原发性乳腺癌患者创伤后成长的纵向调查  

Longitudinal study on post-traumatic growth in patients with primary breast cancer

作　　者：高冉[1] 史铁英[1] Gao Ran;Shi Tieying(Department of Nursing,The First Affiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院护理部,辽宁大连116011

出　　处：《护理学杂志》2017年第20期88-90,共3页Journal of Nursing Science

基　　金：辽宁省教育厅2016年科学研究一般项目(W2016007)

摘　　要：目的了解和分析原发性乳腺癌患者不同治疗阶段创伤后成长的变化,为临床及延续护理提供参考。方法采用创伤后成长评定量表对80例原发性乳腺癌患者于手术前1d(T1)、手术后第3天(T2)、术后首次化疗(T3)及末次化疗(T4)进行调查。结果患者T1~T4的创伤后成长得分依次为83.04±20.90、62.84±19.21、59.58±13.78、67.85±13.51;不同时段总分及各维度得分比较,差异有统计学意义(P<0.05,P<0.01)。结论手术及化疗对患者的创伤后成长造成一定负性影响,随化疗结束及治疗效果的显现,患者创伤后成长呈上升趋势,护理人员应根据其特点实施针对性干预,以有效地提升其创伤后成长水平。Objective To describe the changes of post-traumatic growth（PTG）in patients with primary breast cancer during different treatment stages,and to provide reference for clinical practice and for continuity of care.Methods Eighty newly diagnosed breast cancer patients were investigated using the Post-traumatic Growth Inventory（PTGI）on the day before surgery（T1）,on the third day after surgery（T2）,at first chemotherapy cycle（T3）and at final chemotherapy cycle（T4）.Results The total PTGI score was83.04±20.90,62.84±19.21,59.58±13.78,and 67.85±13.51 at different time-points,with significant difference among them,and the subscale scores also had significant differences（P〈0.05,P〈0.01）.Conclusion Post-traumatic growth is negatively affected by surgery and chemotherapy,and it increases along with completion of chemotherapy and appearance of therapeutic effect,demonstrating a decrease-increase tendency.Nurses should provide targeted intervention to improve patients′PTG.

关 键 词：乳腺癌 围手术期 化疗 创伤后成长 纵向研究 

分 类 号：R473.6[医药卫生—护理学] R395.6[医药卫生—临床医学]