手术后直肠癌患者家庭韧性与创伤后成长、心理韧性状况及其相关性

Status and relationships between post traumatic growth, psychological resilience and family resilience of colorectal cancer patients

目的探讨手术后直肠癌患者家庭韧性与创伤后成长、心理韧性状况及其相关性,以便帮助患者家庭获得更多的创伤后成长。方法采用家庭坚韧力量表(family hardiness index,FHI)、创伤后成长量表(posttraumatic growth inventory,PTGI)和心理韧性量表(the connor-davidson resilience scale,CD-RISC)对128例直肠癌术后患者进行问卷调查,了解直肠癌患者家庭韧性与创伤后成长、心理韧性状况及其相关性。结果直肠癌患者家庭韧性得分为(56.30±6.75)分,处于中上水平,创伤后成长总分为(67.19±18.10)分,处于中等水平,心理韧性得分为(52.53±8.16)分,处于较低水平;家庭韧性与心理韧性与创伤后成长均呈正相关(P<0.05);家庭收入、医疗费用支付方式、创伤后成长、心理韧性为家庭韧性的独立影响因素(均P<0.01)。结论手术后直肠癌患者家庭韧性处于中上水平,创伤后成长处于中等水平,心理韧性处于较低水平;其中患者家庭平均月收入低、自费及创伤后成长、心理韧性越差的患者,其家庭韧性越差。医护人员应关注低收入家庭、自费患者,并从患者的自身情况、创伤后成长、心理韧性水平角度出发提高其家庭韧性。

Objective To explore the relationships between post traumatic growth, psychological resilience and family hardiness among colorectal cancer patients. Method 128 patients participated in the investigation using general questionnaire, family strength table （FHI）, post traumatic growth scale （PTG I） and mental toughness scale （CD-RISC）, to investigate the relationships between posttraumatic growth, psychological resilience, family resilience and family resilience in patients with rectal cancer. Results The score on family resilience was （56.30±6.75）, the total score on post-traumatic growth was （67.19±18.10）, and the score on psychological resilience was （52.53±8.16）. The Pearson analysis demonstrated that the total score and scores on each dimension of FHI were postively correlated with the scores of PTGI and the scores of CD-RISC （P〈0.05）. Multi-factor analysis showed that family income, sources of medical expenses, post-traumatic growth and psychological resilience were independent influencing factors of FHI （all P〈0.01）. Conclusions Family resilience, post-traumatic growth, and psychological resilience in the patients with rectal cancer are relatively at a moderate to high, moderate and low level. The nursing staff should pay more attention to those from low-income families and self-paying patients to improve their family resilience from the perspective of their own circumstances, post-traumatic growth, and psychological resilience.