摘要
目的：探讨乳腺癌患者创伤后成长的状况及其影响因素，揭示乳腺癌患者的认知评价方式对创伤后成长的影响及其相互关系。方法采用创伤后成长量表、认知评价量表对356例乳腺癌患者进行横断面调查。结果乳腺癌患者创伤后成长总分为（55.06±14.36）分。不同文化程度、医疗费用来源的患者创伤后成长得分差异具有统计学意义（t＝5.886、5.154，P＜0.01）。乳腺癌患者的创伤后成长与认知评价方式有关，其中与对疾病结果的不确定感和受疾病的威胁维度呈负相关；而与担负责任和积极评价呈正相关。乳腺癌患者的积极评价、对疾病结果不确定感、担负责任、医疗费用来源和文化程度能较好地预测创伤后成长，对创伤后成长总分的解释力达42.7%。结论乳腺癌患者的创伤后成长水平中等；文化程度、医疗费用来源以及认知评价方式均不同程度地影响其创伤后成长水平；认知评价方式对乳腺癌患者的创伤后成长具有显著预测作用。
Objective To explore the status and influencing factors of posttraumatic growth (PTG) in breast cancer patients and identify the influence of cognitive appraisal on PTG and the relationship between PTG and cognitive appraisal. Methods A cross-sectional study was conducted. Totally 356 breast cancer patients were investigated with the revised Posttraumatic Growth Inventory (PTGI), the Cognitive Appraisal Scale. Results The average score of PTG in breast cancer patients was (55.06±14.36) points. There were significant differences between different education level and health-care payment patients in the total score of PTG (t=5.886, 5.154, P<0.01). The level of PTG was correlated with the patients′ cognitive appraisal way. It was negatively correlated with uncertain appraisal about disease and threat appraisal,and positively correlated with positive appraisal and responsible appraisal. The main prediction factors for PTG were positive appraisal, uncertain appraisal about disease, responsible appraisal, health-care payment and education level. All the variables could explain 42.7% variance of PTG. Conclusions Breast cancer patients in this study report moderate level of posttraumatic growth. The level of PTG in breast cancers is influenced by variables of patients′ education level, health-care payment and cognitive appraisal. Cognitive appraisal could predict the development of PTG significantly.
出处
《中国实用护理杂志》
2016年第13期-,共5页
Chinese Journal of Practical Nursing
基金
教育部人文社会科学规划基金项目(15YJAZH105)Fund program:the Ministry of Education Research in the Humanities and Social Sciences Program Fund
关键词
乳腺肿瘤
创伤后成长
认知评价
Breast neoplasm
Posttraumatic growth
Cognitive appraisal
