正颌手术患者创伤后成长状况及社会支持、应对方式的关系

Status of post-traumatic growth of patients undergoing orthognathic surgery and its correlation with social support and coping style

目的:探讨正颌手术患者创伤后成长状况及其与社会支持、应对方式的相关性分析。方法:选取2016年1月至2019年1月我院行正颌手术的患者86例作为研究对象,并采用创伤后成长评定量表(PTGI)、社会支持评定量表(SSRS)、特质应对方式问卷(TCSQ)对其进行问卷调查,分析探讨患者创伤后成长与社会支持、应对方式间关系。结果:86例正颌手术患者创伤后成长总分(43.34±17.89)分,各维度均分由低到高依次为精神改变(0.91±0.44)分、对生活的欣赏(1.92±0.72)分、个人力量(2.26±0.76)分、人际关系(2.63±1.24)分、新的可能性(2.70±1.13)分。根据27%划线原则纳入26例患者进行分组,其中PTGI量表总分≥57分者为高分组、PTGI量表总分≤31分者为低分组,两组各23例患者。高分组SSRS量表中主观支持、客观支持、社会支持利用度及总分均高于低分组(t=-13.440,-16.169,-12.632,-14.904;P<0.05);高分组TCSQ量表中消极应对方式低于低分组(t=16.225,P<0.05),高分组TCSQ量表中积极应对方式高于低分组(t=-13.555,P<0.05)。相关性分析结果显示:正颌手术患者创伤后成长状况与其社会支持中的主观支持、客观支持、社会支持利用度、社会支持总分及应对方式中的积极应对方式呈正相关(r精神改变=0.940、0.926、0.929、0.952、0.958,r个人力量=0.961、0.951、0.954、0.976、0.975,r人际关系=0.936、0.944、0.918、0.953、0.944,r新的可能性=0.949、0.945、0.935、0.964、0.953,r对生活的欣赏=0.956、0.958、0.954、0.976、0.975,rPTGI=0.958、0.958、0.945、0.974、0.969;P<0.05);与积极应对方式呈负相关(r=-0.941,-0.967,-0.968,-0.961,-0.975,0.978;P<0.05)。结论:正颌手术患者存在一定的创伤后成长,积极的应对方式及社会支持对正颌手术的患者而言具有正向的推动作用。

Objective:To discuss the status of post-traumatic growth of patients undergoing orthognathic surgery and its correlation with social support and coping style.Methods:A total of 86 patients who accepted orthognathic surgery in our hospital from January 2016 to January 2019 were selected as subjects of the study.The patients were surveyed by Post-traumatic Growth Scale(PTGI),Social Support Rating Scale(SSRS)and Trait coping Style Questionnaire(TCSQ).It analyzed and explored the correlation between post-traumatic growth and social support and coping styles.Results:The total score of post-traumatic growth of 86 patients was(43.34±17.89)points,the average scores of the five dimensions of post-traumatic growth from low to high were mental change(0.91±0.44)points,life appreciation(1.92±0.72)points,personal strength(2.26±0.76)points,interpersonal relationship(2.63±1.24)points and new possibility(2.70±1.13)points.It divided them into groups according to the principle of 27% marking line,of which the total score of PTGI was ≥57 points(the high score group),and the total score of PTGI was ≤31 points(the low score group),23 patients for each group.The total scores of subjective support,the objective support,the availablity of social support of PTGI in the high score group were higher than those in the low score group(t=-13.440,-16.169,-12.632,-14.904;P<0.05),the negative copying style of TCSQ in the high score group was lower than that in the low score group(t=-13.440,-16.169,-12.632,-14.904;P<0.05),and the positive copying style of TCSQ in the high score group was higher than that in the low score group(t=-13.555,P<0.05).The correlation analysis showed that the status of post-traumatic growth of patients undergoing orthognathic surgery was positively correlated with subjective support,objective support,the availability of social support and total score of social support and positive coping style(r=0.940,0.926,0.929,0.952,0.958,0.961,0.951,0.954,0.976,0.975,0.936,0.944,0.918,0.953,0.944,0.949,0.945,0.935,0.964,0.953,0.956,0.958,0.954,0.976,0.975,0.958,0.958,0.945,0.974,0.969;P<0.05),and it was negatively correlated with positive coping style(r=-0.941,-0.967,-0.968,-0.961,-0.975,0.978;P<0.05).Conclusion:The patients with orthognathic surgery have a certain degree of post-traumatic growth,the positive copying style and social support for orthognathic surgery patients have a positive role.