肺癌患者的疾病感知与创伤后成长  

Illness perception and posttraumatic growth in patients with lung cancer

作　　者：黄琦 尤青海[1] 王巾枚[1] Huang Qi;You Qinghai;Wang Jinmei(Dept of Respiratory and Critical Care Medicine,The First Affiliated Hospital of Anhui Medical University,Hefei 230022;The Fourth Affiliated Hospital of Anhui Medical University,Hefei 230032)

机构地区：[1]安徽医科大学第一附属医院呼吸与危重症医学科,合肥230022 [2]安徽医科大学第四附属医院,合肥230032

出　　处：《安徽医科大学学报》2019年第5期781-784,共4页Acta Universitatis Medicinalis Anhui

基　　金：国家自然科学基金(编号:81100053)

摘　　要：目的研究肺癌患者的疾病感知(IP)特点与创伤后成长。方法选择疾病感知问卷中文修订版(CIPQ-R)对肺癌患者进行IP评价,选择创伤后成长评定量表(PTGI)对患者患病后的心理成长进行评估,并对患者的IP以及创伤后成长进行相关性分析。结果肺癌患者CIPQ-R严重后果因子、个人控制性因子、治疗控制性因子、情绪陈述因子分数偏高。Pearson偏相关分析显示疾病急慢性因子与严重后果因子、疾病周期性因子和情绪陈述因子呈正相关性(r=0.49、0.34、0.20,P<0.05),与个人控制性因子呈负相关(r=-0.28,P<0.05)。疾病严重后果因子与治疗控制性因子、情绪陈述因子呈正相关(r=0.26、0.35,P<0.05);疾病相关性因子与疾病周期性因子和情绪陈述因子呈负相关性(r=-0.31、﹣0.42,P<0.05);肺癌患者创伤后成长总均分为(50.27±15.78)。CIPQ-R量表中治疗控制性因子与PTGI量标中精神变化维度、欣赏生活维度呈正相关性(r=0.31、0.29,P<0.05),疾病周期性因子与新的可能性维度呈正相关性(r=0.29,P<0.05)。结论肺癌患者具有一定的负性IP,但在治疗疾病的过程中心理层面上有不同程度的成长,改变对疾病的认识可以促进患者心理的成长与康复。Objective To study the characteristics of illness perception and posttraumatic growth in lung cancer patients. Methods The Chinese revision of the illness perception questionnaire (CIPQ-R) was used to evaluate the illness perception of lung cancer patients. Posttraumatic growth inventory (PTGI) was selected to evaluate the psychological growth of patients,and the correlation between the patient's disease perception and post-traumatic growth was analyzed. Results The scores of consequence factor,personal control factor,treatment control factor and emotional representations factor in CIPQ-R of lung cancer patients were higher (17.84±4.30,18.73±3.47,17.13±3.50,16.67±5.36). Pearson partial correlation analysis showed that timeline acute/chronic factor was positively correlated with consequence factor,timeline cyclical factor and emotional representations factor ( r =0.49,0.34,0.20,P <0.05),and negatively correlated with personal control factor( r =-0.28,P <0.05). Consequences factor was positively correlated with treatment control factor and emotional representation factor ( r =0.26,0.35,P <0.05). Illness coherence factor was negatively correlated with timeline cyclical factor and emotional representation factor( r =-0.31,-0.42, P <0.05). The total average score of posttraumatic growth inventory in lung cancer patients was (50.27±15.78). In the CIPQ-R scale,there was a positive correlation between the treatment control factor and mental change dimension and enjoying life dimension in the PTGI scale ( r =0.31,0.29,P <0.05). The timeline cyclical factor was positively correlated with the new possibility dimension ( r =0.29, P <0.05). Conclusion Lung cancer patients have a certain degree of negative illness perception. However,there are varying degrees of psychological growth of the patients during the treatment of disease. Changing the illness perception can promote the growth and rehabilitation of lung cancer patients.

关 键 词：肺癌 疾病感知 创伤后成长 

分 类 号：R734[医药卫生—肿瘤]