The Effect of Psychological Resilience on Hopelessness and Post-Traumatic Growth in Individuals Experienced by Earthquake

Background:Disasters have effects that leave great negative marks on our lives,even after many years have passed.Individuals who experience an earthquake experience physical and psychological difficulties.The purpose of this study is to determine how psychological resilience levels affect the feeling of hopelessness and post-traumatic growth in adults who experienced the 06 February,2023 Turkey-Syria earthquake.Methods:Data were collected using the“Personal Information Form(PIF)”,“Turkish forms of Adult Resilience Measure(ARM)”,“Dispositional Hope Scale(DHS)”and“Post-Traumatic Growth Inventory(PTGI)”.In order to determine whether there is a significant difference in the effect of psychological resilience of earthquake victims participating in the study on hope and post-traumatic growth levels in terms of socio-demographic variables,after determining that the data was normally distributed,total score average,minimum and maximum values,standard deviation(SD),independent sample t-test,ANOVA,correlation analysis to determine the relationship between the scales and multiple regression analysis to determine the effect between the scales were performed.Results:Of the 202 earthquake victims who participated in the study,65.8%were between the ages of 18–34,67.3%were female,92.1%were not trapped under the rubble,and 34.2%had second-degree relatives trapped under the rubble.It was determined that 77.8%of them lost their relatives in the earthquake and 77.8%of them lost a serious amount of property and money due to the earthquake.As a result of the analysis,it was determined that psychological resilience had a statistically significant and positive effect on hopelessness and post-traumatic growth in individuals who experienced the 06 February earthquake.In this regard,it has been determined that as the psychological resilience of individuals increases,their hope levels and post-traumatic growth will also increase.Conclusion:Based on the research results,increasing hope and increasing psychological resilience in psychosocial support studies carried out by mental health professionals for traumatic events will contribute to the spiritual recovery of individuals.

Promoting Post-Traumatic Growth in Colorectal Cancer Patients:Exploring the Role of Social Support through a Chain Mediation Model

Colorectal cancer(CRC)poses significant physical and psychological challenges that necessitate an exploration of factors influencing post-traumatic growth(PTG)for patient well-being.This study aims to investigate the effects of positive psychological capital(PsyCap)and perceived stress on mediating the social support-PTG relation among 673 CRC patients.Social support,positive PsyCap,perceived stress,and PTG were assessed through questionnaires.The results indicated a direct prediction effect of social support on PTG(LICI=0.481,ULCI=0.644),with the direct effect being 59.5%.Both positive PsyCap and perceived stress exerted a mediating role in the correlation between social support and PTG,with the mediating effects occupying 29.4%(LICI=0.217,ULCI=0.343)and 5.7%(LICI=0.030,ULCI=0.082),respectively.Positive PsyCap further had a chain mediating effect on perceived stress(LICI=0.031,ULCI=0.074),with the chain effect accounting for 5.4%.The total impact of social support on PTG was 100%(LICI=0.882,ULCI=1.008).This model underscores the pivotal role of social support in promoting PTG in CRC patients.Positive PsyCap serves as a crucial mediator in the social support-PTG link,with perceived stress playing a sequential mediating role.Thesefindings suggest that strengthening social support networks and cultivating positive PsyCap may reduce perceived stress and promote the development of PTG in CRC patients.Consequently,intervention programs are recommended to improve the psychosocial well-being of CRC patients.

A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence,relatedness, and growth theory

Objective:This study aimed to explore the psychological needs of nurses caring for patients with coronavirus disease 2019(COVID-19)and to propose corresponding interventions.Methods:In-depth interviews were conducted with 10 nurses who cared for patients with COVID-19.Interview data were analyzed by category analysis from the perspective of the existence,relatedness,and growth theory(ERG).Results:The existence needs were mainly reflected in health and security needs,whereas the relatedness needs consisting mainly of interpersonal needs,humanistic concern needs,and family needs;further,the growth needs were mainly reflected as a strong need for knowledge.Existence needs were the main needs during the epidemic,with health and security needs influencing each other.Humanistic concern needs were the most important of the relatedness needs;interpersonal and family needs were also growing.Conclusion:It is found that the existence,relatedness,and growth needs coexist in clinical nurses.It is helpful to take effective interventions to meet their needs if the needs of nurses caring for COVID-19 patients could be perceived well.

