直肠癌患者创伤后成长、心理韧性及家庭韧性的相关性研究
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摘要
目的探索直肠癌患者创伤后成长、心理韧性及其家庭韧性的相关性。方法便利抽样选取2016年10月至2017年5月入住某院外科的直肠癌手术后患者128例为研究对象,采用一般资料问卷、家庭坚韧力量表(family hardiness index,FHI)、创伤后成长量表(posttraumactic growth inventory,PTGI)和心理韧性量表(Connor-Davidson resilience scale,CD-RISC)对其进行问卷调查。结果本组患者家庭韧性得分为(56.30±7.25)分、创伤后成长总分为(67.19±18.10)分、心理韧性得分为(52.53±8.16)分;家庭韧性总分及其各维度与创伤后成长和心理韧性呈现显著的正相关(r=0.254,0.382);家庭收入、医疗费用来源、人际关系、个人力量、新的可能性、对生活的欣赏、精神变化、坚韧、自强和力量均为家庭韧性的影响因素(均P<0.01)。结论直肠癌患者创伤后成长、心理韧性与家庭韧性有着密切的相关性,医护工作者可从患者的自身情况、创伤后成长、心理韧性水平角度出发,有针对性地进行护理干预,以提高其家庭韧性。
Objective To explore the relationship among post-traumatic growth,resilience and family hardiness in colorectal cancer patients.Methods By convenience sampling,128 colorectal cancer patients from October 2016 to May 2017 were investigated by using general questionnaire,family hardiness index(FHI),post-traumatic growth inventory(PTGI)and the Connor-Davidson resilience scale(CD-RISC).ResultsThe score of FHI was(56.30±7.25),the total score of PTGI was(67.19±18.10),and the total score of CD-RISC was(52.53±8.16).The Pearson analysis demonstrated that the total score of FHI and its dimensions were positively correlated with the scores of PTGI and the scores of CD-RISC.Multi-factor analysis showed that family income,medical expense,interpersonal relationships,personal ability,new possibilities,appreciation of life and the spiritual change were the influencing factors of FHI(all P<0.01).ConclusionsPosttraumatic growth,psychological resilience and family hardiness of colorectal cancer patients are closely related.Healthcare providers can carry out targeted nursing interventions according to the patient's status,posttraumatic growth and psychological resilience level thus to improve their family resilience.
Objective To explore the relationship among post-traumatic growth,resilience and family hardiness in colorectal cancer patients.Methods By convenience sampling,128 colorectal cancer patients from October 2016 to May 2017 were investigated by using general questionnaire,family hardiness index(FHI),post-traumatic growth inventory(PTGI)and the Connor-Davidson resilience scale(CD-RISC).ResultsThe score of FHI was(56.30±7.25),the total score of PTGI was(67.19±18.10),and the total score of CD-RISC was(52.53±8.16).The Pearson analysis demonstrated that the total score of FHI and its dimensions were positively correlated with the scores of PTGI and the scores of CD-RISC.Multi-factor analysis showed that family income,medical expense,interpersonal relationships,personal ability,new possibilities,appreciation of life and the spiritual change were the influencing factors of FHI(all P<0.01).ConclusionsPosttraumatic growth,psychological resilience and family hardiness of colorectal cancer patients are closely related.Healthcare providers can carry out targeted nursing interventions according to the patient's status,posttraumatic growth and psychological resilience level thus to improve their family resilience.
引文
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[16]李彩霞,卢惠娟,秦薇,等.肝癌介入治疗患者心理韧性发展过程的质性研究[J].护理学杂志,2018,33(11):76-79.
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[20]姜彤彤,史铁英.创伤后成长在消化系统恶性肿瘤中的研究进展[J].世界华人消化杂志,2016,24(29):4058-4062.
[21]钟碧珍,冯彤玉,陈翠荣,等.宫颈癌患者创伤后成长与心理弹性、自我效能的关系研究[J].中国临床护理,2016,8(3):207-209.
[22]徐翠荣,谢樱姿,陈泳,等.同伴支持对慢性心力衰竭患者焦虑、抑郁和心功能的影响[J].解放军护理杂志,2018,35(4):37-41.
[23]郭起贤,魏荣华,张生梅,等.直肠癌患者焦虑状况与生存质量和心理韧性的相关性研究[J].国际精神病学杂志,2016,43(6):1059-1069.
