恶性肿瘤患儿父母创伤后成长状况及影响因素分析

Posttraumatic growth status of parents of children with malignant tumor and its influencing factors

[目的]了解恶性肿瘤患儿父母的创伤后成长状况及影响因素。[方法]采用创伤后成长量表(PTGI)、简易应对方式问卷(SCSQ)和社会支持评定量表(SSRS)对90例住院治疗的恶性肿瘤患儿父母进行调查。[结果]恶性肿瘤患儿父母创伤后成长总分为62.69分±11.46分,5个维度的条目均分由高到低依次为人生哲学(4.08分±1.02分)、个人力量(3.79分±1.19分)、与他人关系(3.18分±1.13分)、自我转变(3.06分±1.02分)、新的可能性(2.43分±1.18分)。社会支持总分为42.48分±6.35分,主观支持得分为24.84分±3.62分,客观支持得分为10.01分±2.87分,对社会支持利用度得分为7.49分±1.78分。简易应对方式积极应对得分为1.67分±0.46分,消极应对得分为1.19分±0.49分。恶性肿瘤患儿父母的积极应对与创伤后成长总分、人生哲学、与他人关系、自我转变和新的可能性维度呈正相关(P<0.05);社会支持总分与创伤后成长总分、人生哲学、个人力量和新的可能性维度呈正相关(P<0.05)。回归分析结果显示,积极应对和社会支持总分进入回归方程,可解释创伤后成长总变异的22.9%。[结论]社会支持和积极应对方式是影响恶性肿瘤患儿父母创伤后成长的重要因素。

Objective:To know about the posttraumatic growth status of parents of children with malignant tumor and its influencing factors.Methods:A total of 90 cases of parents of children with malignant tumor were investigated by using post traumatic growth scale(PTGI),simple coping style questionnaire(SCSQ)and social support rating scale(SSRS).Results:The total score of posttraumatic growth of parents of children with malignant tumor was 62.69±11.46,item average score of five dimensions from high to low was in turn philosophy of life(4.08±1.02),individual strength(3.79 ±1.19),and relationship with ather people(3.18±1.13),selftransformation(3.06±1.02),new possibilities(2.43±1.18).The total score of social support was 42.48±6.35,the subjective support score was 24.84±3.62,the objective support score was 10.01±2.87,social support utilization score was 7.49±1.78.The positive coping score in simple coping style was 1.67±0.46,negative coping score was 1.19±0.49.The positive coping of parents of children with malignant tumor was positively correlated with the total score of posttraumatic growth,philosophy of life,the relationship with others,self transformation and dimensions of new possibilities(P<0.05);the total score of social support was positively correlated with the posttraumatic growth,philosophy of life,personal power and new possible dimensions(P<0.05).Regression analysis showed that two variables included positive coping and total social support score entered in the regression equation,which could explain the total variance of 22.9% posttraumatic growth.Conclusion:Social support and positive coping style were important factors that affected the posttraumatic growth of parents of children with malignant tumor.