A conceptual model of posttraumatic growth of nursing students with a disabled parent

Objectives: To examine a conceptual model of posttraumatic growth (PTG) with the inclusion of family resilience as a mediator,and social support,individual resilience,maternal care,and family members' intimacy after trauma as protective factors.Methods: A cross-sectional questionnaire survey was carried out in a sample of 134 college nursing students who had a parent with a non-congenital disability.The Socio-demographic Information Questionnaire,the Chinese version of Perceived Social Support Scale (PSSS),10-item Connor-Davidson Resilience Scale (CD-RISC10),Parental Bonding Instrument (PBI),Family Resilience Assessment Scale (FRAS) and the Posttraumatic Growth Inventory (PTGI) were used to collect data.Results: Results showed that social support,individual resilience,maternal care,and family members' intimacy after trauma positively predicted family resilience (β=0.41,0.20,0.20,0.22,all P<0.01),respectively,and indirectly predicted PTG through family resilience.Family resilience positively predicted PTG (β =0.25,P < 0.01).Moreover,individual resilience directly positively predicted PTG (β =0.25,P < 0.001).Conclusions: Family resilience could facilitate PTG in nursing students in the face of parental disability.Interventions to promote PTG among college nursing students who have experienced parental disability should consider individual or family resilience-based intervention.

Serial Multiple Mediation of the Relationshipbetween Positive Coping Style and PostTraumatic Growth among Chinese CollegeStudents in the Aftermath of COVID-19

Given the ongoing character of COVID-19, higher-education students encountered multifaceted pressures brought about by thepandemic and had to overcome many difficulties during this period. Accordingly, it is imperative to identify the factors that mayhave protective effects on the social functioning and mental status of college students in the aftermath of COVID-19. This crosssectional study sought to ascertain the internal mechanism of positive coping (PC) styles affecting post-traumatic growth (PTG)and considered the mediating roles of cognitive reappraisal (CR), psychological resilience (PR), and deliberate rumination (DR),which are essential for understanding how and to what extent these factors shaped PTG in the context of the present pandemic. 463Chinese college students recruited via a convenience sampling method completed a set of online self-report measures of PC, PTG,CR, PR and DR. The findings revealed that the abovementioned five variables were positively correlated with each other, and theindependent variable directly predicted the dependent variable. More importantly, two out of three mediators in parallel mediatedthe relationship between PC and PTG, illustrating that more PC adoption was associated with increased PTG through high levels ofPR and DR, respectively. The two significant serial mediating effects also indicated that PC could contribute to CR, which furtherfacilitates either PR or DR and subsequently promotes the development of PTG. Colleges should adopt routine protectivebehaviors in accordance with such evidence to strengthen students’ mental health education and establish scientific methods toboost their psychological well-being. Overall, our results may shed new light on the process of positive adaption and providetheoretical support for targeted crisis intervention during the late phase of the pandemic.

Comparison of posttraumatic growth and posttraumatic stress of nurses with physicians and medical students after caring of COVID‑19 patients

Objectives:The present study compared the prevalence and psychosocial factors affecting posttraumatic growth(PTG),posttraumatic stress disorder(PTSD),and psychological distress in nurses,physicians,and medical students.Materials and Methods:In a cross‑sectional study,three groups of medical staff including nurses(n=57),physicians(n=40),and medical students(n=34)who were responsible for the care/treatment of COVID‑19 patients admitted to a general hospital for 4 months responded to Posttraumatic Growth Inventory,Brief Symptom Inventory‑18,Resilience Questionnaire,PTSD Screen,and Social Capital‑Integrated Questionnaire.Results:After the exposure of medical staff to at least 4 months of treatment/care of COVID‑19 patients,PTG prevalence was higher than PTSD(38.2%vs.14.6%),but they experienced some degrees of psychological distress(65.5%).The nurses had 8.33(confidence interval[CI]:2.5–26.7)times higher PTG rate than medical students(P<0.001).Physicists also experienced 5.00(CI:1.4–26.7)times higher PTG than medical students(P<0.001).PTG was aided by age,married status,strong resilience,and high social capital,but gender had no influence.Resilience played an important protective role to prevent the incidence of psychological distress in nurses,medical students,and physicians.Conclusion:Despite the fact that the PTSD and psychological distress were same in the three groups of medical staff,the nurses had a greater rate of PTG than physicians and medical students.

