肺癌患者心理痛苦与创伤后成长的相关性研究
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摘要
目的探讨肺癌患者心理痛苦与创伤后成长水平及二者的相关性。方法采用一般资料问卷、心理痛苦温度计和中文版创伤后成长评定量表对138例肺癌患者进行调查。结果肺癌患者的心理痛苦得分中位数为4,创伤后成长得分为(65.29±14.15)分。患者心理痛苦得分与创伤后成长总分及各维度得分均呈负相关(P<0.01或P<0.05)。结论肺癌患者的心理痛苦处于中度水平,创伤后成长为中等水平,二者呈负相关。医护人员应关注肺癌患者的心理痛苦,从而提高其创伤后成长水平。
Objective To investigate the correlation between psychological pain and post-traumatic growth(PTG) on patients with lung cancer.Method A total of 138 patients with lung cancer were investigated by using the general questionnaire,the psychological pain management screening tool,and Chinese-Posttraumatic Growth Inventory.Results The psychological pain score of lung cancer patients was 4 and the PTG score was(65.29±14.15).The psychological pain score were negatively correlated with the PTG total score and its dimensionscores(P<0.01 or P<0.05).Conclusion The PTG of patients with lung cancer is moderate and the psychological pain is moderate.There is a negatively correlation.Medical staffs should pay attention on the psychological pain of patients with lung cancer,thereby improving their post-traumatic growth.
Objective To investigate the correlation between psychological pain and post-traumatic growth(PTG) on patients with lung cancer.Method A total of 138 patients with lung cancer were investigated by using the general questionnaire,the psychological pain management screening tool,and Chinese-Posttraumatic Growth Inventory.Results The psychological pain score of lung cancer patients was 4 and the PTG score was(65.29±14.15).The psychological pain score were negatively correlated with the PTG total score and its dimensionscores(P<0.01 or P<0.05).Conclusion The PTG of patients with lung cancer is moderate and the psychological pain is moderate.There is a negatively correlation.Medical staffs should pay attention on the psychological pain of patients with lung cancer,thereby improving their post-traumatic growth.
引文
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[26] NORLANDER T,SCHEDVIN H V,ARCHER T.Thriving as a function of affective personality:relation to personality factors,coping strategies and stress[J].Anxiety Stress and Coping,2005,18(2):105-116.DOI:10.1080/10615800500093777.
[27] 莫阔,唐棠,陈珑.肿瘤患者创伤后成长与情感情绪调节和自我效能的关系[J].中华护理杂志,2013,48(4):334-336.DOI:10.3761/j.issn.0254-1769.2013.04.015.
[28] 李玉梅,黄瑛,薛智颖,等.团体心理辅导对改善晚期肺癌患者心理困扰及自我感受负担的效果研究[J].护理管理杂志,2018,18(5):360-364.DOI:10.3969/j.issn.1671-315x.2018.05.015.
[2] AKIZUKI N,AKECHI T,NAKANISHI T,et al.Development of a brief screening interview for adjustment disorders and major depression in patients with cancer[J].Cancer,2003,97(10):2605-2613.DOI:10.1002/cncr.11358.
[3] 李丽蓉,陈甲信,梁务清.肿瘤病人心理痛苦评估及干预的研究进展[J].护理研究,2015,29(10A):3462-3464.DOI:10.3969/j.issn.1009-6493.2015.28.003.
[4] TEDESCHI R G,CALHOUN L G .The Posttraumatic Growth Inventory:measuring the positive legacy of trauma[J].Journal of Traumatic Stress,1996,9(3):455-471.
[5] CALHOUN L G,CANN A,TEDESCHI R G,et al.A correlational test of the relationship between posttraumatic growth,religion and cognitive processing[J].Journal of Traumatic Stress,2000,13(3):521-527.DOI:10.1023/A:1007745627077.
[6] 石春凤,刘芳,黄佳莉,等.癌症患者创伤后成长的研究进展[J].现代临床护理,2014,13(9):71-75.DOI:10.3969/j.issn.1671-8283.2014.09.021.
[7] TORRE L A,BRAY F,SIEGEL R L,et al.Global cancer statistics 2012[J].CA:A Cancer Journal for Clinicians,2015,65(2):87-108.
[8] 支修益,石远凯,于金明.原发性肺癌诊疗规范(2015年版)[J].中华肿瘤杂志,2015,37(1):67-78.DOI:10.3760/cma.j.issn.0253-3766.2015.01.014.
