妇科恶性肿瘤患者创伤后应激障碍症状潜在类别的影响因素分析  

Analysis of Influencing Factors on Potential Categories of Post-Traumatic Stress Disorder Symptoms among Patients with Gynecologic

作　　者：李瑶[1] 严雪 刘倩倩 魏思琪 Malignant Tumor LI Yao;YAN Xue;LIU Qian-qian;WEI Si-qi(School of Nursing,Lanzhou University,Lanzhou 730011,China)

机构地区：[1]兰州大学护理学院,730011

出　　处：《国际生殖健康／计划生育杂志》2023年第3期193-198,共6页Journal of International Reproductive Health/Family Planning

基　　金：兰州大学“双一流”引导专项基金(561120201)。

摘　　要：目的:探讨妇科恶性肿瘤患者创伤后应激障碍症状(post-traumatic stress disorder symptoms,PTSS)的潜在类别,并分析各PTSS类别的影响因素。方法:选择2022年4—9月就诊于兰州市3家医院的妇科恶性肿瘤患者231例,采用一般资料调查表、创伤后应激障碍筛查量表、坚韧人格量表、广泛性焦虑量表和领悟社会支持量表进行调查。采用潜在剖面分析综合判断患者PTSS各个模型的结果,通过“最佳解释模型”确定最佳模型。采用无序多分类Logistic回归分析评估各因素对妇科恶性肿瘤患者PTSS类别的影响。结果:将231例妇科恶性肿瘤患者分为3个PTSS类别:中症状高唤醒型97例(42.0%);低症状型98例(42.4%);高症状高回避型36例(15.6%)。无序多分类Logistic回归分析结果显示,生育子女数、坚韧人格、焦虑和社会支持影响妇科恶性肿瘤患者PTSS的潜在类别(均P<0.05)。结论:妇科恶性肿瘤患者的PTSS存在显著的分类特征,医护人员可依据不同PTSS类别患者的影响因素,实施针对不同类别患者的心理干预,缓解患者的症状。Objective:To explore the potential categories of post-traumatic stress disorder symptoms(PTSS)in patients with gynecologic malignant tumor,and to analyze the influencing factors of different categories of PTSS.Methods:A total of 231 patients with gynecologic malignant tumors were selected from three hospitals in Lanzhou City,from April 2022 to September 2022.The questionnaires of general information,the Posttraumatic Stress Disorder Checklist for DSM-5,Hardiness Scale,Generalized Anxiety Disorder 7-Item Scale and Perceived Social Support Scale were used in this study.The results of various models of PTSS patient were comprehensively judged by the latent profile analysis.The best model was determined through the"best interpretation model".The effects of various factors on the different PTSS categories were evaluated by the unordered multi-classification logistic regression.Results:PTSS in 231 patients with gynecologic malignant tumor was divided into three categories:97 cases(42.0%)with moderate symptoms and high arousal;98 cases(42.4%)were low symptom type;36 cases(15.6%)with high symptoms and high avoidance.The results of logistic regression analysis showed that the number of children,tenacity personality,anxiety and social support affected the potential classification of PTSS in patients with gynecological malignancies(P<0.05).Conclusions:The PTSS of patients with gynecological malignant tumor has the significant classification characteristics.Medical staff can implement psychological intervention for the different types of patients according to the influencing factors of different types of PTSS,so as to alleviate the symptoms of patients.

关 键 词：生殖器肿瘤 女(雌)性 应激障碍 创伤后 影响因素分析 潜在剖面分析 

分 类 号：R749.5[医药卫生—神经病学与精神病学] R737.3[医药卫生—临床医学]