Effectiveness of Post-Traumatic Growth Intervention to Promote Positive Post-Traumatic Traits in Chinese Breast Cancer Patients:A Randomized Controlled Trial

Objective:The purpose of this study was to evaluate the effectiveness of post-traumatic growth(PTG)model-based intervention to improve positive psychological traits in Chinese breast cancer patients.Design:A randomized control trial of a psychological group intervention based on PTG model.Methods:The Clinical Trial was registered on 17 August 2019 at Chinese Clinical Trials.gov with Registration number ChiCTR1900025264.A total of 92 patients with breast cancer were recruited.The participants were randomly assigned to the experimental group(n=46)and the control group(n=46).A six-session psychological group intervention based on PTG model was implemented in the experimental group,and a six-session health education was implemented in the control group.The outcomes weremeasured at baseline(pre-intervention),3 weeks,6 weeks after the intervention.The primary outcome was posttraumatic growth assessed by the Chinese version of the Post-Traumatic Growth Inventory(PTGI);Secondary outcomes included psychological resilience,family resilience,rumination,and self-disclosure.Results:A total of 87 patients with breast cancer completed this study,including 44 patients in the experimental group and 43 patients in the control group.There was no significant difference in baseline data of breast cancer patients between the two groups except for the treatment regimen(p>0.05).The two groups were compared after the intervention;the interaction effects between the total scores of posttraumatic growth,family resilience,and self-disclosure and the time term were statistically significant(p<0.05),indicating that the trend of change in total scores of post-traumatic growth,family resilience,and self-disclosure differed between the experimental and control groups over time,and the scores improved in the experimental group were significantly higher than those in the control group.The comparison of psychological resilience and total score of rumination at each time point was statistically significant(p<0.05),indicating that group intervention based on the PTG model could improve the psychological recovery ability and rumination level of the experimental group.Conclusion:The psychological group intervention based on the PTG model significantly improved post-traumatic growth,family resilience,and self-disclosure in patients with breast cancer.However,the impact on psychological resilience and rumination was relatively small.Long-term intervention is needed to further test the effect of the PTG model on psychological resilience and rumination.

Application of Psychological Elastic Development Model in Postoperative Trauma Growth of Patients with Esophageal Cancer

Purpose: Use the psychological resilience development model to formulate effective nursing measures, and explore the impact of relevant nursing measures on the psychological resilience and post-traumatic growth of patients. Methods: Using a general data sheet, post-traumatic growth scale, and psychological resilience scale, 100 patients discharged from the hospital after esophageal cancer were investigated in groups, and statistical software spss26.0 was used for statistical analysis. Results: The psychological resilience and post-traumatic growth levels of the experimental group were significantly higher than those of the control group, the P-value. Conclusion: As a common gastrointestinal tumor, esophageal cancer is traumatized by surgery. Not only will there be more discomfort during hospitalization, but also a series of complications will still occur after discharge, such as pain, weakness, and other discomforts, which will cause the patient’s emotions. Subject to strong fluctuations, the patient suffers great psychological trauma. After being discharged from the hospital, caregivers need to master more related skills when caring for patients, which is time-consuming and labor-intensive, and often causes the patients to feel the emotion of dragging the family members. Under the condition of both physical and psychological pressure, patients often appear fearful and uneasy, and suffer great psychological trauma, which leads to low levels of psychological resilience and post-traumatic growth of patients, and related nursing interventions based on Rutter’s psychological development model It can significantly improve the patient’s psychological flexibility, improve the patient’s post-traumatic growth level, promote the patient’s physical and mental recovery, make the patient produce positive emotions, increase positive psychological changes, and thereby improve the patient’s quality of life after discharge.

积极心理干预对中学生创伤后成长的影响

对经历过重大校园危机事件的中学生开展积极心理干预团体辅导干预的实验研究,结果表明,实施积极心理干预能够提高中学生创伤后成长水平,传统心理干预中蕴含着积极趋向与积极价值,可以在一定程度上提高中学生创伤后成长水平。为提高中学生的心理健康水平,学校要重视学生心理健康教育,坚持积极心理干预与传统心理干预相结合,并推广以班级为单位的积极心理干预团体辅导活动。

