112例宫颈癌术后化疗期患者创伤后成长水平及影响因素分析

Status and Influence Factors of Posttraumatic Growth in Cervical Cancer Patients Receiving Chemotherapy

目的了解宫颈癌术后化疗期患者创伤后成长水平并探讨其影响因素。方法应用一般资料调查问卷、创伤后成长评定量表、心理痛苦温度计和创伤后应激障碍评定量表(平民版)对新疆维吾尔自治区乌鲁木齐市某三级甲等肿瘤专科医院112例宫颈癌术后化疗期患者进行横断面调查。结果 112例宫颈癌术后化疗期患者创伤后成长总分为(58.73±11.09)分,处于中度水平;创伤后成长总分及各维度与心理痛苦得分、创伤后应激障碍总分和警觉性增高均呈负相关(P<0.05),重新体验与新的可能性、精神改变相关性无统计学意义(P>0.05),麻木/回避与人际关系相关性无统计学意义(P>0.05);多元逐步回归分析显示:年龄、慢性病史、家庭人均月收入、化疗疗程、心理痛苦得分、创伤后应激障碍总分和警觉性增高是宫颈癌术后化疗期患者创伤后成长的主要影响因素(P<0.05)。结论医务人员应针对宫颈癌术后化疗期患者的不同人群特征制定个性化干预方案,注重对这一时期患者正、负性情绪的双重关注,对其实施更加全面的心理护理,提升患者创伤后成长水平,使患者顺利渡过化疗期。

Objective To investigate the status of posttraumatic growth(PTG)and its influence factors in cervical cancer patients receiving chemotherapy.Methods General information questionnaire,Posttraumatic Growth Inventory(PTGI),Distress Thermometer(DT)and PTSD Check List Civilian Version were used to investigate 112 cervical cancer patients receiving chemotherapy.Results The total score of PTGI was 58.73±11.09,which indicated a medium level of PTG.There was a negative correlation between the score of PTGI and DT,posttraumatic stress disorder(PTSD)and hypervigilance among the patients(P<0.05)but no correlation between re-experience and new possibilities and the psychological change(P>0.05).Numbness or avoidance was not related to hypervigilance(P>0.05).Multiple step wise regression analysis showed that the variables of age,chronic disease,average income per person in family,chemotherapy course,the score of DT,the total score of PCL-C and hypervigilance were the main influencing factor of the scores of PTG(P<0.05).Conclusion Individualized intervention plan should be proposed for cervical cancer patients with different characteristics;comprehensive psychological nursing for the positive and negative emotion of patients during chemotherapy is conducive to the improvement of PTG of the patients and helping them get through the chemotherapy period smoothly.