原发性肝癌患者创伤后成长、心理韧性及家庭韧性的相关性分析  

Correlation Analysis of Post-traumatic Growth, Psychological Resilience and Family Resilience in Patients with Primary Liver Cancer

作　　者：林晓丽[1] 张丽[1] 倪荣苹 LIN Xiaoli;ZHANG Li;NI Rongping(Department of hepatobiliary and pancreatic surgery,Deyang people's Hospital,Deyang,Sichuan 618000)

机构地区：[1]德阳市人民医院肝胆胰外科,四川德阳618000

出　　处：《智慧健康》2022年第10期169-171,共3页Smart Healthcare

基　　金：成都医学院四川应用心理学研究中心资助项目,项目名称:男性肝癌患者家庭功能与心理危机现状及应对策略构建,项目编号:XLJKJY202107C。

摘　　要：目的 分析原发性肝癌患者创伤后成长、心理韧性及家庭韧性的相关性。方法 以2020年1~12月间在德阳市人民医院确诊为原发性肝癌患者作为研究对象,共计150例,选用一般资料问卷、家庭韧性力量表(FHI)、创伤后成长量表(PTGI)、心理韧性量表(CD-RISC)对患者进行评估,分析评估结果。结果 不同性别、年龄是否有宗教信仰、婚姻情况、治疗方案、肿瘤分化程度患者的家庭韧性评分比较并无差异(P>0.05);不同文化程度、家庭月收入、医疗费用支付方式患者的家庭韧性评分比较差异显著(P <0.05);心理韧性、创伤后成长、家庭韧性的总分以及各维度评分之间呈正相关(P <0.05);人际关系、个人力量、新的可能性、对生活的欣赏、精神变化、坚韧、自强、力量、家庭收入、医疗支付方式是影响家庭韧性评分的主要因素。结论 原发性肝炎患者家庭韧性水平比较低,创伤后成长与心理韧性对家庭韧性均会造成影响,可见创伤后成长、心理韧性及家庭韧性之间呈正负相关性。Objective To analyze the correlation between post-traumatic growth, psychological resilience and family resilience in patients with primary liver cancer. Methods 150 patients with primary liver cancer diagnosed in our hospital from January to December 2020 were selected as the research object. The patients were evaluated by general information questionnaire, Family Resilience Scale(FHI),post-traumatic growth scale(PTGI)and Psychological Resilience Scale(cd-risc), and the evaluation results were analyzed. Results There was no difference in family resilience scores among patients with different gender, age, religious belief, marital status, treatment plan and degree of tumor differentiation(P >0.05). There were significant differences in family resilience scores among patients with different educational levels, family monthly income and medical expenses payment methods(P <0.05).The total scores of psychological resilience, post-traumatic growth, family resilience and the scores of each dimension were positively correlated(P < 0.05);Interpersonal relationship, personal strength, new possibilities, appreciation of life, spiritual change, tenacity, self-improvement, strength,family income and medical payment are the main factors affecting the score of family resilience. Conclusion The level of family resilience in patients with primary hepatitis is relatively low. Post-traumatic growth and psychological resilience will have an impact on family resilience. It can be seen that there is a positive and negative correlation among post-traumatic growth, psychological resilience and family resilience.

关 键 词：原发性肝癌 创伤后成长 心理韧性 家庭韧性 

分 类 号：R473.73[医药卫生—护理学]