心理弹性训练在改善甲状腺癌患者术后创伤后成长状况中的应用

Application of Psychological Resilience Training in Improving Postoperative Posttraumatic Growth of Patients with Thyroid Cancer

目的:探讨甲状腺癌患者术后创伤后成长与心理弹性的关系及心理弹性训练的效果。方法:选取2019年10月-2020年10月笔者所在医院收治的88例甲状腺癌患者为研究对象,应用创伤后成长量表(PTGI)、成人心理弹性量表(RSA)对患者进行调查,分析甲状腺癌患者术后创伤后成长与心理弹性的关系。并对患者进行心理弹性训练,比较干预前后PTGI评分、RSA评分及不良情绪。结果:Pearson相关性分析显示,甲状腺癌患者术后创伤成长总分及各维度评分与心理弹性总分及各维度评分呈正相关(P<0.05)。干预后患者PTGI总分及各维度评分、RSA总分及各维度评分均高于干预前(P<0.05);干预后患者SAS、SDS评分均低于干预前(P<0.05)。结论:术后对甲状腺癌患者进行心理弹性训练可促进患者术后创伤后成长,减轻患者不良情绪,促进患者术后身心健康。

Objective:To explore the relationship between postoperative posttraumatic growth and psychological resilience of patients with thyroid cancer and the effect of psychological resilience training.Method:A total of 88 patients with thyroid cancer admitted in our hospital from October 2019 to October 2020 were selected as the study subjects.The patients were investigated with posttraumatic growth inventory(PTGI)and adult resilience scale(RSA).The relationship between postoperative posttraumatic growth and psychological resilience in patients with thyroid cancer was analyzed.The patients were given psychological resilience training.The PTGI score,RSA score and bad mood were compared before and after intervention.Result:Pearson correlation analysis showed that,the total score and scores of each dimensions of postoperative traumatic growth in patients with thyroid cancer were positively correlated with the total score of psychological resilience and scores of each dimension(P<0.05).The PTGI total score and all dimension scores,RSA total score and all dimension scores of thyroid cancer patients after intervention were significantly increased compared with those before intervention(P<0.05).After intervention,the scores of SAS and SDS were lower than those before intervention(P<0.05).Conclusion:Postoperative psychological resilience training for patients with thyroid cancer can promote the postoperative posttraumatic growth of the patients,relieve the patients’bad mood,and promote the postoperative physical and psychological health of the patients.