胶质瘤患者术后照顾者创伤后成长的相关因素分析

Analysis of related factors of post-traumatic growth of postoperative caregivers in patients with glioma

目的探讨胶质瘤患者术后照顾者创伤后成长的相关因素。方法选取2015年6月至2018年9月于我院接受胶质瘤手术患者的164名术后照顾者为研究对象,收集性别、年龄、医疗费用支付方式、心理弹性、应对方式资料,对可能影响其创伤后成长的因素进行多因素logistic回归分析。结果胶质瘤患者术后照顾者的创伤后成长评分(65.35±8.61)分、心理弹性评分(28.43±5.98)分、积极应对评分(20.36±4.37)分、消极应对评分(12.38±5.19)分,均处于中等水平。单因素分析显示,性别、医疗费用支付方式、心理弹性、应对方式为影响其创伤后成长的相关因素(P<0.05)。多因素logistic回归分析显示,医疗费用支付方式、心理弹性、积极应对、消极应对是影响其创伤后成长的独立危险因素(P<0.05)。结论胶质瘤术后照顾者在患者恢复过程中能够得到创伤后成长,心理上获得正向改变,临床护理人员应多鼓励照顾者对生活保持积极乐观的态度,以积极应对的方式面对创伤事件所带来的不良影响,提高其创伤后成长水平及生活质量。

Objective To explore the related factors of post-traumatic growth of postoperative caregivers in patients with glioma.Methods To select 164 cases of postoperative caregivers of patients underwent glioma surgery in our hospital from June 2015 to September 2018 as a study object.We collected gender, age, payment method of medical expenses, psychological flexibility, and coping styles.Multivariate logistic regression analysis was performed on the factors of post-traumatic growth.Results The score of post-traumatic growth of postoperative caregivers in patients with glioma was (65.35± 8.61 ), the score of psychological elasticity was (28.43±5.98), the score of positive response was (20.36±4.37), and the score of negative coping was (12.38±5.19), all of which were at a medium level.Univariate analysis showed that gender, medical expenses payment methods, psychological elasticity, and coping styles were related factors that affected their post-traumatic growth(P<0.05).Multiple logistic regression analysis showed that medical expenses payment methods,psychological elasticity, positive coping and negative coping were independent risk factors that affected their post-traumatic growth(P<0.05).Conclusion The postoperative caregivers of patients with glioma could get post-traumatic growth during the recovery process, and the psychological change was positive.The clinical nursing staff should encourage the caregivers to maintain a positive and optimistic attitude towards life and face with a positive response the adverse effects of traumatic events to improve their post-traumatic growth and quality of life.