急诊科护士第二受害者经验与支持现状及影响因素研究

目的基于积极心理学视角对急诊科护士第二受害者经验与支持现状进行调查,并探讨其影响因素。方法采用一般资料问卷、第二受害者经验及支持量表、心理脱离量表和创伤后成长自评量表,对浙江省10所综合性医院的355名急诊科护士进行问卷调查,分析第二受害者经验与支持发生情况,并采用多元线性回归进行影响因素分析。结果样本人群中急诊科护士第二受害者经验及支持量表、创伤后成长量表、心理脱离量表总分分别为(89.63±10.83)分、(66.80±16.33)分、(13.23±3.63)分。第二受害者支持、心理脱离、创伤后成长得分呈正相关(r=0.275、0.434、0.212,均P<0.001)。单因素分析显示,急诊科护士性别、学历、职称、职务、平均月收入、是否为带教老师、对个人影响时间、是否听说过第二受害者概念是第二受害者经验与支持的影响因素(P<0.05);多因素分析中,急诊科护士性别、学历、对个人影响时间、是否听说过第二受害者概念、心理脱离、创伤后成长是急诊科护士第二受害者经验与支持的主要影响因素(P<0.05)。结论急诊科护士第二受害者经验与支持得分较高,心理困扰情况严重,但创伤后成长水平较高。建议医院完善相关支持,帮助护士培养积极情绪,提升急诊科护士职业获益感。

正念疗法对肺腺癌患者创伤后成长及生命质量的影响

目的探讨正念训练对肺腺癌患者的创伤后成长水平及生命质量的影响。方法采取整群随机法将呼吸内科2个病区按抛币法分为对照组和观察组,各纳入肺腺癌患者40例。对照组给予肿瘤呼吸内科常规护理,观察组在此基础上行连续8次的正念疗法。干预前后采用简体中文版创伤后成长评定量表、中文版癌症患者生命质量测定量表C30进行测评。结果对照组38例、观察组33例完成全程研究。干预后观察组患者的创伤后成长水平总分、人生感悟、个人力量、新的可能、自我转变维度得分显著高于对照组(均P<0.05);总体生命质量、情绪功能、认知功能、社会功能维度得分显著高于对照组(均P<0.05)。结论正念疗法可以提升肺腺癌患者的创伤后成长水平,并影响其生命质量。

觉知压力对脑卒中恢复期病人创伤后成长的影响:心理复原力的中介作用

目的:探究觉知压力对脑卒中恢复期病人创伤后成长的影响及心理复原力的中介效应。方法:采用便利抽样法选取2021年2月—2023年5月在医院住院的脑卒中恢复期病人作为研究对象,采用一般资料调查表、创伤后成长评定量表(PTGI)、觉知压力量表(PSS)、心理复原力量表(CD-RISC)进行调查。采用Pearson相关分析研究PTGI评分与PSS、CD-RISC评分的相关性;采用线性回归分析研究心理复原力在觉知压力与创伤后成长间的中介作用,采用Bootstrap法检验中介效应。结果:共发放191份问卷,有效问卷186份,有效回收率97.38%。186例脑卒中恢复期病人创伤后成长评分为(52.14±6.99)分,觉知压力评分为(17.37±3.57)分,心理复原力评分为(56.17±9.82)分。Pearson相关性分析显示,脑卒中恢复期病人创伤后成长与觉知压力呈负相关(r=-0.651,P<0.05),与心理复原力呈正相关(r=0.555,P<0.05)。线性回归分析显示,觉知压力负向影响心理复原力、创伤后成长(β值为-1.623,-1.275,P<0.05);觉知压力、心理复原力共同对创伤后成长有预测作用(P<0.05),可解释46.3%的变异度。心理复原力在脑卒中恢复期病人觉知压力与创伤后成长间的中介效应值为-0.303[95%CI(-0.455,-0.170)],起部分中介作用,中介效应占总效应的23.8%。结论:觉知压力会直接影响脑卒中恢复期病人创伤后成长水平,也能通过心理复原力的中介效应间接影响创伤后成长。

长春市中小学心理教师专业成长有效策略探究

学校心理健康教育的发展离不开心理教师队伍建设,但目前心理教师专业成长的研究和培训仍存在不系统、不全面的问题。高质量、专业化、创新型的心理教师队伍建设需要进一步完善。立足于长春市中小学心理教师队伍现状,结合国家相关政策文件,从教育行政主管部门和教师培训机构、学校支持、教师自身三个方面探究中小学心理教师专业成长策略,可以为中小学心理教师的培养和培训工作提供参考。

