Correlation of post-traumatic growth with mental resilience, social support, and self-efficacy in patients with pulmonary tuberculosis and constipation

Abstract

BACKGROUND Patients with pulmonary tuberculosis and constipation often suffer from psychological trauma and psychological discrimination from social members. Mental resilience is the ability of an individual to deal with difficulties in a positive way. Social support should have a protective effect on the psychology of patients. Self-efficacy reflects a belief that individuals can take appropriate action to meet challenges. In this study, post-traumatic growth, psychological resilience, self-efficacy, and social support of patients with pulmonary tuberculosis and constipation were investigated and analyzed to provide an objective basis for better clinical active intervention measures. AIM To study the relationship of posttraumatic growth with mental resilience, social support, and self-efficacy in patients with pulmonary tuberculosis and constipation. METHODS Patients with pulmonary tuberculosis and constipation who were admitted to the Department of Infectious Diseases, Yiwu Central Hospital, Zhejiang Province from February 2018 to December 2019 were selected as the study subjects by convenient sampling method. Posttraumatic growth inventory (PTGI), mental resilience inventory (CD-RISC), perceived social support inventory (PSSS), and general self-efficacy inventory (GSES) were used for the analysis. RESULTS In this study, the PTGI score of the patients was 55.89 ± 11.24, and the PTGI score was ≥ 57 in 65 patients, with a positive rate of 60.19%. The patients’ CD-RISC score was 63.36 ± 14.43; the scores of the tenacity, strength, and optimism dimensions were 33.56 ± 8.24, 22.37 ± 5.64, and 10.67 ± 3.02, respectively. PTGI score, new possibility, and individual strength were positively correlated with CD-RISC score (P < 0.05). The total PSSS score of the patients was 68.75 ± 9.46, among which the score of in-family support was 25.16 ± 4.12, and the score of out-of-family support was 32.49 ± 4.98. The GSES score was 2.69 ± 0.72. PTGI score was positively correlated with PSSS and GSES scores (P < 0.05). CONCLUSION The post-traumatic growth of patients with pulmonary tuberculosis and constipation is at a medium level and needs to be further improved. In clinical work, medical staff should improve patients’ mental resilience and pay attention to the intervention of social support and general self-efficacy to improve patients’ post-traumatic growth.