乳腺癌幸存者创伤后应激反应现状及影响因素分析  

Status Quo of Post-traumatic Stress Reaction and Its Influencing Factors in Breast Cancer Survivors

作　　者：谢绍菊[1] 张继权 徐帆 李乔[1] XIE Shaoju;ZHANG Jiquan;XU Fan;LI Qiao(People's Hospital of Deyang City,Deyang,Sichuan 618000)

机构地区：[1]德阳市人民医院,四川德阳618000

出　　处：《上海护理》2022年第6期25-29,共5页Shanghai Nursing

基　　金：四川省心理健康教育研究中心(四川省哲学社会科学重点研究基地)2021年度一般项目(XLJKJY202113B);德阳市科技计划重点研发项目(2021SZZ086);四川护理职业学院自然科学基金资助课题(2022RZY50)。

摘　　要：目的调查乳腺癌幸存者的创伤后应激反应现状,分析其影响因素。方法采用方便抽样法,选取2021年1-8月于德阳市人民医院门诊及病房复诊的女性乳腺癌幸存者200例为研究对象。采用一般资料调查表、中文版事件影响量表修订版、心理一致感量表、积极应对方式量表对其进行调查。结果乳腺癌幸存者的中文版事件影响量表修订版得分为(32.70±17.44)分,各维度条目均分由高至低依次为逃避、侵袭、唤醒。单因素分析显示,有无子女、婚姻状态、文化程度、职业情况、家庭月收入、医疗费用支付方式、疾病分期、确诊时间、是否保留乳房组间中文版事件影响量表修订版得分比较,差异均有统计学意义(P<0.05)。乳腺癌幸存者心理一致感与积极应对呈正相关(r=0.487,P<0.05),与创伤后应激反应呈负相关(r=-0.313,P<0.05),积极应对与创伤后应激反应呈负相关(r=-0.269,P<0.05)。多元线性回归分析显示,是否保留乳房、婚姻状况、职业情况、家庭月收入是乳腺癌幸存者创伤后应激反应的影响因素(P<0.05),能够解释总变异的35.7%。结论乳腺癌幸存者整体的创伤后应激反应水平较高;医护人员可采取针对性强的个性化心理干预措施,降低乳腺癌幸存者的创伤后应激反应,促进其心理健康发展。Objective To investigate the status quo of post-traumatic stress reactions in breast cancer survivors and analyze its influencing factors.Methods A total of 200 female breast cancer survivors who returned to the outpatient department and wards of People’s Hospital of Deyang City from January to August2021 were selected by convenience sampling.They were investigated by using the General Information Questionnaire,the Chinese version of the Impact of Event Scale-revised(IES-R),the Sense of Coherence(SOC),and the Simplified Coping Style Questionnaire(SCSQ).Results For these breast cancer survivors,the score of the Chinese version of IES-R was(32.70±17.44)points,and the dimensions were ranked in order of descending mean score as avoidance,intrusion,and hyperarousal.Univariate analysis showed that there were significant differences in the IES-R scores of the patients who were different in the presence or absence of children,marital status,education level,occupational status,household monthly income,mode of medical payment,disease stage,time of diagnosis,and presence or absence of breasts(P<0.05).For these breast cancer survivors,their sense of coherence was positively correlated with positive coping style(r=0.487,P<0.05)and negatively correlated with post-traumatic stress reaction(r=-0.313,P<0.05),and positive coping was negatively correlated with post-traumatic stress reaction(r=-0.269,P<0.05).Multiple linear regression analysis showed that post-traumatic stress reaction was influenced by the presence or absence of breasts,marital status,occupational status and household monthly income(P<0.05),explaining 35.7%of the total variation.Conclusion Breast cancer survivors have a high post-traumatic stress reaction overall.Medical staff should take targeted and personalized psychological interventions to reduce the post-traumatic stress reaction in breast cancer survivors and promote their mental health.

关 键 词：乳腺癌 创伤后应激反应 应对方式 心理一致感 癌症幸存者 影响因素 

分 类 号：R473.74[医药卫生—护理学]