心理防御及疾病特征对乳腺癌住院患者创伤后成长的影响  

Impact of psychological defense and disease characteristics on posttraumatic growth in breast cancer patients

作　　者：雷鹏琼[1] 高颖[1] 杨芳 

机构地区：[1]天津医学高等专科学校,天津300222 [2]华北理工大学,河北唐山063210

出　　处：《现代预防医学》2017年第13期2392-2395,2410,共5页Modern Preventive Medicine

基　　金：河北省医学科学研究重点课题(课题编号:20170197)

摘　　要：目的探讨心理防御水平以及疾病特征对乳腺癌住院患者创伤后成长(posttraumatic growth,PTG)的影响,为积极开展有效、个性化心理干预提供依据,进而促进患者康复进程,提高其生存质量。方法选取2014年7月至2015年2月在唐山市三所三甲医院住院治疗的乳腺癌患者350例,运用一般情况调查表、创伤后成长量表、心理弹性量表、中文版创伤后应激障碍问卷、希望量表进行问卷调查并进行统计分析。结果病程越长,保留乳房手术者,心理弹性、希望水平越高,心理痛苦程度越轻、应激障碍越轻者PTG总分越高,差异均有统计学意义(P<0.05);结论乳腺癌患者应该采取积极心理应对方式,提高创伤后成长水平,同时医务人员应注重病人的心理健康,采用有效、个性化心理干预措施,帮助病人恢复健康,提高生存质量。Objective To analyze the impact of psychological defense and disease characteristics on posttraumatic growth in breast cancer patients, to provide evidence for effective and individualized psychological intervention and promote the rehabilitation process and improve the quality of life. Methods 350 breast cancer patients were recruited from the hospitals of Tangshan from July 2014 to February 2015. A questionnaire survey was conducted by using general questionnaire, posttraumatic growth questionnaire, psychology resilience questionnaire, the Chinese version of PTSD questionnaire and hope scale and statistical analysis was down. Results The higher the psychological elasticity, the higher the hope, the lower the degree of psychological distress and the more the stress disorder in breast conserving surgery patients, the higher the total score of PTG was. Conclusion Breast cancer patients should take positive coping way to improve the level of post - traumatic growth, and the nurses should pay attention to the mental health of the patients and adopt effective and individualized psychological intervention measures to help patients recover and improve their quality of life.

关 键 词：心理防御 乳腺癌 创伤后成长 

分 类 号：R195[医药卫生—卫生统计学]