心理复原力及反刍性沉思在卵巢癌术后化疗病人压力知觉与创伤后成长间的链式中介作用

目的:探讨心理复原力及反刍性沉思在卵巢癌术后化疗病人压力知觉与创伤后成长间的链式中介作用,为促进病人创伤后成长及减轻压力提供参考依据。方法:采取便利抽样法,选取2022年10月—2023年9月医院接收的152例卵巢癌术后化疗病人为研究对象,使用一般资料调查表、中文版压力知觉量表、中文版创伤后成长量表、中文版事件相关反刍性沉思问卷、心理复原力量表对其进行横断面调查,并对调查结果进行统计学分析,建立心理复原力及反刍性沉思在卵巢癌术后化疗病人压力知觉与创伤后成长间的链式中介模型并验证。结果:152例卵巢癌术后化疗病人心理复原力量表、中文版事件相关反刍性沉思问卷、中文版压力知觉量表和中文版创伤后成长量表得分分别为(54.67±10.95)分、(25.84±6.72)分、(23.16±6.75)分和(59.86±16.52)分。Pearson相关分析结果显示,卵巢癌术后化疗病人心理复原力、反刍性沉思、压力知觉和创伤后成长评分呈正相关(P<0.05)。心理复原力及反刍性沉思在压力知觉与创伤后成长间起到链式中介作用,中介效应为0.193,占总效应的10.69%(0.193/1.806)。结论:卵巢癌术后化疗病人的创伤后成长为中等水平,且存在较强的压力感;心理复原力及反刍性沉思在压力知觉对创伤后成长作用机制中的链式中介效应成立。因此,护理人员应当高度重视压力感较高的卵巢癌术后化疗病人,及时采取针对性干预对策,增强其心理复原力,并促使其进行反刍性沉思,进而提升创伤后成长水平。

重型地中海贫血患儿父母创伤后成长的研究进展

重型地中海贫血是一种常见的遗传性血红蛋白病,伴有严重的贫血,在治疗过程中需长期输血和去铁治疗。重型地中海贫血不但会对患儿造成巨大的身体及心理创伤,影响患儿的生活质量,同时也加重整个家庭的经济负担,而且在长期的治疗及护理中,其父母在精神上受到极大的打击,易产生负面情绪,出现不健康的心理状况。因此,本文从创伤后成长的角度出发,对创伤后成长相关概念及研究进展、重型地中海贫血患儿父母的心理特点及其影响因素、干预措施进行综述,为更好地开展重型地中海贫血患儿及父母的心理干预提供依据。

链式中介作用下助产士心理弹性对创伤后成长的影响研究

目的探讨压力知觉和积极应对方式在助产士心理弹性和创伤后成长间的链式中介作用。方法于2023年4月—7月,采用便利抽样法,选取四川省24所三级甲等医院2年内参与或目睹过创伤性分娩事件的349名助产士作为调查对象,应用一般资料调查表、简体中文版创伤后成长评定量表、心理弹性量表、中文版压力知觉量表、简易应对方式问卷对其进行调查。结果共回收有效问卷320份。320名助产士心理弹性得分为(87.18±7.35)分,压力知觉得分为(20.31±3.12)分,积极应对方式得分为(28.64±3.93)分,创伤后成长得分为(76.09±9.42)分。助产士心理弹性、压力知觉、积极应对方式、创伤后成长4个变量两两间具有相关性(均P<0.05)。中介效应分析结果显示,助产士心理弹性对创伤后成长的直接效应显著,效应值为0.341;压力知觉和积极应对方式不仅分别在助产士心理弹性和创伤后成长之间起中介作用(效应值分别为0.103、0.122),还在两者间起链式中介作用(效应值为0.037),中介效应占总效应的43.4%。结论心理弹性可直接影响助产士的创伤后成长,也可分别通过压力知觉、积极应对方式的中介作用及两者间的链式中介作用间接影响助产士的创伤后成长。护理管理者应助力助产士增强心理弹性、降低压力知觉水平、培养积极应对方式,从而促进其实现创伤后成长。

食管癌放疗患者心理痛苦轨迹及其影响因素研究

目的探讨食管癌患者心理痛苦轨迹及其影响因素。方法采用便利抽样法,于2022年9月—2023年10月选取河南省某三级甲等医院肿瘤放射治疗中心的食管癌放疗患者226例作为调查对象。采用心理痛苦温度计等分别于首次放疗(T1)、放疗第15次(T2)、放疗结束时(T3)、放疗结束后1个月时(T4)对患者的心理痛苦水平进行调查。基于增长混合模型识别患者心理痛苦轨迹的潜在类别,采用多分类Logistic回归(向后剔除法)分析轨迹类别的影响因素。结果199例食管癌放疗患者完成随访,其心理痛苦轨迹可分为4个潜在类别,分别为“低水平稳定组”(C1,23.6%)、“低水平升降组”(C2,17.1%)、“中水平下降组”(C3,28.6%)和“中高水平稳定组”(C4,30.7%)。以C1为参照,家庭人均月收入<2000元(与≥3000元相比)是C2的保护因素;有食管癌手术史是C4的危险因素;同步放化疗是C2、C4的危险因素;家庭关怀得分高是C2、C3、C4的保护因素;平均症状负担得分高是C2、C3、C4的危险因素;疾病感知得分高是C4的危险因素(P<0.05)。结论食管癌放疗患者的心理痛苦轨迹存在群体异质性,医护团队可根据患者心理痛苦轨迹特征及其影响因素制订精准的干预方案,以降低患者心理痛苦水平。

