创伤后成长及心理控制源与肠造口病人心理接受关联程度的模型分析  

Model analysis of the degree of association between post-traumatic growth,locus of control and psychological acceptance of enterostomy patients

作　　者：马华 袁映红 林英 宋慧敏 吴辉 伍建容[2] MA Hua;YUAN Ying-hong;LIN Ying;SONG Hui-min;WU Hui;WU Jian-rong(Department of Gastrointestinal Surgery,Nanchong Central Hospital,The Second Clinical Medical College of North Sichuan Medical College,Nanchong Sichuan 637000;Department of Stomatology,The Affiliated Hospital of North Sichuan Medical College,Nanchong Sichuan 637000,China)

机构地区：[1]四川省南充市中心医院,川北医学院第二临床医学院胃肠外科,637000 [2]川北医学院附属医院口腔科,四川南充637000

出　　处：《蚌埠医学院学报》2022年第6期834-838,共5页Journal of Bengbu Medical College

基　　金：四川省科技厅重点研发项目(20ZDYF1130);四川省南充市市校合作科研专项(19SXHZ0363)。

摘　　要：目的:分析创伤后成长及心理控制源与肠造口病人心理接受关联程度的关系。方法:选取88例结直肠癌造口病人,采用造口病人社会心理适应量表(OAI-20)评估心理接受,创伤后成长评定量表评估创伤后成长,多维度健康状况心理控制源量表评估心理控制源。采用AMOS24.0软件建立结构方程模型,验证心理控制源在心理接受与创伤后成长间的中介作用。结果:88例病人的OAI-20得分为(43.66±6.26)分,为中低度适应水平;其中各维度条目均分:正性情绪维度(2.28±0.38)分,负性情绪维度(2.42±0.52)分,社会生活维度(2.21±0.46)分。创伤后成长总分为(68.33±10.46)分,具有创伤后成长者54例(61.36%)。健康内部控制得分为(21.33±4.37)分,健康权威人士控制得分为(24.26±4.68)分,健康机遇控制得分为(20.35±4.26)分。心理控制源在心理接受与创伤后成长间存在中介作用,中介效应占总效应的61.60%。结论:应重视直肠癌病人创伤后成长对心理接受的影响,采取有效措施提高病人的创伤后成长及心理控制源,从而提升造口心理接受程度。Objective:To analyze the relationship between post-traumatic growth,locus of control and psychological acceptance of patients with enterostomy.Methods:Eighty-eight patients with rectal cancer enterostomy were selected.The ostomy adjustment inventory-20(OAI-20)was used to evaluate the psychological acceptance,the posttraumatic growth inventory was applied to assess the post-traumatic growth,and the multidimentional health locus of control scale was employed to assess the locus of control.A structural equation model established by AMOS24.0 software was used to verify the mediating effect of locus of control between psychological acceptance and post-traumatic growth.Results:The OAI-20 score of 88 patients was(43.66±6.26)points,which was at a medium-low adaptation level;the average score of each dimension item was as follows:positive emotion dimension(2.28±0.38)points,negative emotion dimension(2.42±0.52)points,and social life dimension(2.21±0.46)points.The total score of post-traumatic growth was(68.33±10.46)points,and 54 patients(61.36%)had post-traumatic growth.The score of health internal control was(21.33±4.37)points,the score of health authority control was(24.26±4.68)points,and the score of health opportunity control was(20.35±4.26)points.The locus of control had a mediating effect between psychological acceptance and post-traumatic growth,and the mediating effect accounted for 61.60%of the total effect.Conclusions:The influence of post-traumatic growth on psychological acceptance of rectal cancer patients should be paid attention to,and effective measures should be taken to improve the post-traumatic growth and locus of control of patients,so as to improve the psychological acceptance of stoma.

关 键 词：肠造口护理 直肠肿瘤 创伤后成长 心理接受 心理控制源 

分 类 号：R473.73[医药卫生—护理学] R735.3[医药卫生—临床医学]