颅内动脉瘤血管腔内介入术后社会支持、应对方式与创伤后成长的相关性研究  

Study of the relationship between social support,coping style,and post-traumatic growth after intracranial aneurysm endovascular intervention

作　　者：曾维斌 陈日玉 黎静娴 张月 蔡仁端[2] 陈健龙[2] ZENG Weibin;CHEN Riyu;LI Jingxian;ZHANG Yue;CAI Renduan;CHEN Jianlong(Radiology Department Admission Room,Hainan General HospitalHainan Affiliated Hospital of Hainan Medical University,Hainan Province,Haikou 570311,China;Department of Neurosurgery,Hainan General Hospital Hainan Affiliated Hospital of Hainan Medical University,Hainan Province,Haikou 570311,China)

机构地区：[1]海南省人民医院海南医学院附属海南医院放射科介入室,海南海口570311 [2]海南省人民医院海南医学院附属海南医院神经外科,海南海口570311

出　　处：《中国医药导报》2024年第6期74-77,共4页China Medical Herald

基　　金：海南省临床医学中心建设资助项目;海南省卫生健康行业科研项目(22A200021)。

摘　　要：目的 探讨颅内动脉瘤血管腔内介入术后患者社会支持、应对方式与创伤后成长的相关性。方法 选取2019年3月至2022年2月海南省人民医院收治的335例经血管腔内治疗的颅内动脉瘤患者为研究对象。通过创伤后成长量表、领悟社会支持量表和医学应对方式问卷分别评测患者的创伤后成长、社会支持和应对方式。通过单因素分析、Pearson相关等统计学方法进行分析。结果 不同家庭经济情况、文化程度和日常生活能力患者的创伤后成长(PTG)得分比较,差异有统计学意义(P<0.05)。Pearson相关性分析结果显示,创伤后成长量表各个维度及总分与社会支持量表总分呈正相关(r>0,P<0.05),与医学应对方式问卷中的面对分量表得分呈正相关(r>0,P<0.05),而与回避和屈服分量表得分呈负相关(r<0,P<0.05)。多元线性回归结果显示,文化程度、家庭经济情况、社会支持量表总分、面对正向影响患者创伤后成长,日常生活能力、屈服、回避负向影响患者创伤后成长(P<0.05)。结论 颅内动脉瘤血管腔内介入术后患者创伤后成长得分较低。通过增加社会支持和应对方式可能有助于提高患者的创伤后成长水平。Objective To explore the relationship between social support,coping style and post-traumatic growth in patients with intracranial aneurysm after endovascular intervention.Methods A total of 335 patients with intracranial aneurysm who received endovascular treatment in Hainan General Hospital from March 2019 to February 2022 were selected as the study objects.The post-traumatic growth scale,perceptive social support scale and medical coping style questionnaire were used to evaluate the patients' post-traumatic growth,social support and coping style.Statistical methods such as single factor analysis and Pearson correlation were used for the analysis.Results The post-traumatic grouth(PTG) scores of patients with different family economic status,different education level and different daily living ability were compared,and the differences were statistically significant(P<0.05).The results of Pearson correlation analysis showed that the dimensions and total scores of PTSD were positively correlated with the total scores of the social support scale(r>0,P<0.05),significantly positively correlated with the scores of the face subscale of the medical coping style questionnaire(r>0,P<0.05),and negatively correlated with the scores of the avoidance and submission subscales(r<0,P<0.05).Multiple linear regression results showed that education level,family economic situation,total score of social support scale,facing positively affected post-traumatic growth,and daily living ability,submission,avoidance negatively affected post-traumatic growth(P<0.05).Conclusion The post-traumatic growth score of intracranial aneurysm patients after endovascular intervention is lower.Increased social support and coping styles may help improve the level of post-traumatic growth in patients.

关 键 词：颅内动脉瘤 创伤后成长 社会支持 血管腔内介入 应对方式 

分 类 号：R651.12[医药卫生—外科学]