[24]ANTONI M H,LEHMAN J M,KILBOURN K M,et al.Cognitive behave oral stress management intervention decreases the prevalence of depression and enhances for early stage breast cancer[J].Health Psychol,2001,20(1):20-32.
[25]陈彩花,何燕燕,郭云萍,等.心理韧性对重症监护室转出患者创伤后成长的影响[J].中国护理管理,2016,16(1):54-57.
[2]赵西西,孙霞,王雪芳,等.家庭复原力的研究进展及其对危机家庭的护理启示[J].中华护理杂志,2015,50(11):1365-1368.
[3]王秋萍,章新琼,王维利.疾病心理弹性模型在癌症护理中应用的研究进展[J].中国实用护理杂志,2015,31(36):2766-2768.
[4]EICHER M,MATZKA M,DUBEY C,et al.Resilience in adult cancer care:an integrative literature review[J].Oncol Nurs Forum,2015,42(1):E3-E16.
[5]王胜琴,宋江艳.肠造口患者心理韧性及创伤后成长与其生活质量的相关性研究[J].中国护理管理,2017,17(6):840-844.
[6]周倩.结直肠癌患者创伤后成长与积极心理品质、儿童期逆境的关系[D].济南:山东大学,2014.
[7]刘洋,杨金秋,叶本兰,等.中文版家庭坚韧性量表的信度和效度研究[J].护理管理杂志,2014,14(11):770-772.
[8]汪际,陈瑶,王艳波,等.创伤后成长评修订及信效度分析[J].护理学杂志,2011,26(7):26-28.
[9]CONNOR K M,DAVIDSON J R T.Development of a new resilience scale:the connor-Davidson resilience scale(CD-RISC)[J].Depress Anxiety,2003,18(2):76-82.
[10]王文慧,姜喆,杨芷.家庭韧性及其在癌症患者中的研究进展[J].中国康复理论与实践2015,21(5):534-538.
[11]康莉,侯梅,李晶.心理支持对食管癌患者心理韧性及情绪调节的影响[J].中国肿瘤临床与康复,2017,24(4):471-477.
[12]张璠,孟鑫,叶萍.乳腺癌患者心理弹性及影响因素的研究[J].中华护理杂志,2015,50(9):1087-1090.
[13]王培培.乳腺癌患者创伤后成长现状及其影响因素分析[D].太原:山西医科大学,2016.
[14]LOSSNITZER N,WAGNER E,WILD B,et al.Resilience in chronic heart failure[J].Dtsch Med Wochenschr,2014,139(12):580-584.
[15]吴子敬,刘叶,李小寒.乳腺癌患者心理韧性保护因素的质性研究[J].解放军护理杂志,2018,35(2):7-12.
[16]李彩霞,卢惠娟,秦薇,等.肝癌介入治疗患者心理韧性发展过程的质性研究[J].护理学杂志,2018,33(11):76-79.
[17]王文慧,姜结,杨芷.癌症患者家庭韧性因素的研究进展[J].护理学杂志,2015,30(23):17-19.
[18]唐棠.癌症患者创伤后成长状况及影响因素研究[D].重庆:第三军医大学,2013.
[19]郭淑丽,郭爱敏,徐园.永久性肠造口患者盛会质量现状研究[J].护理管理杂志,2016,6(16):403-408.
[20]姜彤彤,史铁英.创伤后成长在消化系统恶性肿瘤中的研究进展[J].世界华人消化杂志,2016,24(29):4058-4062.
[21]钟碧珍,冯彤玉,陈翠荣,等.宫颈癌患者创伤后成长与心理弹性、自我效能的关系研究[J].中国临床护理,2016,8(3):207-209.
[22]徐翠荣,谢樱姿,陈泳,等.同伴支持对慢性心力衰竭患者焦虑、抑郁和心功能的影响[J].解放军护理杂志,2018,35(4):37-41.
[23]郭起贤,魏荣华,张生梅,等.直肠癌患者焦虑状况与生存质量和心理韧性的相关性研究[J].国际精神病学杂志,2016,43(6):1059-1069.
[24]ANTONI M H,LEHMAN J M,KILBOURN K M,et al.Cognitive behave oral stress management intervention decreases the prevalence of depression and enhances for early stage breast cancer[J].Health Psychol,2001,20(1):20-32.
[25]陈彩花,何燕燕,郭云萍,等.心理韧性对重症监护室转出患者创伤后成长的影响[J].中国护理管理,2016,16(1):54-57.