心理弹性,认知灵活性和创伤后生长水平之间的关系,严重败血症患者通过连续脏替代疗法治疗
Changzheng Zhao1, Lancai Zhou2, Haixia Gao1
1Intensive Care Unit, Shandong Public Health Clinical Center, Jinan, Shandong, China.
Frontiers in public health
|May 22, 2025
概括
心理性和认知灵活性对接受连续脏替代疗法 (CRRT) 的严重败血症患者的创伤后生长 (PTG) 有积极的影响. 弹性直接预测PTG,并通过认知灵活性间接影响它,突出潜在的干预目标.
科学领域:
- 临界护理医学 临界护理医学
- 心理学 心理学 心理学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 持续置换疗法 (CRRT) 对于严重的败血症管理至关重要,但患者往往会经历严重的心理痛苦.
- 了解影响心理恢复的因素对于改善患者的治疗结果至关重要.
研究的目的:
- 在接受CRRT治疗的重症败血症患者中,研究心理性,认知灵活性和创伤后生长 (PTG) 之间的关系.
主要方法:
- 在接受CRRT的205名严重败血症患者的便利样本中,使用康纳-戴维森弹性量表 (CDRISC),认知灵活性量表和创伤后生长库存 (PTGI) 进行了评估.
- 统计分析包括t测试,皮尔森相关性和线性回归.
主要成果:
- 在心理性,认知灵活性和PTG (p <0.05) 之间发现了显著的正相关性.
- 心理性和认知灵活性积极预测PTG.
- 弹性直接预测PTG,并通过认知灵活性间接影响它,具有显著的链中介效应.
结论:
- 心理性是影响重度败血症CRRT患者PTG的一个关键因素.
- 认知灵活性在性和PTG之间的关系中起到调解作用.
- 针对心理性和认知灵活性的干预措施可能会改善心理健康和临床预后.
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