癌症患者创伤后成长及其对生命质量的影响  

Posttraumatic growth in cancer patients and its effect on patients＂ quality of life

作　　者：杜德娇[1] 刘惠军[2] 陈育红[3] 强万敏[4] 王硕[5] Du Dejiao Liu Huijun Chen Yuhong Qiang Wanmin Wang Shuo(School of Medical Imaging, Tianjin Medical University, Tianjin 300070, China Institute of Psychology, Tianjin Medical University, Tianjin 300070, China Department of Galactophore, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China Department of Nursing, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China Department of Thoracic, the Second Hospital of Tianjin Medical University, Tianjin 300211, China)

机构地区：[1]天津医科大学影像学院,300070 [2]天津医科大学心理学研究所,300070 [3]天津医科大学附属肿瘤医院乳腺科,300060 [4]天津医科大学附属肿瘤医院沪理部,300060 [5]天津医科大学第二医院胸外科,300211

出　　处：《肿瘤研究与临床》2016年第12期815-818,共4页Cancer Research and Clinic

基　　金：教育部人文社会科学规划基金（11YJAl90010）

摘　　要：目的探讨癌症患者的创伤后成长及其与患者生命质量的关系。方法采用个别施测方法对123例癌症患者进行问卷调查，运用创伤后成长量表（PrGI）评估患者的仓0伤后成长，运用癌症患者生命质量测定量表欧洲癌症研究治疗组织（EORTC）QLQ．c30评估患者的生命质量。采用描述统计分析创伤后成长的领域和成长幅度，采用相关分析和多元线性回归分析考察创伤后成长与患者生命质量的关系。结果在PTGI的5个因子中，有4个因子表现出不同程度的增长，其中最突出的是“与他人关系”方面的成长[（28．17±7．97）分]，其次是“新的可能性”[（16．15±6．06）分]、“个人力量”[（15．42±4．69）分]和“对生活的欣赏”[（11．51±3．80）分]，“精神改变”[（5．07±2．67）分]方面的成长较少。创伤后成长总分与患者的角色功能呈正相关，在PTGI5个因子中，“新的可能性”（r=0．193）、“个人力量”（r=0．290）和“对生活的欣赏”（r=0．284）与患者总体健康状况呈正相关（均P〈O．05）。进一步回归分析结果显示，“个人力量”（p=0．373，t=3．66）和“对生活的欣赏”（β=0．322，t=2．99）对患者总体健康状况有正向预测效应，而“与他人关系”方面的成长对总体健康状况有负向预测效应（β=-0．396，t：-3．63）。结论癌症患者存在创伤后成长，其中“个人力量”、“对生活的欣赏”和“与他人关系”方面的成长对患者生命质量有预测作用。Objective To investigate the relationship between the posttraumatic growth in cancer patients and patients＂ quality of life. Methods 123 cancer patients were measured with posttraumatie growth inventory （PTGI） and EORTC QLQ-C30. Means and standard deviations were used to describe the domain and the range change of posttraumatic growth. Correlation and multiple linear regression analysis were conducted to explore the relationship between the patients＂ posttraumatie growth and their quality of life. Results 4 of 5 factors in PTGI showed significant positive change, including connection with others [（28.17±7.97） scores], new possibilities [（16.15 ± 6.06） scores], personal strength [（15.42 ± 4.69） scores], and appreciation of life [（11.51 ± 3.80） scores], meanwhile, the spiritual change [（5.07 ± 2.67） scores] had no significant growth. The sum of PTGI was related positively to the role function of the patients. New possibilities （r = 0.193）, personal strength （r = 0.290） and appreciation of life （r = 0.284） were correlated positively with global health status. Multiple regression analysis indicated that personal strength （β = 0.373, t = 3.66） and appreciation of life （β = 0.322, t = 2.99） could predict positively to global health status, however, relating to others predicted negatively to global health status （β= -0.396, t = -3.63）. Conclusion Posttraumatic growth has been found in cancer patients, including some predicting factors of patients＂ quality of life, such as personal strength, life appreciation and relating to others.

关 键 词：肿瘤 创伤后成长 生命质量 积极心理学 

分 类 号：R473.73[医药卫生—护理学]