青少年慢性病患者创伤后成长现状及其影响因素研究

The current status and influencing factors of Post Traumatic Growth among the adolescents with chronic disease

目的:调查青少年慢性病患者创伤后成长现状并分析其影响因素。方法:通过便利抽样的方法,选取2014年7月至2015年6月在北京协和医院儿科门诊就诊及住院治疗的194名青少年慢性病患者为研究对象,采用儿童版创伤后成长量表等工具,调查其创伤后成长现状并分析其影响因素。结果:青少年慢性病患者创伤后成长总分为(15.54±7.23)分,5个维度得分由高到低依次为:对生活的欣赏,与他人关系的改善,个人力量的增强,新的可能性的发生,精神方面的改变。多元线性回归分析结果显示,患儿年龄、性别、父母文化程度、家庭月收入、应对方式(自我安慰)、社会支持6个变量共解释了患儿创伤后成长总得分的26.3%。结论:青少年慢性病患者创伤后成长水平较低。患儿年龄、性别、父母文化程度、家庭月收入、应对方式(自我安慰)、社会支持是其影响因素。

Objective： To investigate the current status and inlfuencing factors of Post Traumatic Growth among the adolescents with chronic disease. Methods： Totally 194 adolescents with chronic disease were recruited by convenience sampling mechod. The Revised Posttraumatic Growth Inventory for Children （PTGI-CR）, Perceived Social Support Scale（PSSS）, and the Coping with disease （CODI） were used to measure the adolescents＇ posttraumatic growth and its inlfuencing factors. Results： The total score of PTGI-CR was 15.54±7.23. The inlfuencing factors included their age, gender, the parents＇ education level, family monthly income, coping style （self-consolation）, and social support, which explained 26.3% of the variance. Conclusion： The PTG of the adolescents with chronic disease is in the low level. The nursing staff should ifnd different ways to improve their post traumatic growth according to their different age, gender, the parents＇ education level, family monthly income, coping style（self-consolation）, and social support.