当代护士 2021 年 7 月第 28 卷第 1 9 期(上旬刊) ·1 1 · tic growth and the scores of each dimension were positively correlated with goal rumination (P <);The total score of posttraumatic growth and the scores of each dimension were positively correlated with the total scores of social support,family support,friend support and other support (P <);The goal rumination in burn rehabilitation stage was partly mediated by social support and posttraumat- ic growth,and the mediating effect was %.Conclusion The goal rumination plays a mediating role between posttraumatic growth and social support in patients with burn staff can improve the patient's goal of rumination,so that patients can get more post -traumatic growth. Key words:Burn rehabilitation patients;Goal rumination;Social support;Posttraumatic growth 烧伤及其相关伤害是一项重大的公共卫生问题,据统计,我 要,同时社会支持可能通过某些中介变量对创伤后成长产生影 国每年约有 500~1 000 万人被不同程度的烧伤[1 ]。随着现代医 响[7]。目的性反刍性沉思指个体对创伤性事件进行有目的、主 疗技术水平的提高,烧伤患者的病死率明显下降,但由于烧伤导 动性的思考,并且积极寻求解决方法及重新审视自身等。已有 致的身体功能丧失、容貌损毁和社会角色改变等使患者发生焦 研究表明,目的性反刍性沉思有助于帮助个体获得创伤后成 虑、抑郁等负性情绪,甚至创伤后应激障碍,从而造成患者生活 长[8]。社会支持不仅可直接影响个体创伤后成长,还能通过促 质量严重下降[2-3]。国外研