子宫内膜癌创伤后成长水平及影响因素分析

Analysis of post-traumatic growth level and influencing factors of endometrial carcinoma

目的探讨子宫内膜癌创伤后成长水平及影响因素,以期为提高该类患者创伤后成长水平提供指导依据。方法选取2017年9月至2019年11月贺州市人民医院收治的子宫内膜癌患者168例作为研究对象,对其一般资料、领悟社会支持、创伤后成长情况进行调查统计。使用单因素和多重线性回归分析其中影响因素。结果患者的创伤后成长水平总分为(60.19±15.30)分,其中个人力量(12.08±3.02)分,欣赏生活(11.26±3.10)分,精神变化(9.66±3.02)分,与他人关系(13.05±3.03)分,新的可能性(14.14±3.60)分。单因素分析显示,文化程度、婚姻状况、家庭人均月收入、医疗费用支付情况、肿瘤组织分化程度、病理分期及领悟社会支持量表(Perceived Social Support Scale,PSSS)评分可能是子宫内膜癌患者创伤后成长水平的影响因素(P<0.05)。多重线性回归分析结果显示,文化程度、婚姻状况、家庭人均月收入、医疗费用支付情况、肿瘤组织分化程度、病理分期及PSSS评分均进入回归方程。结论经历癌症创伤事件后,子宫内膜癌患者会出现一定程度的创伤后成长,其创伤后成长水平处中上水平。文化程度、婚姻状况、经济状况、癌症分化与分期及领悟社会支持状态是子宫内膜癌患者创伤后成长水平的主要影响因素。临床需加强对低学历者的健康宣教,提高其疾病认知水平,注重中晚期患者的心理干预,对于低收入患者相关部门可制定更加人性化且合理的医疗费用支付和补助政策,同时充分发挥患者的家庭内及家庭外支持系统。

Objective To explore the post-traumatic growth level and influencing factors of endometrial cancer,in order to provide guidance for improving the post-traumatic growth level of this type of patients.Methods From September 2017 to November 2019,168 patients with endometrial cancer admitted to Hezhou People's Hospital were selected as the research objects,and their general information,social support,and post-traumatic growth were investigated and statistics.Used single factor and multiple linear regression to analyze the influencing factors.Results The total post-traumatic growth level of patients was scored(60.19±15.30)points,including personal strength(12.08±3.02)points,appreciation of life(11.26±3.10)points,mental changes(9.66±3.02)points,and relationships with others(13.05±3.03)points,new possibility(14.14±3.60)points.Single factor analysis showed that education level,marital status,family monthly income per capita,medical expenses payment,tumor tissue differentiation,pathological staging and PSSS score may be the influencing factors of the post-traumatic growth level of endometrial cancer patients(P<0.05).The results of multiple linear regression analysis showed that education level,marital status,family monthly income per capita,medical expenses payment,tumor tissue differentiation,pathological staging and PSSS score all entered the regression equation.Conclusion After undergoing a cancer trauma event,patients with endometrial cancer will experience a certain degree of post-traumatic growth,and their post-traumatic growth level is at an intermediate to upper level.Educational level,marital status,economic status,cancer differentiation and staging,and comprehension of social support status are the main influencing factors of posttraumatic growth of endometrial cancer patients.The clinic needs to strengthen health education for people with low academic qualifications to improve their disease awareness,pay attention to psychological interventions for patients in the middle and late stages,and for low-income patients,relevant departments can formulate more humane and reasonable medical expenses and subsidy policies,while giving full play to patients support systems within and outside the home.