乳腺癌住院患者自我管理效能感和心理弹性对创伤后应激障碍发生的影响  

The impact of self-care efficacy and psychological resilience on the prevalence of post-traumatic stress disorders in patients with breast cancer inpatients

作　　者：贾晓琴 杨芳 孙玉倩 刘钰 

机构地区：[1]华北理工大学护理与康复学院,唐山063000

出　　处：《中华行为医学与脑科学杂志》2016年第4期323-327,共5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：目的探讨乳腺癌住院患者自我管理效能感和心理弹性对创伤后应激障碍（PTSD）发生的影响。方法运用PTSD检查量表平民版（PCL—C）、中文版癌症自我管理效能感量表（C—SUPPH）、中文版心理弹性问卷（CD—RISC）对303例乳腺癌患者进行问卷调查。结果乳腺癌患者PTSD检查量表得分（38．02±8．35）分，61例乳腺癌患者（20．13％）PTSD筛查阳性。相关分析显示，乳腺癌患者PTSD与自我管理效能感、心理弹性水平均呈负相关（r=-0．387，r=-0．341），差异有统计学意义（P〈0.01，P〈0．05）。线性回归分析显示，自我管理效能感（β=-0．274）、心理弹性（β=-0．149）以及肿瘤分期（β=0．136）是乳腺癌患者发生PTSD的主要影响因素。结论应根据乳腺癌患者的自我管理效能感及心理弹性状况及时干预，降低PTSD发生的可能，增进心理健康。Objective To explore the impact of self-care efficacy and psychological resilience on post-traumatic stress disorders （PTSD） in breast cancer patients. Methods 303 patients with breast cancer were investigated with PTSD Checklist-Civilian Version（PCL-C） , Chinese version of strategies used by peo- ple to promote health （C-SUPPH） and Conuor-Davidson Resilience Scale （CD-RISC）. Results The total score of PC L-C was （38.02±8.35） and the incidence of PTSD in breast cancer inpatients was 20.13% with 61 cases. Con＇elation analysis showed that PTSD was negatively correlated with the score of self-care efficacy （r=-0.387） and psychological resilience（ r=-0.341 ）（P〈0.01, P〈0.05）. Multiple regression analysis showed that self-care efficacy（β=-0.274） , psychological resilience（ β=-0.149） and neoplasm staging（ β= 0. 136） were influencing factors of PTSD. Conclusion Intervention measures should be taken according to self-care efficacy and psychological resilience of breast cancer patients so as to reduce the PTST incidence and improve mental health of patients.

关 键 词：乳腺癌 应激障碍 创伤后 自我管理效能感 心理弹性 

分 类 号：R473.73[医药卫生—护理学]