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Journal of Nursing ›› 2019, Vol. 26 ›› Issue (3): 73-78.doi: 10.16460/j.issn1008-9969.2019.03.073

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Perceived Social Support and Coping Style as Mediators between Resilience and Post-traumatic Growth among Patients with Hematopoietic Stem Cell Transplant

XIE Wen-jun1, ZHANG Shuai2, LIU Yi1, ZHANG Hui-juan1, LIU Gui-ying1, WANG Bei1, LIU Jie1, LIU Yu-qiu1, GUAN Wei1   

  1. 1. Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences, Tianjin 300000, China;
    2. Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou 310000,China
  • Received:2019-01-15 Online:2019-02-10 Published:2020-07-08

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Abstract: Objective To assess post-traumatic growth（PTG）of hematopoietic stem cell transplant (HSCT) patients with hematologic malignancies, to explore its intrinsic relationship with perceived social support, coping style and psychological resilience and to identify the mediating role of perceived social support and coping style. Methods With convenient sampling method, the 207 HSCT patients were selected from July to December 2016 and they were investigated by using the Posttraumatic Growth Inventory（PTGI）, Perceived Social Support Scale（PSSS）, Medical Coping Modes Questionnaire（MCMQ）and the score of the 10-item Connor-Davidson Resilience Scale（CD-RISC10）. Results The total score of PTGI in HSCT patients was 73.31±16.45, and that of PSSS was 66.51±11.45, the total score of MCMQ was 54.75±6.57, and the score of CD-RISC10 29.34±7.17. The scores of PTGI, PSSS, MCMQ and CD-RISC10 of HSCT patients were significantly positively correlated (r=0.441~0.551,all P<0.001). The constructed mediation model showed that resilience (β=0.535, P<0.01) and coping style (β=0.297, P<0.01) had a positively predictive effect on PTG and resilience had had a positively predictive effect on social support (β=0.563,P<0.01). Perceived social support and coping style played a mediating role in the psychological resilience and PTG of HSCT patients. Conclusion Score of PTG, social support, coping style and resilience of HSCT patients is in a mediate or above level. PTG is significantly positively correlated with perceived social support, coping style and resilience. Perceived social support and coping style play a mediating role in the psychological resilience and PTG of HSCT patients. Positive measures are proposed to take to improve patients' psychological resilience and social support, and guide them to adopt a positive coping style to face difficulties, so as to cultivate PTG.

Key words: hematopoietic stem cell transplantation, post-traumatic growth, perceived social support, coping style, resilience, mediation effect

CLC Number: 

  • R473.55
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