摘要
目的了解初次确诊宫颈癌患者的创伤后成长现状,并分析其影响因素。方法采用便利抽样方法,抽取2018年7月—2019年7月在本院住院的初次确诊宫颈癌患者120例作为研究对象,采用一般资料调查问卷、创伤后成长评定量表(posttraumatic growth inventory,PTGI)及心理弹性量表(Connor-Davidson resilience scale,CD-RISC)对患者进行横断面调查,通过多元逐步分层回归分析,明确初次确诊宫颈癌患者创伤后成长的影响因素。结果120例初次确诊宫颈癌患者创伤后成长总分为(61.54±17.18)分,心理弹性总分为(57.36±12.80)分。患者年龄、家庭人均月收入、与主要照顾者的关系、病理分期及心理弹性(乐观、坚韧、力量)是影响初次确诊宫颈癌患者创伤后成长的主要因素(P<0.05),其可以解释创伤后成长41.8%的变异,在控制一般资料后,心理弹性(乐观、坚韧、力量)可解释5.7%创伤后成长水平。结论初次确诊宫颈癌患者创伤后成长水平为中等偏上水平。医护人员应结合患者的特殊心理特征,从多角度出发制定心理干预对策,减轻患者应激障碍,提高其心理弹性水平和创伤后成长水平,实现康复治疗的最终目标。
Objective To investigate the level of posttraumatic growth of patients with first diagnosed cervical cancer,and analyze influence factors.Methods A total of 120 patients with cervical cancer who were hospitalized in our hospital from July 2018 to July 2019 were selected by convenience sampling method.General information questionnaire,posttraumatic growth in inventory(PTGI)and Connor Davidson resilience scale(CD-RISC)were used to investigate the relationship between posttraumatic growth and resilience.Results The total scores of post-traumatic growth and resilience was(61.54±17.18)and(57.36±12.80),respectively.Age,family income per capita,pathological stage and main caregivers were the influencing factors(P<0.05),which could explain 41.8%variance of post-tramatic growth.5.7%of the variation of PTG level was caused by resilience(optimism,tenacity,strength).Conclusions The post-traumatic growth of patients with cervical cancer is at medium-high level.It is suggested that medical staff should formulate psychological intervention strategies from multiple perspectives according to the special psychological characteristics of patients so as to reduce stress disorder,improve the level of resilience,promote the level of post-traumatic growth and realize the ultimate goal of rehabilitation treatment.
作者
成改平
常利
樊利妮
Cheng Gaiping;Chang Li;Fan Lini(Gynecologic Tumor Ward,Shanxi Cancer Hospital,Xi'an,710061,China;Department of General Surgery,Shanxi Cancer Hospital,Xi'an,710061,China;Department of Radiotherapy,Shanxi Cancer Hospital,Xi'an,710061,China)
出处
《现代临床护理》
2020年第10期14-19,共6页
Modern Clinical Nursing
基金
2017年陕西省科技厅社会发展项目,项目编号为2017SF-241。
关键词
初次确诊宫颈癌
创伤后成长
心理弹性
first diagnosis with cervical cancer
post-traumatic growth
mental resilience
作者简介
成改平(1984-),女,陕西西安人,主管护师,硕士,主要从事临床护理工作;通信作者:常利,主管护师,硕士,E-mail:changli 6213531@163.com。
