:10.3389/fpubh.2017.00003?
[15] Bianchini V,Giusti L,Salza A,et al.Moderate Depression Promotes Posttraumatic Growth (Ptg):a Young Population Survey 2 Years after the 2009 L’aquila Earthquake[J].Clin Pract Epidemiol Mental Health,2017,13(1):10-19.DOI:10.2174/1745017901713010010.
[16] 邓清.灾区中学生人格特质、感知的社会支持与创伤后成长的关系:一项纵向研究[D].成都:四川师范大学,2011.
[17] Zoellner T,Maercker A.Posttraumatic Growthin Clinical Psychology - a Critical Review and Introduction of a Two Component Model[J].Clin Psychol Rev,2006,26(5):626-653.DOI:10.1016/j.cpr.2006.01.008.
[18] 应对新型冠状病毒感染的肺炎疫情联防联控工作机制.关于印发新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则的通知:肺炎机制发[2020]8号[EB/OL].(2020-01-26)[2020-07-08].http://www.gov.cn/xinwen/2020-01/27/content_5472433.htm.
[19] Zhou X,Wu X,Zhen R.Self-esteem and Hope Mediate the Relations between Social Support and Post-traumatic Stress Disorder and Growth in Adolescents following the Ya’an Earthquake[J].Anxiety,Stress,Coping,2018,31(1):32-45.DOI:10.1080/10615806.2017.1374376.
[20] Ho S,Rajandram RK,Chan N,et al.The Roles of Hope and Optimism on Posttraumatic Growth in Oral Cavity Cancer Patients[J].Oral Oncology,2011,47(2):121-124.DOI:10.1016/j.oraloncology.2010.11.015.
[21] 张丽娟,李峥,陈希伟,等.头颈部肿瘤放疗患者创伤后成长的相关因素[J].中国心理卫生杂志,2016,30(5):321-326.DOI:10.3969/j.issn.1000-6729.2016.05.001.
[22] Ho S,Rajandram RK,Chan N,et al.The Roles of Hope and Optimism on Posttraumatic Growth in Oral Cavity Cancer Patients[J].Oral Oncology,2011,47(2):121-124.DOI:10.1016/j.oraloncology.2010.11.015.
[23] Glass K,Flory K,Hankin BL,et al.Are Coping Strategies,Social Support,and Hope associated with Psychological Distress among Hurricane Katrina Survivors?[J].J Soc Clin Psychol,2009,28(6):779-795.DOI:10.1521/jscp.2009.28.6.779.
[24] 刘培玉,郭筱彤,马红梅.乳腺癌患者希望水平研究进展[J].天津护理,2019,27(6):749-751.DOI:10.3969/j.issn.1006-9143.2019.06.041.
[25] 刘畅.子宫切除患者创伤后成长与心理弹性、社会支持的相关性研究[D].延吉:延边大学,2017.
[26] 常碧如.癌症患者创伤后成长的特点及其影响因素[D].太原:山西医科大学,2016.

相关文章 15

[1]	彭雪, 彭渝, 张宏雁, 陈炜, 刘蕾. 新型冠状病毒肺炎疫情中某援鄂医疗队驻地生活区感染预防与控制[J]. 护理学报, 2020, 27(9): 52-54.
[2]	季学丽, 李玫, 张丽, 张阳春, 姜丽丽, 张劲松. 急诊负压室在疑似新型冠状病毒肺炎危重型患者救治中的应用及管理[J]. 护理学报, 2020, 27(9): 55-58.
[3]	戴利, 王民心, 叶艳兰, 罗静珍, 杨云智. 新型冠状病毒肺炎疫情期间社区居家护理感染防控应用失效模式效应分析的效果观察[J]. 护理学报, 2020, 27(9): 59-63.
[4]	米元元, 李巧云, 明耀辉, 王婷, 庞志强, 胡恩华, 聂涛, 陈卉, 黄海燕. 1例危重型新型冠状病毒肺炎合并ARDS患者的成功救护[J]. 护理学报, 2020, 27(9): 64-67.
[5]	吴瑾文, 李定丽, 周丹, 任红, 廖丽萍. CT筛查新型冠状病毒肺炎过程医院感染预防控制[J]. 护理学报, 2020, 27(8): 42-46.
[6]	陈梦云, 林淡珠, 许金微, 谢漫. 发热门诊新型冠状病毒感染预检分诊与疫情防控策略[J]. 护理学报, 2020, 27(6): 39-43.
[7]	包延乔, 张文俐, 边晓璐, 刘芳媺. 叙事护理在新型冠状病毒肺炎病区护士中的干预研究[J]. 护理学报, 2020, 27(6): 44-48.
[8]	乐琼, 张岚, 吴丽芬, 刘恋, 罗黎, 许路萍. 新型冠状病毒肺炎抗疫护士应急培训及效果[J]. 护理学报, 2020, 27(6): 48-51.
[9]	赵晓宇, 李敬娥, 冯晶. 新型冠状病毒肺炎病区护士个人防护问题与对策[J]. 护理学报, 2020, 27(6): 52-54.
[10]	彭静, 肖利, 孔维林, 谭琼, 黄爱红, 彭渝. 新型冠状病毒肺炎防护中抗菌洗手液对复用护目镜的防雾应用[J]. 护理学报, 2020, 27(6): 55-56.
[11]	楚黎君, 王洁, 贾玉段, 孙军. 新型冠状病毒肺炎定点救治医院医护人员感染防护[J]. 护理学报, 2020, 27(6): 56-60.
[12]	李迎春, 段燕, 杨利, 唐淑蓉, 廖磊, 龙晓秋, 何岳, 刘茜冉, 朱平. 258名抗击新型冠状病毒肺炎临床护士心理一致感现状及影响因素分析[J]. 护理学报, 2020, 27(5): 47-51.
[13]	梁瑞晨, 郑思琳, 曾梁楠, 李倩茜, 明霞, 杨昌美. 基于智能云平台居家培训新型冠状病毒肺炎知识在储备护士中的应用[J]. 护理学报, 2020, 27(5): 52-54.
[14]	明耀辉, 米元元, 聂涛, 向成林, 黄海燕, 袁世荧. ICU新型冠状病毒感染防控管理体系的建立及成效[J]. 护理学报, 2020, 27(5): 55-59.
[15]	张浦, 李锦, 李朝阳, 陈晨, 田超, 贾本涛. 9例新型冠状病毒肺炎危重型患者行ECMO治疗的护理[J]. 护理学报, 2020, 27(5): 60-63.

Metrics

Viewed

Full text

Abstract

Cited

Shared