肺癌患者创伤后成长的影响因素研究

Influencing Factors of Posttraumatic Growth in Patients with Lung Cancer

目的:探讨肺癌患者创伤后成长现状及其影响因素。方法:采取便利抽样方法,运用一般资料调查表、创伤后成长量表对2018年11月至2019年1月在四川大学华西医院住院的208例肺癌患者进行问卷调查。结果:肺癌患者创伤后成长量表得分为51.37±28.09,其创伤后成长水平较低;各维度条目得分均值:欣赏生活>个人力量>精神改变>人际关系>新的可能性。经秩和检验发现支付方式(Z=11.524,P=0.003)、自觉疾病严重程度(Z=10.147,P=0.017)是创伤后成长的影响因素,性别、年龄、婚姻状况、职业、主要照顾者、治疗方式、合并慢性病、病程、病理类型等对肺癌患者创伤后成长没有影响(P>0.05)。Logistic回归结果显示自觉疾病严重程度是创伤后成长的影响因素(P=0.021);创伤后成长各维度Logistic回归分析显示:慢性病是欣赏生活的影响因素,支付方式是新的可能性、精神改变和人际关系维度的影响因素,自觉疾病严重程度是个人力量的影响因素。结论:肺癌患者创伤后成长水平较低,且与患者自觉疾病严重程度有关,医护人员可对肺癌患者开展针对性的疾病知识指导和多种形式的心理支持活动,使患者增加对疾病的正性认知和形成积极的心理,以促进患者的创伤后成长。

Objective:To investigate the posttraumatic growth in lung cancer patients and its influencing factors.Methods:A total of 208 lung cancer patients who were hospitalized in West China Hospital from November 2018 to January 2019 were investigated by using the convenience sampling method with a general information questionnaire and the Post-Traumatic Growth Inventory(PTGI).Results:The lung cancer patients showed a low level of posttraumatic growth,with the PTGI score of 51.37±28.09.In the5 PTGI factors,Appreciation of Life,Personal Strength,Spiritual Change,Relating to Others,and New Possibilities ranked 1st,2nd,3rd,4th and 5th,respectively,in the average score of individual factor.Ranksum test showed that payment method(Z=11.524,P=0.003)and perceived severity I(Z=10.147,P=0.017)were influencing factors of posttraumatic growth.Gender,age,marital status,occupation,primary caregiver,treatment,accompanying chronic disease,course of disease and pathological type had no effects on posttraumatic growth of lung cancer patients(P>0.05).Logistic regression results showed that perceived severity was the influencing factor of posttraumatic growth(P=0.021);after probing into each individual factor,accompanying chronic disease was found to be the influencing factor of Appreciation of Life;payment method was the influencing factor of New Possibilities,Spiritual Change and Relating to Others;and perceived severity was the influencing factor of Personal Strength.Conclusion:Lung cancer patients have a relatively low level of post-traumatic growth which is affected by their perceived severity.Medical staff can give instructions and psychological support targeting specific diseases to lung cancer patients,helping them to have a better and positive understanding of diseases,in order to promote their posttraumatic growth.