| Objective1.To investigate the status of rumination,coping style and post-traumatic growth of accidental trauma patients.2.To explore the influencing factors of post-traumatic growth in accidental trauma patients.3.Analyze the correlation between rumination,coping style and post-traumatic growth in accidental trauma patients.4.By constructing the structural equation model of the three,it is explored whether rumination can play a role in post-traumatic growth through coping style,in order to provide a theoretical reference for the intervention research on the post-traumatic growth of accidental trauma patients.Methods1.This study adopted a cross-sectional survey method,and accidental trauma patients who met the inclusion and exclusion criteria in the emergency surgery ward,orthopedics ward and neurosurgery ward of the Affiliated Hospital of Inner Mongolia Medical University from June 2020 to October 2020 were selected A questionnaire survey was conducted as the research object,and a total of 311 cases were analyzed.2.The survey tools include a self-designed general information questionnaire,Chinese Event-Related Rumination Inventory,Simplified Coping Style Questionnaire and the Post-Traumatic Growth Inventory.3.Statistical analysis software SPSS 25.0 and AMOS 23.0 were used to process the data.Results1.In this study,a total of 315 questionnaires were collected,4 questionnaires with incomplete questions were eliminated.There were 311 valid questionnaires,and the effective recovery rate was 98.73%.2.The post-traumatic growth score of accidental trauma patients was(77.83±12.60)points,which was in the upper middle level.The descending order of each dimension is relationship with others(3.99±0.97)points,new possibility(3.93±0.94)points,personal strength(3.88±0.98)points,self-transformation(3.87±1.03)points,life perception(3.84±0.79)points.3.The score of rumination was(30.74 ± 7.36)points,which was in the middle level.The scores of purposive rumination and invasive rumination were(17.91 ± 5.97)and(12.83 ±5.38)respectively.The score of positive coping style was(20.96 ± 7.85),and the score of negative coping style was(8.50 ± 4.10).4.Multiple regression analysis showed that subjective injury severity,residence,education level,marital status and family monthly income per capita were the influencing factors for the post-traumatic growth of patients with accidental trauma,and the scores were statistically different(P<0.05).5.Pearson’s correlation analysis showed that the total score of rumination,purposeful rumination,positive coping style,post-traumatic growth and its five dimensions are positively correlated(P<0.05);negative coping style,invasive rumination and purposefulness rumination,positive coping style,post-traumatic growth and their five dimensions are negatively correlated with each other(P<0.05);invasive rumination is positively correlated with negative coping style(P<0.05).6.The results of the structural equation model show that the structural equation model of rumination,positive coping style and post-traumatic growth of accidental trauma patients is well matched,NC=1.634,GFI=0.944,AGFI=0.921,CFI=0.980,RMSEA=0.045;The structural equation model of rumination,negative coping style and post-traumatic growth of patients with accidental trauma is well suited,NC=2.298,GFI=0.957,AGFI=0.922,CFI=0.966,RMSEA=0.065.7.The mediating effect test results show that: the positive coping style plays a part of the mediating role between the rumination and post-traumatic growth of accidental trauma patients,and the mediating effect is 28.43%;the negative coping style is between the rumination and post-traumatic growth of accidental trauma patients.Part of the intermediary role is played between,and the intermediary effect is 25%.Positive coping style has a greater impact on the relationship between rumination and post-traumatic growth in accidental trauma patients than negative coping style.Conclusion1.The post-traumatic growth level of accidental trauma patients is in the upper middle level,and is affected by many factors.Although the objective conditions cannot be changed,we should focus on patients who have lived in the countryside for a long time,have a low education level,are divorced or widowed,and have low incomes,and give them psychological support to help them understand and recognize the disease,in clinical work,medical staff should also strengthen the learning of post-traumatic growth-related knowledge,identify its influencing factors and take corresponding measures to achieve post-traumatic growth.2.The level of rumination in accidental trauma patients is at an intermediate level,medical staff should adopt appropriate intervention strategies in clinical work to guide patients to reflect meaningfully and maintain ruminant meditation at an appropriate level;the patients in this study adopted active coping styles far more than negative coping styles,it should help patients face the incident proactively,use a positive attitude and coping styles to solve problems,reduce patients’ negative behaviors such as avoidance,so as to improve their degree of cooperation and promote recovery.3.There is a correlation between rumination,coping styles and post-traumatic growth and various dimensions in patients with accidental trauma.That is to say,the more purposeful rumination a patient produces,the more he will be inclined to adopt a positive coping style,and the higher the level of post-traumatic growth obtained.Conversely,the more invasive rumination a patient produces,the more he will be biased to adopt a negative coping style,the lower the level of post-traumatic growth obtained.4.The model of rumination,coping style and post-traumatic growth of patients with accidental trauma shows that both rumination and positive coping style can positively predict post-traumatic growth,and negative coping style negatively predict post-traumatic growth.Coping styles play a partial mediating role between rumination and post-traumatic growth,and the mediating influence of positive coping styles is greater than that of negative coping styles.In clinical practice,the level of rumination of patients should be appropriately improved,prompting patients to adopt active coping styles,thereby improving the level of post-traumatic growth and optimizing the outcome of the disease.5.In summary,during the hospitalization of accidental trauma patients,our medical staff should communicate effectively with the patient based on the actual situation of the patient,so that the patient can gradually recognize and accept the facts of being hospitalized,and guide the patient to actively express their feelings and actively seek support from others.Adopt a positive and optimistic coping method to re-plan for themselves and the future,and strive to find their own strength to improve the post-traumatic growth of the patient,so that the patient can cooperate with the medical treatment,improve the quality of life,and provide benefits for the recovery of the patient’s physical and mental functions as soon as possible At the same time,it is also of great significance to promote the development of nursing intervention for patients with accidental trauma. |
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