| 其他摘要 | Objective: To understand the research status of fear disease progression, invasive rumination, deliberate rumination and post-traumatic growth , To explore the effects of fear disease progression, invasive rumination and deliberate rumination on post-traumatic growth in patients with chronic kidney disease, and the mechanism of the transformation from fear disease progression to post-traumatic growth.Methods: A total of 203 patients with chronic kidney disease from September 2019 to February 2020 in a Third-grade A hospital in Beijing were selected by convenient sampling method. General data survey, simplified fear disease progression scale, event-related ruminant meditation questionnaire and post-traumatic growth Scale were used to investigate the level of fear disease progression, event-related ruminant meditation and post-traumatic growth in patients with chronic kidney disease. SPSS 23.0 and Process 3.0 statistical software were used to carry out descriptive statistics, correlation analysis, and mediation analysis and test of the data.Results:( 1) The results of descriptive analysis showed that the score of fear disease progression in patients with chronic kidney disease in this study was (2.45±0.99), which was below the average level; The score of invasive regurgitation was (2.12±0.84), and the score of active regurgitation was (2.35±0.85), which was in the middle level. The post-traumatic growth score (2.44±1.29) was above the average level.(2) Correlation analysis showed that fear disease progression, invasive regurgitation, active regurgitation and post-traumatic growth were significantly positively correlated (P < 0.01).(3) Mediating effect The results showed that the direct effect of fear disease progression and post-traumatic growth was not significant, but the total effect was significant. Among them, there is an insignificant mediating pathway and two significant mediating pathways: (1) Active rumination has a single mediating role between fear disease progression and post-traumatic growth, with significant mediating pathways; Invasive ruminant and deliberate ruminant have a chain mediating effect between fear disease progression and post-traumatic growth. Invasive ruminant has no mediating effect between fear disease progression and post-traumatic growth, and the pathway is not significant.Conclusion: Based on the study of the correlation of the main variables, the chain mediating effect is constructed. The results showed that patients with chronic kidney disease (CKD) fear of disease progression can not directly affect the posttraumatic growth, invasive ruminant also can not be in fear of disease and posttraumatic growth, but the initiative between rumination is fear of disease and posttraumatic growth important intermediary variables, and deliberate rumination or invasive rumination and deliberate ruminant chain of intermediary effect indirectly influence posttraumatic growth.Therefore, maintaining a moderate fear of disease progression and constructive reflective attitudes is conducive to the view of post-traumatic growth, and regurgitation is an important mediating variable.It has certain theoretical and practical significance, and provides reference for the construction and improvement of theoretical models, positive psychological changes for patients to actively respond to adverse trauma experience, and self-physical and mental repair of patients. |
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