Relationships among hope, meaning in life, and post‐traumatic growth in patients with chronic obstructive pulmonary disease: A cross‐sectional study. (15th October 2020)

• Record Type: Journal Article
• Authors: Wang, Jizhe; She, Yiying; Wang, Meiya; Zhang, Yuting; Lin, Yuanxin; Zhu, Xiuli
• Is Part Of: Journal of advanced nursing. Volume 77:Number 1(2021)
• Page Start: 244
• Page End: 254
• Publication Date: 2020-10-15
• Subjects: chronic obstructive pulmonary disease -- cross‐sectional survey -- hope -- meaning in life -- nursing -- post‐traumatic growth; Nursing -- Periodicals; 610.7305
• DOI: 10.1111/jan.14605
• Languages: English
• ISSNs: 0309-2402

Abstract

Abstract: Aim: This study aimed to investigate the relationships among hope, meaning in life, and post‐traumatic growth (PTG) in patients with chronic obstructive pulmonary disease. Design: A cross‐sectional study design. Methods: Between October 2018–September 2019, 221 chronic obstructive pulmonary disease patient completed the questionnaires including sociodemographic information, Chinese Version of Herth Hope Index, Meaning in Life Questionnaire, and Post‐traumatic Growth Inventory. Descriptive analysis, Spearman's correlation analysis, the Kruskal–Wallis H test, the Mann–Whitney U test, and the ridge regression analysis were used for analysis. Results: Spearman's correlation analysis showed that hope and meaning in life were positively interrelated with PTG ( r = 0.20–0.45, r = 0.36–0.54, p < 0.01). Ridge regression analysis results showed that hope, meaning in life, time since diagnosis, habitation, medical insurance, and monthly income could explain 47.30% of the variance in PTG ( F = 33.863, p < 0.001). Conclusion: Chinese patients with chronic obstructive pulmonary disease experienced a slightly positive change in meaning in life and a moderate degree of hope and PTG. Results suggested that hope and meaning in life were positively connected with PTG. Therefore, enhancing hope and meaning in life might be crucial for patients with chronic obstructive pulmonary disease to promote PTG. Impact: The findings added better understanding of relationships among hope, meaning in life, and post‐traumatic growth in patients with chronic obstructive pulmonary disease which can help nurse give interventions in the early stage of disease diagnosis. 摘要: 目标: 本研究旨在探讨慢性阻塞性肺疾病患者的希望、生命意义与创伤后成长(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, 221名慢性阻塞性肺疾病患者完成了包括社会人口学信息、中国版Herth希望量表、生命意义问卷和创伤后成长量表在内的各项问卷调查。用于分析的方法包括描述性分析、斯皮尔曼相关分析、克鲁斯卡尔‐沃利斯 H 检验、曼‐惠特尼 U 检验以及岭回归分析。 结果: 斯皮尔曼相关分析表明, 希望和生命意义和创伤后成长呈正相关性( r = 0.20–0.45, r = 0.36–0.54, p < 0.01)。岭回归分析结果显示, 希望、生命意义、确诊后的持续时间、居住地、医疗保险和月收入是导致创伤后成长( F = 33.863, p < 0.001)发生47.30%变化的原因。 结论: 中国慢性阻塞性肺疾病患者对于生活意义的解读有着轻微的积极改变, 对于希望和创伤后成长的解读有着适度的改变。结果表明, 希望和生命意义与创伤后成长呈正相关性。因此, 增强希望和生命意义, 对慢性阻塞性肺疾病患者促进创伤后成长可能起到至关重要的作用。 影响: 这项发现增加对慢性阻塞性肺疾病患者希望、生命意义和创伤后成长之间关系方面更完善的理解, 有助于护士在疾病诊断的早期阶段进行干预。