目标

本研究旨在调查慢性阻塞性肺疾病患者的希望、生命意义和创伤后成长（PTG）之间的关系。

设计

横断面研究设计

方法

2018年10月至2019年9月之间，共有221名慢性阻塞性肺疾病患者填写问卷，包括社会人口统计学信息，中文版的《希望指数》，《生活意义调查表》和《创伤后成长清单》。使用描述性分析、Spearman相关分析、Kruskal–Wallis H检验、Mann–Whitney U检验和岭回归分析进行分析。

结果

Spearman的相关分析表明，生活中的希望和意义与PTG正相关（r = 0.20–0.45，r =  0.36–0.54，p <0.01）。回归分析结果表明，希望、生活意义、诊断后的时间、居住地、医疗保险和月收入等因素可以解释PTG差异的47.30％（F = 33.863，p  <0.001）。

结论

中国慢性阻塞性肺疾病患者的生活意义略有积极变化，希望和PTG程度中等。生活中的希望和意义与PTG正相关。因此，增强生活中的希望和意义对于慢性阻塞性肺疾病患者促进PTG至关重要。

影响力

这些结果增加了对慢性阻塞性肺疾病患者希望，生活意义和创伤后生长之间关系的更好理解，有助于护士在疾病诊断的早期阶段进行干预。

 

 

Aim

This study aimed to investigate the relationships among hope, meaning in life, andpost‐traumatic growth (PTG) in patients with chronic obstructive pulmonarydisease.

Design

A cross‐sectional study design.

Methods

Between October 2018–September 2019, 221 chronic obstructive pulmonary disease patientcompleted the questionnaires including sociodemographic information, ChineseVersion of Herth Hope Index, Meaning in Life Questionnaire, and Post‐traumaticGrowth Inventory. Descriptive analysis, Spearman's correlation analysis, theKruskal–Wallis H test, the Mann–Whitney U test, and the ridge regressionanalysis were used for analysis.

Results

Spearman's correlation analysis showed that hope and meaning in life were positivelyinterrelated with PTG (r = 0.20–0.45, r = 0.36–0.54, p < 0.01). Ridgeregression analysis results showed that hope, meaning in life, time sincediagnosis, habitation, medical insurance, and monthly income could explain47.30% of the variance in PTG (F = 33.863, p < 0.001).

Conclusion

Chinese patients with chronic obstructive pulmonary disease experienced a slightlypositive change in meaning in life and a moderate degree of hope and PTG.Results suggested that hope and meaning in life were positively connected withPTG. Therefore, enhancing hope and meaning in life might be crucial forpatients with chronic obstructive pulmonary disease to promote PTG.

Impact

The findings added better understanding of relationships among hope, meaning inlife, and post‐traumatic growth in patients with chronic obstructive pulmonarydisease which can help nurse give interventions in the early stage of diseasediagnosis.

原文链接：https://onlinelibrary.wiley.com/doi/10.1111/jan.14605