青少年恶性肿瘤患者创伤后成长现状及影响因素分析  

Post-Traumatic Growth and influencing factors of adolescent malignant tumor patients

作　　者：王菁菁 张瑶 吴卫子 谷灿[1] WANG Jingjing;ZHANG Yao;WU Weizi;GU Can(Xiang Ya Nursing School of Central South University,Changsha,410013,China)

机构地区：[1]中南大学湘雅护理学院,长沙市410013

出　　处：《中国护理管理》2020年第9期1324-1328,共5页Chinese Nursing Management

基　　金：国家自然科学基金项目(81703084);湖南省护理学重点实验室项目(2017TP1004)。

摘　　要：目的:调查青少年恶性肿瘤患者创伤后成长的现状,并分析其影响因素。方法:采用人口学资料、疾病相关资料调查表及创伤后成长量表对248名青少年恶性肿瘤患者进行问卷调查。结果:41.13%青少年恶性肿瘤患者报告有明显创伤后成长,创伤后成长量表条目均分为(2.62±1.06)分。多元线性回归分析显示,确诊年龄、居住地类型、疾病类型和病程长短是创伤后成长的影响因素(P<0.05),可解释19.7%的总变异。结论:青少年恶性肿瘤患者存在创伤后成长,但成长水平仍有较大的提升空间。医务人员应引导患者挖掘正向积极心理、提升创伤后成长水平,促进青少年恶性肿瘤患者身心健康。Objective:To investigate the current status of Post-Traumatic Growth of adolescent patients with malignant tumors and analyze its influencing factors.Methods:A questionnaire survey was conducted on 248 adolescent patients with malignant tumors using a survey scale of demographic and disease-related data,and Post Traumatic Growth Inventory(PTGI).Results:41.13%of adolescents with malignant tumors reported significant growth.The average score of PTGI was 2.62±1.06.Multiple linear regression analysis demonstrated that the age at diagnosis,place of residence,disease type,and disease duration were the influencing factors of Post-Traumatic Growth(R2adj=0.197,F=34.349,P<0.001).Conclusion:Adolescent malignant tumor patients have Post-Traumatic Growth,which still needs to be improved.Medical professionals should guide patients to explore positive psychology,improve the level of Post-Traumatic Growth,and promote the physical and mental health of adolescent patients with malignant tumor.

关 键 词：青少年 恶性肿瘤 癌症 创伤后成长 影响因素 

分 类 号：R47[医药卫生—护理学]