谢立,宾捷,田荷艳,张小莉,涂林雅.卵巢癌患者创伤后成长与社会支持及应对方式的相关性分析[J].上海护理,2020,20(11):
卵巢癌患者创伤后成长与社会支持及应对方式的相关性分析
The correlation between posttraumatic growth and social support and coping style in patients with ovarian cancer
DOI:
中文关键词:  卵巢癌  创伤后成长  社会支持  应对方式
英文关键词:Ovarian cancer  Posttraumatic growth  Social support  Coping style
基金项目:
作者单位E-mail
谢立 湖南师范大学医学院 1518480014@qq.com 
宾捷* 中国人民解放军联勤保障部队第921医院 616425665@qq.com 
田荷艳 湖南师范大学医学院  
张小莉 湖南师范大学医学院  
涂林雅 湖南师范大学医学院  
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中文摘要:
      目的 了解卵巢癌患者创伤后成长现状并分析其影响因素。方法 采用方便抽样法,选取2018年5—12月在湖南省人民医院乳甲外科、湖南师范大学附属解放军921医院肿瘤科和湖南省肿瘤医院妇瘤科住院的卵巢癌患者201例为研究对象,采用一般资料调查问卷、创伤后成长量表、领悟社会支持量表和医学应对方式问卷对其进行调查。 结果 卵巢癌患者创伤后成长量表总分为(58.45±8.38)分,总均分为(2.78±0.40)分,处于中等水平。单因素分析显示,不同居住地、宗教信仰、文化程度、家庭月收入、是否合并慢性疾病、病程的卵巢癌患者创伤后成长量表得分差异有统计学意义(P<0.05)。Pearson相关分析显示创伤后成长与领悟社会支持呈正相关;与医学应对方式中的面对应对和回避应对呈正相关,与屈服应对呈负相关(P<0.05)。多元线性回归分析发现领悟社会支持、面对应对、回避应对是卵巢癌患者创伤后成长的主要影响因素,可解释总变异的89.70%。 结论 卵巢癌患者创伤后成长处于中等水平,护理人员应根据创伤后成长影响因素,制定针对性的干预措施,促进患者尽快从疾病创伤中恢复。
英文摘要:
      Objective To investigate the posttraumatic growth status of ovarian cancer patients and analyze its influencing factors. Methods Using convenient sampling method, 201 patients with ovarian cancer who were hospitalized in the Department of breast and nail surgery of Hunan Provincial People's Hospital, the oncology department of 921 Hospital Affiliated to Hunan Normal University and the Department of gynecology and oncology of Hunan cancer hospital from May to December 2018 were selected as the research objects. The general information questionnaire, post traumatic growth scale, perceived social support scale and medical coping style questionnaire were used to investigate them. Results The total score of PTGS was (58.45 ± 8.38) and the total average score was (2.78 ± 0.40), which was in the middle level. Univariate analysis showed that there were significant differences in PTGS scores among patients with ovarian cancer who lived in different places of residence, religious belief, educational level, family monthly income, chronic disease or not, and course of disease (P < 0.05). Pearson correlation analysis showed that posttraumatic growth was positively correlated with perceived social support, positively correlated with face-to-face coping and avoidance coping, and negatively correlated with yielding coping (P < 0.05). Multiple linear regression analysis showed that perceived social support, face-to-face coping and avoidance coping were the main influencing factors of post-traumatic growth of ovarian cancer patients, which could explain 89.70% of the total variation. Conclusion The post-traumatic growth of patients with ovarian cancer is at a medium level. Nursing staff should formulate targeted intervention measures according to the influencing factors of post-traumatic growth, so as to promote the patients to recover from the disease trauma as soon as possible.
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