[9] 张叶宁,张海伟,宋丽莉,等.心理痛苦温度计在中国癌症患者心理痛苦筛查中的应用[J].中国心理卫生杂志,2010,24(12):897-902.DOI:10.3969/j.issn.1000-6729.2010.12.004.
[10] 褚倩,于世英.NCCN忧伤治疗临床指引[J].循证医学,2007,7(1):38-53.DOI:10.3969/j.issn.1671-5144.2007.01.013.
[11] 严利,徐支南,李晓霞,等.心理痛苦温度计用于恶性肿瘤患者的研究[J].护理学杂志,2012,27(13):73-75.DOI:10.3870/hlxzz.2012.13.073.
[12] 汪际.创伤后成长评定量表及其意外创伤者常模的研制[D].上海:第二军医大学,2011.
[13] 陈珑,唐棠,彭李,等.创伤后成长评定量表在肿瘤患者中的应用[J].第三军医大学学报,2012,34(22):2333-2335.DOI:1000-5404(2012)22-2333-03.
[14] MITCHELL A J,HUSSAIN N,GRAINGER L,et al.Identification of patient-reported distress by clinical nurse specialists in routine oncology practice:a multicentre UK study[J].Psychooncology,2011,20(10):1076-1083.DOI:10.1002/pon.1815.
[15] 邵晓丽,江锦芳.鼻咽癌住院患者心理痛苦现状及影响因素分析[J].中国实用护理杂志,2015,31(7):469-474.DOI:10.3760/cma.j.issn.1672-7088.2015.07.001.
[16] 牟倩倩,余春华,李俊英.肺癌初治患者心理痛苦的现状调查及相关因素分析[J].北京大学学报,2016,48(3):507-514.DOI:10.3969/j.issn.1671-167X.2016.03.023.
[17] 孙微微,王梅.持续性健康教育对晚期癌症患者自我感受负担的影响[J].护理管理杂志,2016,16(2):137-138.
[18] 贾晓琴.乳腺癌住院患者创伤后成长现况及其影响因素分析[D].唐山:华北理工学院,2016.
[19] SILVA S M,MOREIRA H C,CANAVARRO M C.Examining the links between perceived impact of breast cancer and psychosocial adjustment:the buffering role of posttraumatic growth[J].Psychooncology,2012,21(4):409-418.DOI:10.1002/pon.1913.
[20] 张成帅.结直肠癌患者自我感受负担与创伤后成长状况的相关性研究[D].长春:吉林大学,2017.
[21] RAHMAN A,MOHAMMADIAN R,FRGUSON C,et al.Posttraumatic growth in Iranian cancer patients[J].Indian Journal of Cancer,2012,49(3):287-292.DOI:10.4103/0019-509X.104489.
[22] SCHROEVERS M J,TEO I.The report of posttraumatic growth in Malaysian cancer patients:relationships with psychological distress and coping strategies[J].Psychooncology,2008,17(12):1239-1246.DOI:10.1002/pon.1366.
[23] KEMANA W D,LEPOREC S J.Searching for and making meaning after Breast Cancer:prevalence,patterns,and negative affect[J].Social Science & Medicine,2009,68(6):1176-1182.DOI:10.1016/j.socscimed.2008.12.038.
[24] LECHNER S C,ZAKOWSKI S G,ANTONI M H,et al.Do sociodemographic and disease related variables influence benefit-finding in cancer patients[J].Psychology Oncology,2003,12(5):491-499.DOI:10.1002/pon.671.
[25] TOMICH P L,HELGESON V S.Is finding something good in the bad always good?Benefit finding among women with breast cancer[J].Health Psychology,2004,23(1):16-23.DOI:10.1037/0278-6133.23.1.16.
[26] NORLANDER T,SCHEDVIN H V,ARCHER T.Thriving as a function of affective personality:relation to personality factors,coping strategies and stress[J].Anxiety Stress and Coping,2005,18(2):105-116.DOI:10.1080/10615800500093777.
[27] 莫阔,唐棠,陈珑.肿瘤患者创伤后成长与情感情绪调节和自我效能的关系[J].中华护理杂志,2013,48(4):334-336.DOI:10.3761/j.issn.0254-1769.2013.04.015.
[28] 李玉梅,黄瑛,薛智颖,等.团体心理辅导对改善晚期肺癌患者心理困扰及自我感受负担的效果研究[J].护理管理杂志,2018,18(5):360-364.DOI:10.3969/j.issn.1671-315x.2018.05.015.