摘要
目的探索直肠癌患者创伤后成长、心理韧性及其家庭韧性的相关性。方法便利抽样选取2016年10月至2017年5月入住某院外科的直肠癌手术后患者128例为研究对象,采用一般资料问卷、家庭坚韧力量表(family hardiness index,FHI)、创伤后成长量表(posttraumactic growth inventory,PTGI)和心理韧性量表(Connor-Davidson resilience scale,CD-RISC)对其进行问卷调查。结果本组患者家庭韧性得分为(56.30±7.25)分、创伤后成长总分为(67.19±18.10)分、心理韧性得分为(52.53±8.16)分;家庭韧性总分及其各维度与创伤后成长和心理韧性呈现显著的正相关(r=0.254,0.382);家庭收入、医疗费用来源、人际关系、个人力量、新的可能性、对生活的欣赏、精神变化、坚韧、自强和力量均为家庭韧性的影响因素(均P<0.01)。结论直肠癌患者创伤后成长、心理韧性与家庭韧性有着密切的相关性,医护工作者可从患者的自身情况、创伤后成长、心理韧性水平角度出发,有针对性地进行护理干预,以提高其家庭韧性。
Objective To explore the relationship diness in colorectal cancer patients. Methods By c October 2016 to May 2017 were investigated with among post traumatic growth, resilience and family bar onvenience sampling,128 colorectal cancer patients from using general questionnaire,family hardiness Inventory （FHI）,post traumatic growth Inventory （PTGI） and The 10-item Connor Davidson Resilience Scale （CDRISC）. Results The score of FHI was （56.30± 7. 25）, the total score of PTGI was （67. 19 ± 18. 10）, and the total score of CD RISC was （52.53±8.16）. The Pearson analysis demonstrated that the total score of FHI and its dimensions were positively correlated with the scores of PTGI and the scores of CD RISC. Multi factor analysis showed that family income, medical expense, interpersonal relationships, personal a bility,new possibilities,appreciation of life and the spiritual change were the influencing factors of FHI. Conclusions Posttraumatic growth, psychological resilience and family hardiness of colorectal cancer pa tients are closely related. Healthcare providers can carry out targeted nursing interventions according to the pa tient＇s status,posttraumatic growth and psychological resilience level thus to improve their family resilience.
作者
王红
王东峰
张萍
WANG Hong;WANG Dongfeng;ZHANG Ping(Department of General Surgery,Henan ProvinceHospital of TCM,Zhengzhou 450002,Henan Province,China;Department of Science and Education,Pingyu People＇s Hospital,Pingyu 463400,Henan Province,China)
出处
《解放军护理杂志》
CSCD
北大核心
2018年第17期33-36,60,共5页
Nursing Journal of Chinese People's Liberation Army
