口腔癌患者术后创伤后成长水平及其与心理弹性和应对方式的关系  

Post-traumatic growth of oral cancer patients after surgery and its relationship with psychological resilience and coping styles

作　　者：林羽 孙莉[1] 张姣苹[1] LIN Yu;SUN Li;ZHANG Jiaoping(Department of Stomatology,Hangzhou First People's Hospital,Hangzhou 310003,China)

机构地区：[1]杭州市第一人民医院口腔科,浙江杭州310003

出　　处：《健康研究》2024年第4期406-411,共6页Health Research

基　　金：浙江省医药卫生科技计划项目(2023KY946)。

摘　　要：目的了解口腔癌患者术后创伤后成长状况及其影响因素,探讨其与心理弹性、应对方式的相关性,为临床构建积极心理干预方案提供依据。方法回顾性收集304例口腔癌手术患者的病历资料,采用创伤后成长量表(PTGI)、心理弹性量表(CD-RISC)、简易应对方式问卷(SCSQ)对患者进行调查,分析口腔癌患者术后创伤后成长的影响因素,及其与心理弹性、应对方式的相关性。结果完成调查的患者300例,PTGI总分为(60.40±14.33)分;其中PTGI得分≥57分(阳性组)共186例(62.0%),<57分(阴性组)共114例(38.0%)。阴性组未婚或离异、月收入≤4000元、手术结合放化疗的患者占比高于阳性组,CD-RISC评分、SCSQ积极应对得分低于阳性组,SCSQ消极应对得分高于阳性组,差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,婚姻状况、月收入、治疗方式、CD-RISC评分、SCSQ评分均为口腔癌患者术后创伤后成长的影响因素(P<0.05)。Spearman相关性分析结果显示,PTGI总分及各维度得分与CD-RISC评分、SCSQ积极应对评分呈正相关,与SCSQ消极应对评分呈负相关(均P<0.05)。结论超过1/3的口腔癌患者术后创伤后成长水平低,建议重点关注未婚或离异、收入低、手术结合放化疗、心理弹性水平低及消极应对的患者群体,以改善预后。Objective To understand the status and influencing factors of post-traumatic growth of oral cancer patients after surgery,and investigate its correlation with psychological resilience and coping styles so as to provide a basis for clinical development of positive psychological intervention program.Methods The medical records of 304 patients who underwent oral cancer surgery were collected retrospectively.The post-traumatic growth inventory(PTGI),Connor-Davidson resilience scale(CD-RISC),and the brief coping style questionnaire(SCSQ)were used for investigation.The factors influencing post-traumatic growth of oral cancer patients after surgery,and its correlation with psychological resilience and coping styles were analyzed.Results A total of 300 patients completed the survey,with a mean total score on the PTGI of(60.40±14.33)points;There were 186(62.0%)patients with PTGI score≥57(positive group)and 114(38.00%)patients with PTGI score<57(negative group).In the negative group,the proportions of unmarried or divorced patients,those with a monthly income≤4000 yuan,and those undergoing surgery combined with radiotherapy and chemotherapy was higher than those in the positive group.The CD-RISC scores and positive coping scores on the SCSQ were lower in the negative group,while negative coping scores were higher,with all differences being statistically significant(P<0.05).Logistic regression analysis indicated that marital status,monthly income,treatment modalities,CD-RISC score,and SCSQ score were influencing factors for post-traumatic growth of oral cancer patients(P<0.05).Spearman correlation analysis showed that total PTGI score and scores in each dimension were positively correlated with CD-RISC scores and SCSQ positive coping scores,and negatively correlated with SCSQ negative coping scores(P<0.05).Conclusions More than one-third of oral cancer patients exhibit low levels of post-traumatic growth after surgery.Special attention should be given to unmarried or divorced individuals,those with low income,patients

关 键 词：口腔癌 创伤后成长 心理弹性 应对方式 相关性 

分 类 号：R781.9[医药卫生—口腔医学]