摘要
目的探讨一般人口学资料、社会支持、应对方式及婚姻满意度对乳腺癌根治术患者创伤后成长(PTG)的影响。方法选取2021-10-01-2021-11-30广西医科大学第一附属医院收治的80例乳腺癌根治术患者为研究对象,采用PTG量表、领悟社会支持量表、医学应对方式问卷、婚姻满意度量表对其进行问卷调查。采用t检验、方差分析、皮尔逊相关系数和多元回归分析评估PTG的影响因素。结果80例患者平均年龄(46.08±8.12)岁,PTG平均得分为(102.46±15.18)分,领悟社会支持平均得分为(65.24±10.97)分,应对方式平均得分为(44.38±7.22)分,婚姻满意度平均得分为(28.68±6.37)分。单因素分析结果显示,职业(F=2.874,P=0.020)、文化程度(F=4.060,P=0.003)、月收入(F=4.051,P=0.010)、领悟社会支持(P<0.05)、医学应对方式(P<0.05)等PTG差异有统计学意义。线性回归分析结果显示,患者的PTG水平与家庭外支持(β=0.692,P<0.001)、面对(β=0.184,P=0.025)、回避(β=0.168,P=0.045)、文化程度(β=0.179,P=0.033)、月收入(β=0.165,P=0.047)均有关。结论乳腺癌根治术患者有一定程度的PTG,PTG水平与家庭外支持、面对、回避、文化程度、月收入显著相关。应制定和实施能够提高社会支持、医学应对方式的干预措施,以促进乳腺癌根治术患者的PTG水平。
Objective To investigate the effects of general demographic data,social support,coping style,and marital satisfaction on post traumatic growth(PTG)in patients with radical mastectomy for breast cancer.Methods From October 1,2021 to November 30,2021,80 patients with breast cancer undergoing radical mastectomy in the First Affiliated Hospital of Guangxi Medical University were selected as the study subjects.Patients were investigated by PTG scale,perceived social support scale,medical coping style questionnaire and marital satisfaction scale.The influencing factors of PTG were evaluated by t test,analysis of variance,Pearson correlation coefficient and multiple regression analysis.Results The average age of the 80 patients was(46.08±8.12)years old;the average score of PTG was 102.46±15.18,the average score of comprehension of social support was 65.24±10.97;the average score of coping style was 44.38±7.22;and the average score of marital satisfaction was(28.68±6.37)points.Univariate analysis showed that occupation(F=2.874,P=0.020),educational level(F=4.060,P=0.003),monthly income(F=4.051,P=0.010),perception of social support(P<0.05),medical coping style(P<0.05)and other variables were statistically different from PTG.The results of linear regression analysis show that patients’PTG was related to outside family support(β=0.692,P<0.001),facing the problem(β=0.184,P=0.025),avoidance(β=0.168,P=0.045),educational level(β=0.179,P=0.033)and monthly income(β=0.165,P=0.047).Conclusions Patients with radical mastectomy for breast cancer have a certain degree of PTG,and PTG is significantly correlated with support,confrontation,avoidance,education level and monthly income outside the family.To effectively promote PTG in patients undergoing radical mastectomy,it is necessary to develop and apply interventions that improve social support and medical coping.
作者
张小芳
陈国连
叶将霞
ZHANG Xiao-fang;CHEN Guo-lian;YE Jiang-xia(Department of Medical Oncology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《社区医学杂志》
CAS
2022年第18期1045-1050,共6页
Journal Of Community Medicine
基金
广西壮族自治区卫生健康委员会自筹科研课题(Z20201475)
关键词
乳腺癌
创伤后成长
社会支持
应对方式
婚姻满意度
breast cancer
post-traumatic growth
social support
coping style
marital satisfaction
作者简介
通信作者:张小芳,女,壮族,广西隆安人,硕士,主管护师,主要从事肿瘤护理和老年护理的研究工作。E-mail:857211026@qq.com
