乳腺癌患者创伤后成长与心理弹性、社会支持和自我效能的相关性研究

Correlation of posttraumatic growth with psychological resilience, social support and self- efficacy in breast cancer patients

目的研究乳腺癌患者创伤后成长与心理弹性、社会支持和自我效能的关系。方法采用创伤后成长调查量表（PTGI）、心理弹性量表（CD-RISC）、领悟社会支持量表（PSSS）、一般自我效能量表（GSES）对170例乳腺癌患者进行调查，回收有效问卷159份，对调查结果进行分析。结果本次调查的159例乳腺癌患者PTGI得分为（56．41±17．19）分，4个维度单条目均分由高到低依次为人际关系（3．29±0．99）分、个人力量（3．19±1．00）分、欣赏生活（2．94±1．15）分、新的可能性（2．36±1．15）分。本次调查的159例乳腺癌患者CD—RISC得分为（63．36±14．43）分，PSSS得分为（69．28±8．59）分，其中家庭支持维度（24．45±3．67）分，处于高水平，家庭外支持维度（33．51±5．60）分，处于中等水平。本次调查的159例乳腺癌患者创伤后成长与心理弹性、领悟社会支持、家庭外支持、一般自我效能呈显著正相关，P〈0．05。结论乳腺癌患者创伤后成长处于中等水平，还有待提高。加强患者心理弹性、社会支持和一般自我效能方面的干预可以提高患者的创伤后成长水平。

Objective To study the correlation of posttraumatic growth with psychological resilience, social support and self-efficacy in breast cancer patients. Methods The questionnaires of Posttraumatic Growth Inventory （PTGI）, Connor-Davidson Resilience Scale （CD-RISC）, Perceived Social Support Scale （PSSS）, General Self-Efficacy Scale （GSES） were used to measure 170 patients with breast cancer. Finally 159 questionnaires were returned. The investigation results were analyzed. Results Among 159 patients, the score of PTGI was （56.41±17.19） scores. The dimension score from high to low order were the relationships with others, personalstrength, appreciationoflife, newpossibilities：（3.29±0.99）, （3.19±1.00）, （2.94±1.15）, （2.36± 1.15） scores. The score of CD- RISC was （63.36± 14.43 ） scores, PSSS was （69.28-±8.59） scores. The score of support from family was （24.45±3.67） scores, which was in the high level. The score of support out of family was （33.51~5.60） scores, which was in the medium level. The posttraumatic growth in breast cancer was positively correlated with the psychological resilience, perceived social support, support out of family, and general self-efficacy,P〈0.05. Conclusions The posttraumatic growth of patients with breast cancer is in the medium level, which still should be improved. The measures which can improve psychological resilience, social support, general self-efficacy of patients would also improve the posttraumatic growth in patients with breast cancer.