妇科癌症术后患者创伤后成长现状及影响因素  

Investigation and Influencing Factors of Post-traumatic Growth in Patients After Gynecological Cancer Surgery

作　　者：林文华[1] 冉静[1] 蔡红侠 游丽铭 林芳 LIN Wenhua;RAN Jing;CAI Hongxia;YOU Liming;LIN Fang(Department of Obstetrics and Gynecology,First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Nursing College,Fujian Medical University,Fuzhou Fujian 350108,China)

机构地区：[1]厦门大学附属第一医院妇产科,福建厦门361003 [2]福建医科大学护理学院,福建福州350108

出　　处：《中国卫生标准管理》2022年第16期17-22,共6页China Health Standard Management

基　　金：国家自然科学基金(81601284)。

摘　　要：目的探讨妇科癌症术后患者的创伤后成长水平。方法应用中文版创伤后成长评定量表(Chinese-post-traumatic growth inventory,C-PTGI)和自行编制的个人资料问卷对厦门市某三级甲等医院2019年10月—2020年7月收治的121例妇科癌症术后患者进行问卷调查。结果妇科癌症术后患者创伤后成长总分为(62.17±10.45)分,均分为(3.11±0.52)分,其中均分最高的是与他人关系,最低的是个人力量。进一步分析,年龄与自我转变显著负相关(P<0.05),术后天数、疾病分期分别与C-PTGI总分、人生感悟、个人力量显著正相关(P<0.05)。不同婚姻状态组别的自我转变得分中,已婚组最高(P<0.05);不同文化程度组别的人生感悟、个人力量、C-PTGI总分得分中,本科及以上得分最高(P<0.05);不同疾病诊断组别的人生感悟与个人力量得分中,其他类妇科癌症得分最高(P<0.05);不同生育情况组别的新的可能性与C-PTGI总分得分中,有生育史的得分高(P<0.05)。结论在妇科癌症术后患者中,术后天数、疾病分期、已婚、有生育史、高水平文化程度和非三大常见妇科癌症有益于创伤后成长,年龄则反之。医护人员应关注、引导患者的创伤后成长,促进其恢复身心健康。Objective To discuss the post-traumatic growth level for patients undergoing gynecological cancer surgery.Methods The Chinese-posttraumatic growth-traumatic inventory(CPTGI)and self-produced personal data questionnaire were used to conduct a questionnaire survey on 121 postoperative gynecological cancer patients in a hospital of first class of grade three in Xiamen.Results The total score of post-traumatic growth in patients with gynecological cancer after surgery was(62.17±10.45)points,and the average score was(3.11±0.52)points.The highest average score was relationship with others,and the lowest was personal strength.Further analysis showed that age was significantly negatively correlated with self-transformation(P<0.05),and postoperative days and disease stages were respectively associated with the total score of the C-PTGI,life perception,personal strength was significantly positively correlated(P<0.05).Among the selftransformation scores of different marital status groups,the married group is the highest(P<0.05);among the total scores of life perception,personal strength,and C-PTGI among the different educational level groups,the undergraduate and above scores are the highest(P<0.05);in the life perception and personal strength scores of different disease diagnosis groups,other gynecological cancers scored the highest(P<0.05);in the new possibility and C-PTGI total score of different fertility groups,there was a reproductive history the highest score(P<0.05).Conclusion Among gynecological cancer patients,the number of days after surgery,disease stage,married,birth history,high level of education and non-common gynecological cancers are good for post-traumatic growth,but the opposite is true for age.Medical staff should pay attention to and guide the post-traumatic growth of patients and promote their recovery of physical and mental health.

关 键 词：创伤后成长 妇科 癌症 术后 现状 影响因素 

分 类 号：R473[医药卫生—护理学]