妇科恶性肿瘤患者配偶创伤后成长现状及其影响因素

Current Status and Influencing Factors of Post-traumatic Growth in Spouses of Gynecological Malignant Tumor Patients

目的了解妇科恶性肿瘤患者配偶创伤后成长现状,并探析其影响因素。方法通过方便抽样法,选取商丘市第一人民医院妇科恶性肿瘤患者配偶为研究对象。统计患者配偶创伤后成长状况(采用创伤后成长评定量表),设计一般资料调查表,比较不同特征下妇科恶性肿瘤患者配偶的创伤后成长水平,并采用Pearson相关分析自我效能感、反刍性沉思与创伤后成长水平的关系,通过线性回归分析创伤后成长水平的影响因素。结果妇科恶性肿瘤患者配偶创伤后成长得分(63.45±18.41)分;自我效能感量表(GSES)得分(26.91±6.13)分;侵入性反刍性沉思得分(15.19±5.88)分;目的性反刍性沉思得分(18.62±6.79)分。线性回归分析显示,配偶的受教育程度、自我效能、侵入性以及目的性反刍沉思均是创伤后成长的影响因素(P<0.01)。结论妇科恶性肿瘤患者配偶创伤后成长水平不高,配偶的受教育程度、自我效能、侵入性反刍、目的性反刍均是其影响因素。建议临床护理人员应指导配偶进行心理调适,提高配偶照护能力与信心,改善自身创伤后成长的水平。

Objective To understand post-traumatic growth of patients with gynecological malignant tumors(MT),and analyze the influencing factors.Methods The spouses of gynecological MT patients in Shangqiu First People’s Hospital were selected by the convenience sampling method.The post-traumatic growth status of patients’spouses(using the post-traumatic growth rating scale)was traumaed,the general data questionnaire was designed,the level of posttraumatic growth of the spouses of gynecologic MT patients under different characteristics were compared,and the relationships of self-efficacy,rumination meditation and post-traumatic growth level were analyzed through pearson related analysis,the factors of the post-traumatic growth level were analyzed through linear regression analysis.Results The post-traumatic growth score of the spouse of gynecological malignant tumor patients was(63.45±18.41)points,the self-efficacy score was(26.91±6.13)points,the invasive ruminant contemplation score was(15.19±5.88)points,the objective ruminant contemplation score was(18.62±6.79)points.Linear regression analysis showed that the spouse’s educational background,self-efficacy,invasive and purposeful rumination were all influencing factors for post-traumatic growth(P<0.01).Conclusion The level of posttraumatic growth of the spouses of gynecological MT patients was not high,and the spouse’s educational background,self-efficacy,invasive and purposeful rumination are all influencing factors.It is suggested that clinical nurses should guide their spouses to make psychological adjustments,improve their spouse’s ability and confidence in caring,and improve their own post-traumatic growth.