School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran.
Patient Safety Research Centre, Urmia University of Medical Sciences, Urmia, Iran.
Burns. 2019 May;45(3):732-740. doi: 10.1016/j.burns.2018.10.013. Epub 2019 Jan 14.
Social support and spirituality are important issues among burn survivors that appear to affect their posttraumatic growth (PTG).
To investigate the relationship between social support and PTG in Iranian burn survivors, as mediated by their perceptions of spiritual well-being.
This is a correlation study with a cross-sectional design, and it uses anonymous questionnaires as study instruments (i.e. Posttraumatic Growth Inventory, Spiritual Well-Being Scale and the Multidimensional Scale of Perceived Social Support). A total of 118 questionnaires were sent to participants by post. Nine envelopes were not returned, and seven questionnaires were incompletely filled. Data were collected from 102 burn survivors who had a history of hospitalisation at Imam Khomeini Teaching Hospitals of Urmia, the capital of Western Azerbaijan Province, northwest of Iran. Structural equation modelling and bootstrapping procedures were employed to identify the mediating role of their perceptions of spiritual well-being.
The mean scores of social support (ranging from 12 to 84), PTG (ranging from 0 to 105) and the spirituality (ranging from 20 to120) among the participants were 56.96, 78.13 and 92.15, respectively. The results confirmed our hypothesised model. All the latent variables (variables that are not directly observed but are rather inferred from other variables that are observed (directly measured by items of an instrument)) of study were significantly correlated in the predicted directions. Social support and spirituality were significant predictors of PTG. Spirituality partially mediated the relationship between social support and PTG. The mediating role of the spirituality suggests that social support increases PTG, both directly and indirectly.
The mediating role of spirituality should provide new visions for the augmentation of PTG in burn survivors.
社会支持和精神信仰是烧伤幸存者的重要问题，它们似乎会影响到他们的创伤后成长（PTG）。
调查社会支持与伊朗烧伤幸存者创伤后成长之间的关系，以及他们对精神幸福感的感知在其中的中介作用。
这是一项具有横断面设计的相关性研究，使用匿名问卷作为研究工具（即创伤后成长量表、精神幸福感量表和多维感知社会支持量表）。共向 118 名参与者邮寄了问卷。其中 9 个信封未退回，7 份问卷填写不完整。数据来自于曾在伊朗西北部西阿塞拜疆省首府乌尔米亚伊玛目霍梅尼教学医院住院的 102 名烧伤幸存者。采用结构方程模型和自举程序来确定他们对精神幸福感的感知的中介作用。
参与者的社会支持（范围为 12 至 84）、PTG（范围为 0 至 105）和精神信仰（范围为 20 至 120）的平均得分为 56.96、78.13 和 92.15。结果证实了我们的假设模型。研究中的所有潜在变量（不是直接观察到的变量，而是从其他通过仪器的项目直接测量到的变量推断出来的）都以预测的方向显著相关。社会支持和精神信仰是 PTG 的重要预测因素。精神信仰部分中介了社会支持与 PTG 之间的关系。精神信仰的中介作用表明，社会支持可以直接和间接地增加 PTG。
精神信仰的中介作用为增强烧伤幸存者的 PTG 提供了新的视角。
