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[新冠肺炎治愈患者创伤后成长的结构方程模型]

[A Structural Equation Model for Posttraumatic Growth among Cured Patients with COVID-19].

作者信息

An Soo Young, Choi Heejung

机构信息

Department of Nursing, Konkuk University, Chungju, Korea.

出版信息

J Korean Acad Nurs. 2023 Jun;53(3):309-323. doi: 10.4040/jkan.22118.

Abstract

PURPOSE

This study aimed to develop and test a model for posttraumatic growth among cured patients with COVID-19. This model was based on Calhoun and Tedeschi's Posttraumatic Growth model and a literature review.

METHODS

The participants comprised 223 patients cured from COVID-19 who were ≥ 19 years of age. The data were collected through an online questionnaire from March 21 to 24, 2022. The assessment tools included the Impact of Event Scale: Revised Korean version, the Connor-Davidson Resilience Scale, the Distress Disclosure Index, the Multidimensional Scale of Perceived Social Support, the Korean version of the Event-related Rumination Inventory, and the Korean version of the Post-traumatic Growth Inventory. Data were analyzed using the IBM SPSS version 24.0 and IBM AMOS 26.0.

RESULTS

The modified model showed appropriate goodness of fit (χ² = 369.90, χ²/degree of freedom = 2.09, SRMR = .09, RMESA = .07, CFI = .94, TLI = .93). The post-traumatic growth of cured patients with COVID-19 was explained through distress perception, self-disclosure, and deliberate rumination, with the explanatory power being 70.0%.

CONCLUSION

This study suggests preparing a disaster psychology program involving experts who can activate deliberate rumination is necessary. Further, this study may serve as basic data for developing a program to enhance the post-traumatic growth of patients cured from COVID-19.

摘要

目的

本研究旨在开发并测试一个针对新冠康复患者创伤后成长的模型。该模型基于卡尔霍恩和泰德eschi的创伤后成长模型以及文献综述。

方法

参与者包括223名年龄≥19岁的新冠康复患者。数据于2022年3月21日至24日通过在线问卷收集。评估工具包括事件影响量表:修订版韩文版、康纳 - 戴维森复原力量表、苦恼披露指数、感知社会支持多维量表、事件相关反刍量表韩文版以及创伤后成长量表韩文版。使用IBM SPSS 24.0版和IBM AMOS 26.0版对数据进行分析。

结果

修正后的模型显示出良好的拟合度(χ² = 369.90,χ²/自由度 = 2.09,SRMR = .09,RMESA = .07,CFI = .94,TLI = .93)。新冠康复患者的创伤后成长可通过苦恼感知、自我披露和有意反刍来解释,解释力为70.0%。

结论

本研究表明有必要制定一个由能够激发有意反刍的专家参与的灾难心理项目。此外,本研究可为开发提高新冠康复患者创伤后成长的项目提供基础数据。

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