结直肠癌患者心理弹性与社会支持对创伤后成长的影响

Effect of psychological resilience and social support on posttraumatic growth in patients with colorectal cancer

目的了解结直肠癌患者心理弹性、社会支持及创伤后成长现状,分析患者心理弹性与社会支持对创伤后成长的影响。方法选取2016年1月至12月入住某肿瘤医院诊断为结直肠癌术后的患者216例为研究对象,采用心理弹性量表、社会支持评定量表和创伤后成长评定量表对其进行调查。结果结直肠癌患者心理弹性评分为(58.09±9.85)分;社会支持评分为(37.45±8.11)分;创伤后成长评分为(62.43±15.73)分;患者心理弹性、社会支持评分均与创伤后成长评分呈正相关(P<0.01或P<0.05);家庭人均月收入、乐观、主观支持和客观支持为创伤后成长的主要影响因素(P<0.01或P<0.05)。结论结直肠癌患者的心理弹性水平较低、社会支持水平较高、创伤后成长处于较高水平,提示临床护理工作者应从改善结直肠癌患者的心理弹性、社会支持等入手,提高患者的创伤后成长水平。

Objective In order to understand the situation and influence of psychological resilience and social support on posttraumatic growth in colorectal cancer patients.Methods A total of 216 patients who were diagnosed with colorectal cancer after being admitted to a cancer hospital from January to December 2016 were enrolled in the study.They were investigated by Connor-Davidson Resilience Scale,Social Support Rating Scale,and posttraumatic growth inventory.Results The colorectal cancer patients’ psychological resilience score was(58.09±9.85),and the social support was(37.45±8.11),posttraumatic growth was(62.43±15.73),and psychological resilience and social support were positively correlated with colorectal cancer patients’ posttraumatic growth(P<0.01 orP<0.05).The average monthly family income,optimism,subjective support and objective support were the main influencing factors of posttraumatic growth(P<0.01 orP<0.05).Conclusion The psychological resilience level of patients with colorectal cancer is low,the level of social support is high,and the posttraumatic growth is at the higher level,suggesting that clinical nursing workers should improve the psychological resilience and social support of patients with colorectal cancer,to improve the posttraumatic growth level of patients.