重症监护室护士创伤后成长及其与刻意反思、自我表露和社会支持的关系

Sae Mi Min, H. Kim, Chun-Ja Kim, Jeong-Ah Ahn
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摘要

目的:本研究旨在了解重症监护病房(ICU)护士创伤性事件经历、刻意反刍、自我表露、社会支持与创伤后成长(PTG)的关系,并探讨各变量之间的关系。方法:研究对象为157名在某大学医院icu直接护理患者6个月及以上的护士。使用SPSS/WIN 23.0版本对收集到的数据进行描述性统计、独立t检验、单因素方差分析、Pearson相关和多元线性回归分析。结果:PTG与故意反刍(r=0.36, p<.001)、自我表露(r=0.39, p<.001)、社会支持(r=0.54, p<.001)显著相关。社会支持(β=0.40, p<.001)、自我表露(β=0.25, p<.001)和故意反刍(β=0.24, p<.001)是影响焦虑焦虑的显著因素。最终回归模型解释了PTG方差的40.1% (F=26.33, p<.001)。结论:本研究确定的影响因素包括社会支持、自我表露和刻意反思,应纳入对反复经历创伤性事件的ICU护士进行创伤性心理辅导的方案中。
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Post-traumatic Growth and it’s associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses
Purpose : This study aimed to identify intensive care units (ICU) nurses’ experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables.Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0.Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (β=0.40, p<.001), self-disclosure (β=0.25, p<.001), and deliberate rumination (β=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001).Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.
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