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医护人员创伤受害者工作中的社会支持与二次创伤后成长的关系——认知加工的中介作用。

The Relationship between Social Support and Secondary Posttraumatic Growth among Health Care Providers Working with Trauma Victims-The Mediating Role of Cognitive Processing.

机构信息

Medical Institute, State Higher Vocation School in Glogow, 67-210 Glogow, Poland.

Independent Public Clinical Hospital No. 7, Upper Silesia Medical Centre of the Medical University of Silesia in Katowice, 40-752 Katowice, Poland.

出版信息

Int J Environ Res Public Health. 2022 Apr 20;19(9):4985. doi: 10.3390/ijerph19094985.

Abstract

BACKGROUND

Individuals, who help trauma victims as part of their professional responsibilities, may experience positive effects of their work, occurring in the form of Secondary Posttraumatic Growth (SPTG). Its determinants include environmental factors such as social support, and individual characteristics, particularly cognitive processing of the trauma. The purpose of this study was to determine the associations between SPTG and social support and cognitive processing of trauma, also considered as a mediator, in a group of medical personnel exposed to secondary trauma.

METHODS

The results of 408 participants, paramedics and nurses, were analyzed. Three measurement tools were used: the Secondary Posttraumatic Growth Inventory, the Social Support Scale measuring four sources of support and the Cognitive Trauma Processing Scale to assess five cognitive coping strategies.

RESULTS

The results indicated that SPTG was positively related to social support and cognitive coping strategies. Cognitive coping strategies act as a mediator in the relationship between social support and SPTG.

CONCLUSIONS

Despite their exposure to secondary traumatization, paramedics and nursing staff experience positive consequences of their work related to helping injured people. In order to promote growth after trauma, it is advisable to encourage medical representatives to use social support and primarily positive coping strategies.

摘要

背景

作为其职业责任的一部分,帮助创伤受害者的个人可能会经历工作的积极影响,表现为二次创伤后成长(SPTG)。其决定因素包括社会支持等环境因素,以及个体特征,特别是对创伤的认知加工。本研究的目的是确定 SPTG 与社会支持和创伤认知加工之间的关系,也将认知加工视为中介因素,在一组接触二次创伤的医务人员中进行研究。

方法

分析了 408 名护理人员和护士的结果。使用了三种测量工具:二次创伤后成长量表、测量四种支持来源的社会支持量表和评估五种认知应对策略的认知创伤处理量表。

结果

结果表明,SPTG 与社会支持和认知应对策略呈正相关。认知应对策略在社会支持与 SPTG 之间的关系中起中介作用。

结论

尽管护理人员和护士接触到二次创伤,但他们在帮助受伤人员的工作中经历了与工作相关的积极后果。为了促进创伤后的成长,建议鼓励医疗代表使用社会支持和主要的积极应对策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a81e/9104597/5c483f45c437/ijerph-19-04985-g001.jpg

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