肺癌术后患者创伤后成长现状及其影响因素研究  

Status and influencing factors of post-traumatic growth in patients with lung cancer after surgery

作　　者：田梦白 任娜 卢羿同 祁译民 邢奇 王名雨 赵亮 TIAN Mengbai;REN Na;LU Yitong;QI Yimin;XING Qi;WANG Mingyu;ZHAO Liang(Department of Thoracic Surgery,National Cancer Center/National Cancer Clinical Medical Research Center/Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing100021,China;School of Public Health,Capital Medical University,Beijing100069,China)

机构地区：[1]国家癌症中心/国家肿瘤临床医学研究中心/中国医学科学院北京协和医学院肿瘤医院胸外科,北京100021 [2]首都医科大学公共卫生学院,北京100069

出　　处：《中国医药导报》2024年第29期114-118,共5页China Medical Herald

基　　金：首都卫生发展科研专项项目(首发2024-2-4027);中国医学科学院临床与转化医学研究专项项目(2022-I2MC&T-B-055)。

摘　　要：目的调查肺癌术后患者创伤后成长现状,分析其影响因素。方法使用便利抽样法,使用一般资料调查表、创伤后成长量表(PTGI)、社会支持量表(SSRS)对2023年1月至3月在中国医学科学院肿瘤医院胸外科住院的170例肺癌术后患者进行横断面调查,分析其创伤后成长的影响因素。结果肺癌术后患者PTGI得分为(57.91±10.97)分,SSRS得分为(44.73±7.97)分。单因素分析显示,不同年龄,文化程度,婚姻,独居,人均月收入,医疗费用支付方式,基础病,放、化疗史患者PTGI得分比较,差异有统计学意义(P<0.05)。Pearson相关性分析显示,肺癌术后患者PTGI总分及各维度得分与SSRS总分及各维度得分均呈正相关(r>0,P<0.05)。分层回归分析显示:文化程度为硕士及以上(β=7.482),人均月收入为2000~<5000元(β=4.398)、5000~<8000元(β=5.630)、≥8000元(β=5.073)及社会支持(β=0.601)是肺癌术后患者创伤后成长的影响因素(P<0.05)。结论肺癌术后患者创伤后成长处于中等水平,有待进一步提升。医护人员应针对不同特征的患者开展个性化护理和心理指导,提高社会支持水平,引导患者做出积极调整,改善其身心健康和生活质量。Objective To investigate the current status of post-traumatic growth in patients with lung cancer after surgery,and to identify its influencing factors.Methods A cross-sectional survey of 170 patients with lung cancer after surgery who were hospitalized in the Department of Thoracic Surgery,Cancer Hospital of Chinese Academy of Medical Sciences from January to March 2023 was conducted by convenience sampling method and general data questionnaire,post-traumatic growth inventory(PTGI)and social support rating scale(SSRS),and the influencing factors of post-traumatic growth were analyzed.Results The PTGI score for patients with lung cancer after surgery was(57.91±10.97)points,and the SSRS score for patients with lung cancer after surgery was(44.73±7.97)points.Univariate analysis showed that the PTGI scores of patients with different age,education level,marriage,living alone,per capita monthly income,payment method of medical expenses,underlying diseases and history of radiotherapy,and chemotherapy were compared,the differences were statistically significant(P<0.05).Pearson correlation analysis showed that the total score and dimension scores of PTGI were positively correlated with the total score and dimension scores of SSRS(r>0,P<0.05).Stratified regression analysis indicated that the educational level of master’s degree or above(β=7.482),the per capita monthly income of 2000-<5000 yuan(β=4.398),5000-<8000 yuan(β=5.630),≥8000 yuan(β=5.073),and social support(β=0.601)were the influencing factors of post-traumatic growth in patients after lung cancer surgery(P<0.05).Conclusion Post-traumatic growth in patients with lung cancer after surgery is at a medium level and needs to be further improved.Medical staffs should provide personalized care and psychological guidance for patients with different characteristics,improve the level of social support,guide patients to make positive adjustments,improve their physical and mental health,and quality of life.

关 键 词：肺癌 创伤后成长 社会支持 影响因素 

分 类 号：R246[医药卫生—针灸推拿学]