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机构地区:[1]河北联合大学护理与康复学院,唐山市063000 [2]河北联合大学附属医院
出 处:《中华行为医学与脑科学杂志》2014年第7期612-614,共3页Chinese Journal of Behavioral Medicine and Brain Science
基 金:河北省科技厅科技支撑计划项目(11276103D-33)
摘 要:目的 探讨胃肠道恶性肿瘤患者临终阶段创伤后成长与社会支持的相关性.方法 采取整群随机抽样方法于2012年3月至2013年4月抽取北京市和唐山市10家三级综合医院内280名生存期预计在6个月内的胃肠道恶性肿瘤患者,应用创伤后评定量表和社会支持评定量表进行调查.结果 胃肠道恶性肿瘤患者临终阶段的创伤后成长总分[(61.13±16.78)分],对生活的欣赏[(23.71±7.34)分]、个人力量[(10.67±3.55)分]、新的可能性[(10.07±2.11)分]、与他人关系[(12.54±5.14)分]、自我转变[(10.89±4.35)分],均高于中间值;社会支持总分[(41.21±6.48)分]和客观支持[(10.27±2.75)分]高于健康人群[(39.05±6.35)分,(8.42±2.27)分](P<0.05);创伤后成长中对生活的欣赏与主观支持、社会支持总分呈正相关(r=0.25,r=0.26,P<0.05),个人力量与客观支持、主观支持、社会支持总分呈正相关(r=0.24,r=0.29,r=0.23,P<0.05),新的可能性与主观支持呈正相关(r=0.21,P<0.05),与他人关系与客观支持、社会支持总分呈正相关(r=0.26,r=0.26,P<0.05),自我转变与客观支持、主观支持呈正相关(r=0.28,r=0.31,P<0.05),创伤后成长总分与主观支持、社会支持总分呈正相关(r=0.29,r=0.29,P<0.05).结论 胃肠道恶性肿瘤患者临终阶段具有一定程度的创伤后成长,社会支持水平较高,创伤后成长与社会支持呈正相关.Objective To explore the correlation of posttraumatic growth with social support in patients with gastrointestinal neoplasms at the end of life.Methods Cluster random sampling was used to select 280 patients with gastrointestinal neoplasms who were predicted to survive no longer than 6 months in 10 first-class hospitals in Beijing and Tangshan,and they were investigated by Posttraumatic Growth Inventor (PTGI) and Social Support Rate Scale (SSRS).Results The total score of PTGI (61.13 ± 16.78)and the scores of appreciation of life (23.71±7.34),personal strength(10.67±3.55),new possibility(10.07±2.11),relating to others(12.54±5.14),spititual change(10.89±4.35)were higher than median value.The total score of SSRS(41.21±8.48) and objective support(10.27±2.75) were higer than the normal level((39.05±6.35),(8.42±2.27)) (P〈0.05).The appreciation of life was positively correlated with subjective support and the total score of SSRS (r=0.25,r=0.26,P〈0.05),personal strength was positively correlated with objective support,subjective support and the total score of SSRS(r=0.24,r=0.29,r=0.23,P〈0.05),new possibility was positively correlated with subjective support(r=0.21,P〈0.05),relating to others was positively correlated with objective support and the total score of SSRS (r=0.26,r=0.26,P〈0.05),spititual change was positively correlated with objective support and subjective support (r=0.28,r=0.31,P〈0.05).The total score of PTGI was positively correlated with subjective support and the total score of SSRS (r=0.29,r=0.29,P〈0.05).Conclusion Patients with gastrointestinal neoplasms at the end of life experience a certain extent of posttraumatic growth and high level of social support.Posttraumatic growth is positively correlated with social support.
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