1
|
Tang N, Masingboon K, Hengudomsub P. The mediating effects of resilience in the relationship between social support and posttraumatic growth in patients with acute coronary syndrome in China. BELITUNG NURSING JOURNAL 2024; 10:389-397. [PMID: 39211464 PMCID: PMC11350346 DOI: 10.33546/bnj.3357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 04/27/2024] [Accepted: 06/26/2024] [Indexed: 09/04/2024] Open
Abstract
Background Posttraumatic growth has a positive impact on patients diagnosed with acute coronary syndrome (ACS). Patients with acute coronary syndrome in China report low to moderate levels of posttraumatic growth. Additionally, there is a dearth of research exploring the associations between resilience, social support, and posttraumatic growth in this specific patient population. Objective This study examined whether resilience serves as a mediator between social support and posttraumatic growth in patients with acute coronary syndrome who had been discharged for 1 to 6 months and were being followed up in clinics. Methods A descriptive correlational study design was utilized. A systematic sampling technique was used to recruit 121 patients with acute coronary syndrome who had been discharged for 1 to 6 months from cardiovascular clinics of a tertiary care hospital in Jiangsu Province, China. The research instruments included the demographic characteristics questionnaire, the Connor-Davidson Resilience Scale, the Multidimensional Scale of Perceived Social Support, and the Posttraumatic Growth Inventory. The data were collected between August 2022 and November 2022 and were analyzed using descriptive statistics and regression analyses to determine the mediating effects. Results The level of posttraumatic growth among patients with acute coronary syndrome attending follow-up clinic visits was moderate (Mean = 60.58, SD = 14.13). Resilience had a direct and positive impact on posttraumatic growth (β = 0.361, p <0.001). Moreover, resilience fully mediated the relationship between social support and posttraumatic growth (indirect effect = 0.203, 95% CI [0.076, 0.331]; direct effect = 0.162, p = 0.101). Conclusion Patients with acute coronary syndrome in China experience moderate posttraumatic growth after discharge. Resilience mediates the relationship between social support and posttraumatic growth. Therefore, nursing interventions focusing on promoting social support and resilience should be developed to encourage posttraumatic growth in patients with acute coronary syndrome.
Collapse
Affiliation(s)
- Nan Tang
- Faculty of Nursing, Burapha University, Chonburi, Thailand
- Faculty of Nursing, Jiangsu Vocational College of Medicine, Jiangsu Province, China
| | | | | |
Collapse
|
2
|
Li A, Ji S, Nie Y, Chi M, Wang N, Zhu Z, Li S, Hou Y. The Content and Nature of Rumination in Chinese Young and Middle-Aged Patients with Acute Coronary Syndrome: A Qualitative Study. Healthcare (Basel) 2024; 12:1651. [PMID: 39201209 PMCID: PMC11353411 DOI: 10.3390/healthcare12161651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2024] [Revised: 08/09/2024] [Accepted: 08/15/2024] [Indexed: 09/02/2024] Open
Abstract
Individuals have different rumination patterns after experiencing traumatic events in different cultural backgrounds and situations. This study aimed to explore the experience of Chinese young and middle-aged patients with acute coronary syndrome (ACS) to understand the content and nature of their rumination. Sixteen participants were selected using the purposive sampling method in the First Affiliated Hospital of Soochow University from May 2023 to December 2023. Data were collected using semi-structured interviews and analyzed using Colaizzi's seven-step phenomenological method. The participants went through two successive stages: non-adaptive rumination and adaptive rumination. During the initial admission phase, all the participants experienced varying degrees of non-adaptive rumination. Non-adaptive rumination included four sub-themes: worry or anxiety of daily activities and medical therapy (37.50%), fear of unpredictable outcomes and death (37.50%), sadness of maladjustment (25.00%), and remorse of carelessness (12.50%). During the period of stable condition and pre-discharge, the participants received health education and gradually all transitioned to adaptive rumination. Adaptive rumination included four sub-themes: tracing of disease processes (100%), enhancement of disease cognition (81.25%), improvement of health awareness (62.50%), and adjustment of lifestyle cognition (100%). In conclusion, although the Chinese young and middle-aged patients with ACS experienced negative emotions after a traumatic cardiac event, they gradually made positive changes, and optimism and information support played important roles in this transition. The results of this study provide a fundamental understanding of rumination experiences in Chinese young and middle-aged patients with ACS and provide new data for healthcare providers when designing intervention programs to enhance post-traumatic growth in these patients.
