乳腺癌患者创伤后成长与乐观倾向、疾病感知的相关性研究  

Research on the correlation of optimistic tendency,illness perception and posttraumatic growth in patients with breast cancer

作　　者：钱琴[1] 刘敏[2] 马兰[3] 

机构地区：[1]无锡市妇幼保健院乳腺病科,214002 [2]无锡市妇幼保健院护理部,214002 [3]上海建桥学院职业技术学院,上海市201306

出　　处：《护理管理杂志》2018年第2期89-92,共4页Journal of Nursing Administration

摘　　要：目的探讨乳腺癌患者术后化疗期的创伤后成长与其乐观倾向和疾病感知的相关性,为临床干预提供依据。方法采用一般资料调查问卷、创伤后成长评定量表、生活定向测验修订版和疾病感知问卷简化版对150例乳腺癌患者进行匿名问卷调查。结果乳腺癌患者的创伤后成长得分为(57.57±10.11)分,乐观倾向得分为(15.13±4.03)分,疾病感知得分为(41.07±6.77)分。Spearman相关性分析显示,乳腺癌患者创伤后成长5个维度得分及其总分与乐观倾向总分均呈正相关(P<0.01),与疾病感知总分均呈负相关(P<0.01)。结论乳腺癌患者存在一定程度的创伤后成长,且与乐观倾向和疾病感知存在相关。医护人员应关注乳腺癌患者的心理变化,鼓励患者以积极乐观的心态自我调适,减少患者的负性感知,以更好地促进其创伤后成长。ObjectiveTo investigate the correlation of optimistic tendency,illness perception and posttraumatic growth （PTG） of post-operative chemotherapy inpatients with breast cancer,and to provide basis for clinical intervention.MethodUsing General Information Ques-tionnaire,Posttraumatic Growth Inventory （PTGI）,Revised Life Orientation Test （LOT-R）,and Brief Illness Perception Questionnaire （BI？PQ） to investigate 150 breast cancer patients.ResultsThe score of the PTG of breast cancer patients was （57.57±10.11）,optimistic tend？ency score was （15.13±4.03） and illness perception score was （41.07±6.77）.Spearman correlation analysis showed that the five dimensionscores and total score of PTG were positively correlated with optimistic tendency score （P〈0.01）,and negatively correlated with illness per-ception score （P〈0.01）.ConclusionThere is a certain degree of PTG in breast cancer patients,and is associated with optimistic tendencyand illness perception.The medical staff should pay attention to the psychological changes of breast cancer patients,encourage the patients toadjust themselves with positive and optimistic attitude,reduce the negative illness perception,so as to promote their posttraumatic growth.

关 键 词：乳腺癌 创伤后成长 乐观倾向 疾病感知 

分 类 号：R473.73[医药卫生—护理学]