康复期乳腺癌患者创伤后成长及其影响因素分析  

The status and influencing factors of posttraumatic growth in rehabilitative breast cancer patients

作　　者：苏娅丽[1] 王丕琳[1] 刘均娥[2] 王慕兰[2] 薛翠翠[2] 

机构地区：[1]首都医科大学附属北京天坛医院乳腺科,北京市100050 [2]首都医科大学护理学院,北京市100069

出　　处：《护理管理杂志》2014年第1期4-6,共3页Journal of Nursing Administration

基　　金：首都卫生发展科研专项项目(2011-2004-06)

摘　　要：目的探讨康复期乳腺癌患者创伤后成长状况及其影响因素,以便更好地指导临床护理工作。方法采用创伤后成长量表对153例康复期乳腺癌患者进行问卷调查。结果康复期乳腺癌患者创伤后成长量表得分为(75.42±3.20)分,分数转化后发现,患者欣赏生活维度得分最高,精神改变维度得分最低。经多元线性逐步回归分析,病程、人均月收入、疾病分期和其他慢性病为康复期乳腺癌患者创伤后成长的影响因素。结论医护人员应采用各种心理干预方式尽可能帮助患者度过疾病诊断后的早期阶段,促进创伤后成长的发展,为乳腺癌患者建立战胜疾病的信心,同时积极治疗患者合并的其他慢性病。Objective To explore the status and influencing factors of posttraumatic growth （PTG） in rehabilitative breast cancer survivors, so as to better guide clinical nursing work. Methods A total of 153 rehabilitative breast cancer were investigated by posttraumatie growth inventory （PTCI）. Results The score of PTGI in rehabilitative breast cancer patients was （75.42 ± 3.20）. After score transformation, the score of life appreciation dimension was the highest, whereas the score of mental changes dimension was the lowest. Results from multiple regression analysis showed that disease course, family income, disease stage and eomplicated with chronic diseases were influencing factors of PTG. Conclusion Medical staffs should take various psychological interventions to help pa- tients through the early stages of disease after diagnosis and to promote the development of PTG. Besides, it is suggested to establish confidence in advanced breast cancer patients, and treat other chronic concomitant diseases for them at the same time.

关 键 词：康复期 乳腺癌 创伤后成长 

分 类 号：R473.73[医药卫生—护理学]