口腔癌患者术后创伤后成长水平及影响因素分析  

The post traumatic growth of patients with surgical treatment for oral cancer and related influencing factors

作　　者：唐系甜[1] 谢文[2] TANG Xitian;XIE Wen(Operation Room,Hospital of Stomatology Affiliated to Sun Yat-sen University,Guangzhou,Guangdong,510055;Department of Internal Medicine,The First Affiliated Hospital of Sun Yat-set University,Guangzhou,Guangdong,510080)

机构地区：[1]中山大学附属口腔医院手术室,广东广州510055 [2]中山大学附属第一医院内科,广东广州510080

出　　处：《中西医结合护理（中英文）》2019年第1期36-40,共5页Journal of Clinical Nursing in Practice

摘　　要：目的调查口腔癌患者术后创伤后成长水平现状,探讨创伤后成长的影响因素及其相互关系。方法选取2017年10月—12月在广州市某三甲专科医院进行复查的口腔癌术后患者110例,进行简体中文版创伤后成长评定量表(C-PTGI)、医学应对问卷(MCMQ)、领悟社会支持量表(PSSS)及一般资料调查,分析影响口腔癌患者术后创伤后成长水平的因素。结果有无子女、不同工作状态、有无合并其他疾病、不同的肿瘤临床分期、不同的手术类型、不同的术后时间的患者C-PTGI量表总分差异有统计学意义(P <0. 05)。口腔癌患者C-PTGI量表总分为(50. 02±9. 79)分,条目总均分为(2. 94±0. 58)分,处于中等水平。口腔癌患者术后C-PTGI量表得分与MCMQ问卷总分(r=0. 828,P <0. 01)、面对维度得分(r=0. 832,P <0. 01)、回避维度得分(r=0. 947,P <0. 01)呈显著正相关,与屈服维度得分呈显著负相关(r=-0. 935,P <0. 01);与PSSS量表总分呈显著正相关(r=0. 814,P <0. 01)。多重线性回归分析表明,口腔癌患者创伤后成长水平受到手术类型1(肿瘤切除+颈淋巴清扫)、手术类型2(重建术)、回避、家庭支持、其他支持、屈服、朋友支持的影响(F=164. 108,P <0. 01)。结论口腔癌患者术后创伤后成长总体处于中等水平,采取回避应对方式、有家庭、朋友、同事及医务人员支持的患者创伤后成长水平较高;手术类型复杂、采用屈服应对方式的患者创伤后成长水平低。护理人员应给予口腔癌术后患者针对性干预与支持,引导其采用积极应对方式,以促进其创伤后成长。Objective To investigate the post traumatic growth of patients with surgical treatment for oral cancer,and to analyze its influencing factors.Methods Totally 110 patients were selected as the research subjects at the first return visit after surgical treatment for oral cancer.A questionnaire-based investigation was conducted by using Simplified Chinese Version of the Posttraumatic Growth Inventory(C-PTGI),Medical Coping Modes Questionnaire(MCMQ),Perceived Social Support Scale(PSSS).Results There were significant differences in total score of C-PTGI between patients having children or not,with different employment status,complicating disease or not,with different stages of tumor,with different surgical types and postoperative duration(P<0.05).The total score of C-PTGI was(50.02±9.79)and the averaged score of divided items was(2.94±0.58),which was at the medium level.The score of C-PTGI was positively correlated with total score of MCMQ(r=0.828,P<0.01),the score of facing dimension(r=0.832,P<0.01),the score of avoiding dimension(r=0.947,P<0.01),and was negatively correlated with score of yielding dimension(r=-0.935,P<0.01).The score of C-PTGI was positively correlated with total score of PSSS(r=0.814,P<0.01).The multiple linear regression showed that the post traumatic growth of patients were influence by surgical type one(tumor resection and cervical lymph node dissection),surgical type 2(reconstruction),avoiding,family supports,other supports,yielding and influence of friends(F=164.108,P<0.01).Conclusion Findings showed a medium post traumatic growth level of patients.Patients taking coping-avoiding behavior and receiving supports of family members,friends,colleague and medical workers have a higher level of post traumatic growth.Patients with complicated surgical type and taking coping-yielding behavior have a lower level of post traumatic growth.Corresponding interventions and supports are required to guide patients to take active coping styles,which in turn improves the post traumatic growth of patients.

关 键 词：口腔癌 创伤后成长 应对方式 社会支持 手术类型 影响因素 

分 类 号：R473.73[医药卫生—护理学]