Correlation between ICU related memory, ruminant thinking, resilience and post-traumatic stress disorder in hepatic ischemia reperfusion injury patients [肝缺血再灌注损伤患者 ICU 相关记忆、反刍思维和心理弹性与创伤后应激障碍相关性研究]

作者：Lei W.; Kai K.^*; Lingli Z.

来源：Chinese Journal of Practical Nursing, 2019, 35(11): 801-807.

DOI：10.3760/cma.j.issn.1672-7088.2019.11.001

• ICU related- memory
• Post- traumatic stress disorder
• Resilience
• Ruminant thinking

Objective To analyze the multiple mediating effects of ruminant thinking and mental resilience on ICU related memory and post- traumatic stress disorder in patients with hepatic ischemia reperfusion injury, and to provide guidance for the psychological intervention of patients with hepatic ischemia- reperfusion injury. Methods Totally 522 cases of patients with hepatic ischemia reperfusion injury were selected and selected from four three- class superior hospitals in Harbin City and two three-class superior hospitals in Shenzhen City from January 2017 to December 2017. To investigate ICU related- memory, post- traumatic stress disorder, ruminant thinking and resilience, and to analyze ICU related memory and post traumatic stress in ruminant thinking and heart elasticity Multiple mediating effects between obstacles. Results The scores of ICU- related memories in patients with hepatic ischemia reperfusion injury were (64.18 ± 10.34) points, the score of ruminant thinking was (63.15 ± 8.21) points, the score of mental resilience was (62.34 ± 8.41) points, and the score of post- traumatic stress disorder was (40.74±10.24) points. There were significant positive correlations between 22 patients with ICU related memory, ruminant thinking and post- traumatic stress barrier (ICU- related memory vs. ruminant thinking, r=0.777; ICU- related memory vs. post- traumatic stress disorder, r=0.724; ruminant thinking vs. post-traumatic stress disorder, r=0.734, P<0.01), which had a significant negative correlation with mental resilience (r=- 0.718, - 0.722, P<0.01). There was only a partial mediation effect between resilience and ruminant thinking in the relation of ICU related memory and post-traumatic stress disorder. Which took mediating effect at 29.0% and 20.7% of the total effect. Resilience-self-efficacy had a chain mediated effect between ICU related memory and post-traumatic stress disorder, with an effective value of 0.36, accounting for 15.6% of the total effect. Conclusion The ruminant thinking and ICU related-memory can be inhibited and the post-traumatic stress disorder can be alleviated by improving the mental resilience level of the patients with hepatic ischemia reperfusion injury from ICU.

• 出版日期2019