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中青年直肠癌患者术后创伤后成长和自我感受负担与心理韧性的关系
Relation of post-traumatic growth and self-perceived burden with psychological resilience in patients with rectal cancer

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张晓云 1,2   陶婷 1,2   王利刚 1,2 *   高文斌 1,2  
文摘 目的:考察直肠癌患者术后创伤后成长、自我感受负担与心理韧性的关系。方法:选取2019年1月-2020年4月中日友好医院收治的直肠癌患者100例,术后均随访1年,在术后1、3、6及12个月时采用创伤后成长量表(PTGI)、自我感受负担量表(SPBS)和心理韧性量表(CD-RISC)评估。结果:18例患者失访,最终纳入82例。患者术后3、6、12个月的PTGI、CD-RISC得分均较术后1个月升高,SPBS得分均较术后1个月降低(均P<0.05);单因素协方差分析结果显示,心理韧性高水平组术后的平均PTGI总分均高于心理韧性低水平组,平均SPBS总分均低于心理韧性低水平组,差异具有统计学意义(均P<0.05);多元线性回归分析结果显示,术后PTGI得分与CD-RISC得分呈正相关(β=0.38),SPBS得分与CD-RISC得分呈负相关(β=-0.41)。结论:中青年直肠癌患者术后创伤后成长和自我感受负担与心理韧性有相关关系。
其他语种文摘 Objective:To observe the relationship among post-traumatic growth,self-perceived burden and psychological resilience in patients with rectal cancer.Methods:Totally 100 patients with rectal cancer treated in China-Japan Friendship Hospital from January 2019 to April 2020 were selected,all patients were followed up for 1 year after operation.The Post-Traumatic Growth Scale (PTGI),Self-Perceived Burden Scale (SPBS) and Connor Davidson Resilience Scale (CD-RISC) were used for assessment 1 month,3 months,6 months and 12 months after surgery.Results:Totally 18 cases were lost during the follow-up,and 82 cases were finally included in the study.The PTGI and CD-RISC scores were higher and the SPBS scores were lower at 3,6 and 12 months after operation than at 1 month after operation (Ps<0.05).The results of one-way covariance analysis showed that the PTGI total scores were higher and the SPBS total scores were lower in the high-level group than in the low-level group (Ps<0.05).Multiple linear regression analysis results showed that there was a positive correlation between postoperative PTGI scores and CD-RISC scores (β=0.38),and a negative correlation between SPBS scores and CD-RISC scores (β=-0.41).Conclusion:It suggests that posttraumatic growth and self-perceived burden may be related to psychological resilience in young and middle-aged patients with rectal cancer.
来源 中国心理卫生杂志 ,2022,36(6):496-500 【核心库】
DOI 10.3969/j.issn.1000-6729.2022.06.008
关键词 直肠癌 ; 手术 ; 创伤后成长 ; 自我感受负担 ; 心理韧性 ; 相关性
地址

1. 中国科学院心理研究所, 北京, 100101  

2. 中国科学院大学心理系, 北京, 100049

语种 中文
文献类型 研究性论文
ISSN 1000-6729
学科 基础医学;肿瘤学
文献收藏号 CSCD:7218813

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