THRIVE理论下的护理干预在重症烧伤整形患者中的应用

目的:探讨THRIVE理论下的护理干预在重症烧伤整形患者中的应用及对患者创伤后成长的影响。方法:选取262例重症烧伤患者,随机分为对照组和观察组各131例。对照组给予围手术期常规护理干预,观察组在此基础上加予THRIVE理论下的护理干预,比较两组患者干预前及干预2周后的心理韧性[心理韧性量表(Connor-davidson resilience scale,CD-RISC)]、创伤后成长评分(创伤后成长评定量表)、心理状况[心理症状自评量表(Symptom checklist-90,SCL-90)],调查两组护理满意度。结果:干预后,两组CD-RISC量表中关于坚韧性、力量及乐观共3个维度评分均高于干预前(P<0.05),两组创伤后成长量表中关于个人力量、人际关系、新可能性、精神变化、欣赏生活共5个维度评分均高于干预前(P<0.05),两组SCL-90量表中关于躯体化、强迫症状、焦虑、抑郁、敌对、人际关系敏感、偏执、恐怖、精神病性共9项评分和总分均低于干预前(P<0.05),以上评分观察组均优于对照组(P<0.05);观察组的护理满意度高于对照组(P<0.05)。结论:THRIVE理论下的护理模式应用于重症烧伤患者的基础护理中,能明显提高患者的心理韧性,促进其创伤后成长,改善其心理状况,提升其护理满意度。

成长心态效应的异质性及边界条件

成长心态是一种相信个体的属性是可以发展的信念。这一信念常被视为是解决各种教育问题的良方,以至于不同国家的教育部门积极推广成长心态干预项目,并在全球范围内掀起了一场“心态模式革命”。在此背景下,人格、社会和发展心理学领域的研究者们凭借全球范围内的大规模调查数据和双盲随机对照实验,在学术界兴起了一轮新的成长心态研究热潮,并推动该领域进入了跨学科、国际化与可推广的干预研究时代。然而,随着研究证据的不断积累,研究者们发现成长心态的效应存在高度异质性。心态模式与情境交互论基于大量的实证证据指出,成长心态干预只有当个体具有脆弱性和环境拥有心理可供性的情况下,才可能发挥最大的作用。这些发现为干预措施的优化提供了新的方向。未来研究需要在探索心理可供性与脆弱性发挥作用的机制基础上,设计针对不同人群的定制化干预方案,使其切实有效地起到促进个体发展和解决教育问题的作用。

口腔癌患者术后创伤后成长水平及其与心理弹性和应对方式的关系

目的了解口腔癌患者术后创伤后成长状况及其影响因素,探讨其与心理弹性、应对方式的相关性,为临床构建积极心理干预方案提供依据。方法回顾性收集304例口腔癌手术患者的病历资料,采用创伤后成长量表(PTGI)、心理弹性量表(CD-RISC)、简易应对方式问卷(SCSQ)对患者进行调查,分析口腔癌患者术后创伤后成长的影响因素,及其与心理弹性、应对方式的相关性。结果完成调查的患者300例,PTGI总分为(60.40±14.33)分;其中PTGI得分≥57分(阳性组)共186例(62.0%),<57分(阴性组)共114例(38.0%)。阴性组未婚或离异、月收入≤4000元、手术结合放化疗的患者占比高于阳性组,CD-RISC评分、SCSQ积极应对得分低于阳性组,SCSQ消极应对得分高于阳性组,差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,婚姻状况、月收入、治疗方式、CD-RISC评分、SCSQ评分均为口腔癌患者术后创伤后成长的影响因素(P<0.05)。Spearman相关性分析结果显示,PTGI总分及各维度得分与CD-RISC评分、SCSQ积极应对评分呈正相关,与SCSQ消极应对评分呈负相关(均P<0.05)。结论超过1/3的口腔癌患者术后创伤后成长水平低,建议重点关注未婚或离异、收入低、手术结合放化疗、心理弹性水平低及消极应对的患者群体,以改善预后。