本文選題：維持性血液透析 + 創(chuàng)傷后成長�。� 參考：《青島大學(xué)》2017年碩士論文

【摘要】：目的以維持性血液透析患者為研究對象,通過問卷調(diào)查和深入訪談來了解患者的創(chuàng)傷后成長體驗的發(fā)生狀況,并分析創(chuàng)傷后成長的影響因素,為護理人員的臨床工作提供參考依據(jù)。方法1.量性研究:采用問卷調(diào)查的方法,以維持性血液透析患者的一般資料、修訂后的創(chuàng)傷后成長量表、心理彈性量表、中文版事件相關(guān)反芻性沉思量表為測量工具,收集228例維持性血液透析患者的創(chuàng)傷后成長、心理彈性及反芻性沉思等資料。采用SPSS 17.0進行數(shù)據(jù)統(tǒng)計分析,應(yīng)用相關(guān)分析探討創(chuàng)傷后成長與心理彈性及反芻性沉思的關(guān)系,應(yīng)用分層多元線性回歸分析探討各個變量對患者創(chuàng)傷后成長的影響作用。2.質(zhì)性研究:采用詮釋現(xiàn)象學(xué)分析法,對10位維持性血液透析患者進行深入訪談,探討并分析其創(chuàng)傷后成長的發(fā)生歷程及促進成長發(fā)生的因素。結(jié)果1.量性研究結(jié)果:(1)本次調(diào)查中維持性血液透析患者創(chuàng)傷后成長水平58.62±14.19。其中,患者在“與他人關(guān)系”維度上得分最低(8.49±2.90),“人生感悟”維度上得分最高(19.80±4.57)。(2)維持性血液透析患者的年齡、受教育程度、在職狀態(tài)、家庭月收入和透析齡在創(chuàng)傷后成長有不同程度的統(tǒng)計學(xué)意義(P0.05),心理彈性以及目的性反芻性沉思與創(chuàng)傷后成長呈正相關(guān)(r=0.712,P0.01;r=0.506,P0.01),侵入性反芻性沉思與創(chuàng)傷后成長呈負相關(guān)關(guān)系(r=-0.276,P0.01)。(3)在分層回歸分析中,進入模型的全部變量共解釋創(chuàng)傷后成長總分66.8%的變異度(R2=0.668),其中維持性血液透析患者的年齡(b=-0.306,P0.001)、透析齡(b=0.136,P0.01)、堅韌性(b=0.181,P0.01)、力量(b=0.228,P0.001)、樂觀(b=0.154,P0.01)以及目的性反芻性沉思變量(b=0.194,P0.001)對創(chuàng)傷后成長有影響作用。2.質(zhì)性研究結(jié)果:(1)維持性血液透析患者的創(chuàng)傷后成長主要表現(xiàn)在三個主題上,分別是“存在意義的積極構(gòu)建、自我力量的增強及人生感悟的加深”。(2)促進維持性血液透析患者創(chuàng)傷后成長的主要因素包括個人因素(即人格特征包括樂觀開朗、堅韌性、希望和感恩)、對透析事件的認知加工(意義搜尋和意義構(gòu)建)和環(huán)境因素(家庭環(huán)境和社會文化背景)。結(jié)論1.本研究維持性血液透析患者的創(chuàng)傷后成長水平稍低,患者的年齡、透析齡、心理彈性中的堅韌性、力量、樂觀和目的性反芻性沉思對創(chuàng)傷后成長有影響作用。2.本研究維持性血液透析患者的創(chuàng)傷后成長主要表現(xiàn)在存在意義的積極構(gòu)建、自我力量的增強及人生感悟的加深三方面,且個人因素、環(huán)境因素以及認知加工是促進成長的因素。
[Abstract]:Objective to investigate the occurrence of post-traumatic growth experience in maintenance hemodialysis patients by questionnaire survey and in-depth interviews, and to analyze the influencing factors of post-traumatic growth.To provide reference for the clinical work of nursing staff.Method 1.Quantitative study: the questionnaire was used to measure the general data of maintenance hemodialysis patients, the revised posttraumatic growth scale, the resilience scale, and the Chinese version of the ruminant ruminant scale.Data of post-traumatic growth, resilience and ruminant meditation in 228 patients with maintenance hemodialysis were collected.SPSS 17.0 was used to analyze the data, the correlation analysis was used to explore the relationship between posttraumatic growth, mental elasticity and ruminant meditation, and the effects of various variables on patients' post-traumatic growth were analyzed by multivariate linear regression analysis.Qualitative study: 10 patients with maintenance hemodialysis were interviewed by phenomenological interpretation, and the process of posttraumatic growth and the factors that promoted the growth were discussed and analyzed.Result 1.Quantitative study results: 1) the posttraumatic growth level of maintenance hemodialysis patients in this survey was 58.62 鹵14.19.Among them, the lowest score was 8.49 鹵2.90 in the "relationship with others" dimension, and the highest score in the "life perception" dimension was 19.80 鹵4.57. 2) the age, education level and working status of the patients with maintenance hemodialysis.Family monthly income and dialysis age had different degree of statistical significance in post-traumatic growth (P 0.05). There was a positive correlation between psychological elasticity and purposeful ruminant meditation and post-traumatic growth. There was a positive correlation between P0.01 and P0.01. There was a negative correlation between invasive ruminant rumination and post-traumatic growth.In stratified regression analysis, the relationship between r-0.276 and P0.01 was analyzed.Post growth has an effect. 2.Qualitative study results: 1) Post-traumatic growth in maintainable hemodialysis patients is manifested in three main themes, namely, "positive construction of existential significance,"The main factors that promote posttraumatic growth in patients with maintenance hemodialysis include personal factors (i.e. personality traits include optimism, openness, tenacity, resilience, etc.)Hope and gratitude, cognitive processing of dialysis events (meaning search and meaning construction) and environmental factors (family environment and social and cultural background).Conclusion 1.The age, age, resilience, strength, optimism and purposive ruminant meditation of maintenance hemodialysis patients have an effect on posttraumatic growth.In this study, posttraumatic growth of maintenance hemodialysis patients was mainly manifested in the positive construction of existential significance, the enhancement of self-strength and the deepening of life perception, and personal factors, environmental factors and cognitive processing were the factors to promote growth.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R473.5

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