{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:59:10Z","timestamp":1785499150148,"version":"3.56.0"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Post\u2010traumatic growth (PTG) in critically ill patients, particularly those receiving mechanical ventilation (MV), may follow distinct trajectories. However, the patterns and predictors of PTG trajectories in this population remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore the potential categories and influencing factors of PTG trajectories in ICU patients receiving mechanical ventilation and to provide evidence for developing personalized psychological interventions for patients with different growth trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A study with a prospective cohort design was conducted from October 17, 2025 to January 31, 2026. Patients receiving mechanical ventilation in the general ICU and EICU of a tertiary hospital in Tai'an City, China were recruited using convenience sampling. Data were collected using a general information questionnaire, the Post\u2010traumatic Growth Scale, the Social Support Rating Scale, the Distress Disclosure Index, the Event\u2010Related Rumination Inventory (simplified Chinese version) and the Simplified Coping Style Questionnaire. A latent class growth mixed model was applied to identify PTG trajectories, and univariate analysis followed by multivariate logistic regression was used to examine influencing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 287 valid questionnaires were included in the final analysis. Three distinct PTG trajectory classes were identified: a low\u2010level stable group (32.8%), a progressive growth group (37.3%), and a high initial\u2010attenuation group (29.9%). Multivariate logistic regression showed that education level, APACHE II score, duration of mechanical ventilation, positive coping style score, purposeful rumination score, and social support score were significant predictors of PTG trajectory class membership.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Post\u2010traumatic growth in ICU patients receiving mechanical ventilation follows three distinct trajectories characterized by group heterogeneity. Nursing staff should develop targeted psychological interventions based on patients' different PTG trajectories.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Identifying PTG trajectories allows clinicians to recognize patients at risk of persistently low growth or initial decline. Person\u2010centred strategies\u2014such as enhancing positive coping, promoting purposeful rumination and strengthening social support\u2014can be implemented to facilitate psychological recovery in mechanically ventilated ICU patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70550","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T17:51:07Z","timestamp":1781805067000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trajectory and Determinants of Post\u2010Traumatic Growth in\n                    <scp>ICU<\/scp>\n                    Patients With Mechanical Ventilation: A Prospective, Longitudinal Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5222-5134","authenticated-orcid":false,"given":"Che","family":"Qiujin","sequence":"first","affiliation":[{"name":"School of Nursing Shandong First Medical University (Shandong Academy of Medical Sciences)  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Jing","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Shandong Medical First University  Taian Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gao","family":"Xiaoyan","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery The Affiliated Hospital of Qingdao University  Qingdao Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Jingjing","sequence":"additional","affiliation":[{"name":"Zibo Central Hospital  Zibo Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cao","family":"Mengru","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong First Medical University (Shandong Academy of Medical Sciences)  Jinan Shandong China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_17_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2025.101232"},{"key":"e_1_2_17_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200409\u20101295OC"},{"key":"e_1_2_17_4_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2025.07.012"},{"key":"e_1_2_17_5_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1006\u20105725.2020.11.024"},{"key":"e_1_2_17_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e318232da75"},{"key":"e_1_2_17_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2022.2159048"},{"key":"e_1_2_17_8_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2020149"},{"key":"e_1_2_17_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006\u2010341x.1999.00463.x"},{"key":"e_1_2_17_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000000882"},{"key":"e_1_2_17_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103999(67)90010\u20104"},{"key":"e_1_2_17_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140\u20106736(74)91639\u20100"},{"key":"e_1_2_17_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10615800903094273"},{"key":"e_1_2_17_14_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2010.08.039"},{"key":"e_1_2_17_15_1","first-page":"98","article-title":"Theoretical Basis and Research Application of Social Support Rating Scale","volume":"2","author":"Shuiyuan X. 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