肠造口患者心理韧性及创伤后成长与其生活质量的相关性研究

Study on the correlation between resilience and post traumatic growth and quality of life among colostomy patients

目的 :分析肠造口患者心理韧性、创伤后成长的水平对其生活质量的影响。方法 :运用一般资料调查问卷、心理韧性量表(中文版CD-RISC)、创伤后成长评定量表(PTGI)、造口病人生活质量量表(StomaQOL)对262名肠造口患者进行问卷调查。结果 :患者心理韧性总分为(69.45±14.26)分,创伤后成长总分为(68.45±14.26)分,生活质量总分为(55.68±6.31)分,三者均为中等偏上水平;肠造口患者的生活质量与其心理韧性、创伤后成长水平成正相关(P<0.05);年龄、文化程度、家庭月收入、医疗费用支付方式、坚韧性、坚强、乐观、新的可能性、人际关系、个人力量、精神变化为其生活质量的影响因素(P<0.01)。结论:肠造口患者的心理韧性、创伤后成长与其生活质量密切相关,护理人员应结合患者的一般情况、心理韧性及创伤后成长提高其生活质量。

Objective： To explore the relationship between resilience and post traumatic growth, and quality of life among colostomy patients. Methods： A total of 262 colostomy patients were investigated by general information questionnaire, the Chinese version of the CD-RISC Resilience Scale, Post Traumatic Growth Assessment Scale and the Chinese version of the Stoma-QOL questionnaire. Results： The scores of resilience, the post traumatic growth and Stoma- QOL were 69.45±14.26, 68.45±14.26 and 55.68±6.31 respectively; all of them were more than medium level. The QOL was positively correlated with resilience and the post traumatic growth （P〈0.05）. Age, education, household monthly income, payment manner of medical expenses, tenacity, self-reliance, optimism, new possibilities, interpersonal relationship, personal ability and the spiritual change were the influencing factors of QOL in colostomy patients （P〈0.05）. Conclusion： Resilience and post traumatic growth were correlated with QOL among colostomy patients, and nursing staff should improve the QOL ofcolostomy patients by considering their general conditions, resilience and post traumatic growth.