原发性肝癌患者创伤后成长状况及其影响因素分析

Analysis of the Influencing Factors and Posttraumatic Growth on Hepatocellular Carcinoma Patients

目的调查原发性肝癌患者创伤后成长(posttraumatic growth,PTG)的状况,探讨其影响因素。方法便利抽样选取2013年10月至2014年5月在第二军医大学东方肝胆外科医院住院接受手术切除或介入治疗的肝癌患者241例,采用自编一般情况调查表和简体中文版PTG量表对其进行调查。结果本组患者的PTG得分为(66.62±15.99)分,处于中等水平;单因素分析得出:不同的职业、肝炎病程、临床症状、治疗方法和疾病分期的原发性肝癌患者间PTG得分差异有统计学意义(P<0.05);多元逐步回归分析结果显示,职业、治疗方法、肝炎病程为原发性肝癌患者PTG水平的影响因素。结论原发性肝癌患者PTG为中等水平;护理人员应对不同职业、治疗方法、肝炎病程的原发性肝癌患者采取针对性、个体化的心理干预,引导患者进行心理调适,促进其PTG的发展,提高护理质量。

Objective To explore the posttraumatic growth condition of hepatocellular carcinoma patients, and discuss the influencing factors.Methods A total of 241 patients were surveyed by the self-designed general condition questionnaire and posttraumatic growth inventory in Chinese.Results The score of postt- raumatic growth was 66.62±15.99 in our group,which was in a moderate level.The single factor analysis showed that there was statistical significance of PTG score showed between patients who had different ca- reers, degrees of hepatitis, clinical symptoms, therapeutic methods and disease staging（P d0.05）.The mul- tiple regression analysis showed that the occupation, therapeutic methods and degrees of hepatitis were the influencing factors of PTG.Conclusion The patients~ posttraumatic growth are in the moderate level.Nur- ses should take specific and individual psychological intervention according to different occupation, thera- peutic methods and degrees of hepatitis to lead the patients to practice psychological adjustments, which can promote the posttraumatic growth and improve nursing quality.