The mediating effect of rumination between posttraumatic growth and coping strategy among parents of children with acute leukemia
10.3760/cma.j.cn211501-20220221-00468
- VernacularTitle:反刍思维在急性白血病患儿父母创伤后成长水平和应对方式中的中介效应
- Author:
Mengting CHEN
1
;
Qian DAI
Author Information
1. 南京医科大学附属儿童医院血液肿瘤科,南京 210000
- Keywords:
Acute leukemia;
Parents;
Posttraumatic growth;
Rumination;
Coping strategy;
Mediating effect
- From:
Chinese Journal of Practical Nursing
2022;38(36):2845-2851
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of rumination between posttraumatic growth and coping strategy among parents of children with acute leukemia.Methods:Totally 238 parents of children with acute leukemia at Children ′s hospital affiliated to Nanjing Medical University from January 2020 to October 2021 were recruited as research object by convenient sampling method. Posttraumatic Growth Inventory (PTGI), Runminative Responses Scale (RRS) and Coping Health Inventory for Parents (CHIP) were investigated. Results:The scores of parents of children with acute leukemia in PTGI were (60.96 ± 11.81), RRS were (58.13 ± 13.40), CHIP were (106.60 ± 34.31). The demensions of PTGI in parents were positively correlated with the each demensions of CHIP ( r values were 0.256 to 0.478, all P<0.01); the RRS demensions were negatively correlated with the demensions of PTGI and CHIP ( r values were -0.566 to -0.236, P<0.01). Posttraumatic growth had a direct positive effect on coping strategy, the path coefficient was 0.082. Posttraumatic growth affects coping strategy through rumination, the indirect path coefficient was 0.797, the mediating effect accounts for 90.4% of the total effect. Rumination had a negative effect on coping strategy, the path coefficient was -0.954. Posttraumatic growth has a negative effect on rumination, the path coefficient was -0.835. Conclusions:Rumination plays a mediating role in the relationship between posttraumatic growth and coping strategy. Medical staff can alleviate the levels of rumination of parents of children with acute leukemia, so as to promote posttraumatic growth and coping strategy.