Collapse
Affiliation(s)
- Anan Li
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Siying Ji
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Yangfan Nie
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Meixuan Chi
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Naijuan Wang
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Zhaoying Zhu
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Shan Li
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| | - Yunying Hou
- Department of Nursing, The First Affiliated Hospital of Soochow University, No.188, Shizi Street, Gusu District, Suzhou 215006, China; (A.L.)
- School of Nursing, Suzhou Medical College of Soochow University, No.333, Ganjiang East Road, Gusu District, Suzhou 215006, China
| |
Collapse
|
3
|
Xiong JM, Su J, Ke QQ, Li YX, Gong N, Yang QH. Psychosocial adaptation profiles in young and middle-aged patients with acute myocardial infarction: a latent profile analysis. Eur J Cardiovasc Nurs 2024; 23:267-277. [PMID: 37503729 DOI: 10.1093/eurjcn/zvad071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 07/29/2023]
Abstract
AIMS We sought to explore the latent classifications of psychosocial adaptation in young and middle-aged patients with acute myocardial infarction (AMI) and analyse the characteristics of different profiles of AMI patients. METHODS AND RESULTS A cross-sectional study was performed in 438 Chinese young and middle-aged patients with AMI. The investigation time was 1 month after discharge. Three different self-report instruments were distributed to the participants, including the Psychosocial Adjustment to Illness Scale, the Perceived Stress Scale, and the Social Support Rating Scale. The seven dimensions of the Psychosocial Adjustment to Illness Scale were then used to perform a latent profile analysis. All participants signed informed consent forms in accordance with the ethical principles of the Declaration of Helsinki. Finally, a total of 411 young and middle-aged AMI patients were enrolled. Three distinct profiles were identified, including the 'well-adapted group' (44.8%), 'highlight in psychological burdens group' (25.5%), and 'poorly adapted group' (29.7%). The influencing factors included stress perception, social support, occupational type, and marital status (P < 0.05). CONCLUSION The psychosocial adaptation of young and middle-aged AMI patients can be divided into three profiles. Clinical nurses can carry out individualized psychological interventions according to the characteristics of patients in different potential profiles to improve the psychosocial adaptation of patients and the prognosis of their disease.
Collapse
Affiliation(s)
- Jia-Ming Xiong
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| | - Jin Su
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| | - Qi-Qi Ke
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| | - Yao-Xia Li
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| | - Ni Gong
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| | - Qiao-Hong Yang
- School of Nursing, Jinan University, 601 Huangpu Avenue West, Tianhe District, Guangzhou 510632, China
| |
Collapse
|
4
|
Wang Z, Xu Y, Zeng H. Trait rumination in post-stress growth among Chinese college students: the chain mediating effect of distress disclosure and perceived social support. Front Public Health 2023; 11:1265405. [PMID: 38074763 PMCID: PMC10701402 DOI: 10.3389/fpubh.2023.1265405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2023] [Accepted: 11/01/2023] [Indexed: 12/18/2023] Open
Abstract
Background Rumination has emerged as a significant factor contributing to personal growth following periods of stress or trauma. The present study aimed to investigate the relationship between trait rumination and post-stress growth (PSG) within the context of Chinese college students who encounter mild stressors in their daily lives. Moreover, we aim to evaluate the potential mediating roles played by both distress disclosure and perceived social support in this dynamic relationship. Method All participants completed assessments using the Adolescent Self-Rating Life Events Checklist, Rumination Response Scale, Post-Stress Growth Inventory, Distress Disclosure Index, and Perceived Social Support Scale. Correlation and mediation analyses were conducted using SPSS PROCESS 4 MACRO. Results All students reported experiencing mild psychological impacts as a result of negative life events in the past year and displayed moderate levels of PSG. There was no significant correlation observed between the effects of negative life events and PSG. Significant negative correlations were found between trait rumination and distress disclosure, perceived social support, and PSG. Distress disclosure and perceived social support jointly operated as sequential mediators in the relationship between trait rumination and PSG among all the participants. Qualitative analyses revealed different correlation patterns of high- versus low-ruminator. Conclusion Trait rumination affects PSG both directly and indirectly, through its influence on distress disclosure and perceived social support. Our results emphasize the significance of actively participating in distress disclosure and nurturing a robust sense of social support to counteract the detrimental effects of rumination on post-stress growth among Chinese college students.
Collapse
Affiliation(s)
- Zengjian Wang
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
| | - Yining Xu
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
| | - Huifang Zeng
- Key Laboratory of Brain, Cognition and Education Sciences (South China Normal University), Ministry of Education, Guangzhou, China
- School of Psychology, Center for Studies of Psychological Application, and Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, Guangzhou, China
| |
Collapse
|