张永兰,陈红.癌症患者创伤后成长的现况调查与影响因素分析[J].上海护理,2019,19(S1):
癌症患者创伤后成长的现况调查与影响因素分析
The Investigation of Posttraumatic Growth for Cancer Patients and influencing factors
DOI:
中文关键词:  癌症  创伤后成长  量性研究  影响因素
英文关键词:Cancer Patients  Posttraumatic Growth  Quantitative Research  Influencing Factors
基金项目:肝衰竭患者创伤后成长的研究
作者单位E-mail
张永兰 复旦大学附属妇产科医院复旦大学护理学院 15121050027@163.com 
陈红* 复旦大学附属华山医院 chenhong19881020@126.com 
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中文摘要:
      【摘要】目的:调查癌症患者创伤后成长现况,分析癌症患者创伤后成长与特质应对方式、社会支持的相关性,为临床心理护理提供指导。方法:采用现况调查法、方便抽样,应用人口学问卷、特质应对问卷、社会支持评定量表、简体中文版创伤后成长评定量(PTGI),于2017年6月至2018年3月在复旦大学附属华东医院肿瘤内科,对符合纳入标准的120例确诊癌症大于3个月患者进行问卷调查。结果:不同性别、教育程度、年龄、婚姻状况、工作状况、宗教信仰间PTG总分无统计学差异(P>0.05),不同病种间有显著性统计学差异(F=3.970,P<0.05)。PTGI总分与积极应对、主观支持、支持利用度有显著正相关(P<0.05),与客观支持没有相关性(P>0.05)。回归分析结果显示,回归方程为:Y=4.674+3.500*疾病+1.036*主观支持+3.282*支持利用度(F=23.988, P<0.05),模型有统计学意义。结论:癌症患者普遍存在创伤后成长,疾病是影响癌症患者创伤后成长的重要人口学因素;癌症患者创伤后成长的重要影响因素有应对方式和社会支持;积极应对和主观支持及对支持的利用度能促使癌症患者创伤后的成长。
英文摘要:
      [Abstract]Objectives: To investigate characteristics of PTG of cancer patients, and analyze the correlation among trait coping style, social support and PTG, in order to provide guidance for clinical psychological nursing. Methods: This study adopted the cross-sectional method and convenient sampling to investigate the status of PTG for cancer patients, using the demographic Questionnaire, Trait Coping Style Questionnaire, Social Support Rating Scale and Posttraumatic Growth Inventory from June 2017to March 2018. 120 cancer patients who have been diagnosed cancer at least 3 months were enrolled in Oncology Department of Huadong Hospital in Shanghai. Results: There were not significant differences between gender, age, education,marital status, working conditions and religion and PTG(P>0.05),significant difference existed between diseases and PTG(F=3.970,P<0.05); PTG significantly correlated with the positive coping, the subjective support, and the support availability(P<0.05), but no significantly correlation between PTG and the negative coping(P>0.050). The effective regression equation is: Y=4.674+3.500*X1+1.036*X2+3.282*X3(F=23.988, P<0.05). Conclusion:PTG is universal for cancer patients at medium level, disease is important demographic factors for cancer patients’ PTG. Coping Style and Social Support are important influence factor for cancer patients’ PTG. Positive Coping Styles and Subjective Social Supports also can improve cancer patients’ PTG.
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