| 胡茂娟,严颖琦,吴 琛,胡皓月,袁志蓉.肝癌术后患者心理弹性水平调查及与生存质量、应对方式和创伤后成长的相关性分析[J].,2021,(20):3888-3892 |
| 肝癌术后患者心理弹性水平调查及与生存质量、应对方式和创伤后成长的相关性分析 |
| Investigation of the Psychological Resilience Level of Patients with Liver Cancer after Operation and Its Correlation with Quality of Life, Coping Style and Post-traumatic Growth |
| 投稿时间：2021-05-05 修订日期：2021-05-27 |
| DOI：10.13241/j.cnki.pmb.2021.20.017 |
| 中文关键词: 原发性肝癌 心理弹性 生存质量 应对方式 创伤后成长 |
| 英文关键词: Primary liver cancer Psychological resilience Quality of life Coping style Post-traumatic growth |
| 基金项目:江苏省青年医学重点人才项目（QNRC2016855） |
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| 中文摘要: |
| 摘要 目的：调查肝癌术后患者心理弹性水平现状，并探讨其与生存质量、应对方式和创伤后成长的相关性。方法：选取2018年11月-2021年3月我院收治的120例原发性肝癌术后住院患者，采用中文版Conner-Davidson心理弹性量表（CD-RICS）对患者心理弹性水平进行调查，另分别采用肝癌患者生活质量测定量表（QOL-LC）、医学应对方式问卷（MCMQ）、创伤后成长评定量表（PTGI）对患者进行问卷调查。采用Spearman法分析原发性肝癌术后患者心理弹性水平与生存质量、应对方式和创伤后成长的相关性。结果：肝癌术后患者心理弹性总分、乐观、自强、坚韧各维度评分均明显低于中国常模得分（P<0.05）；肝癌术后患者各生存质量维度评分均明显低于中国常模得分（P<0.05）；肝癌术后患者面对应对方式得分较中国常模得分低，回避和屈服应对方式得分较中国常模得分高（P<0.05）；肝癌术后患者创伤后成长总分、各维度评分均明显低于中国常模得分（P<0.05）。肝癌术后患者心理弹性总分与各生存质量维度得分呈正相关（P<0.05）。肝癌术后患者心理弹性总分与回避、屈服应对方式呈负相关，与面对应对方式得分呈正相关（P<0.05）。肝癌术后患者心理弹性总分与创伤后成长总分、各维度得分均呈正相关（P<0.05）。结论：肝癌术后患者具有较低的心理弹性水平，心理弹性水平与积极应对方式、生存质量和创伤后成长呈正相关，应采取针对性措施提高肝癌术后患者心理弹性水平，促进患者术后康复。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the current status of psychological resilience level of patients with liver cancer after operation, and to explore its correlation with quality of life, coping styles and post-traumatic growth. Methods: A total of 120 patients with primary liver cancer after operation who were treated in our hospital from November 2018 to March 2021 were selected. The Chinese version of the Conner-Davidson Psychological Resilience Scale(CD-RICS) was used to investigate the level of psychological resilience level of patients. In addition, the quality of life measurement scale for liver cancer patients(QOL-LC), the medical coping style questionnaire (MCMQ), and the post-traumatic growth rating scale (PTGI) were used to conduct questionnaire surveys on patients. Spearman's method was used to analyze the correlation between the psychological resilience level and the quality of life, coping style and post-traumatic growth of patients with liver cancer after operation. Results: The total scores of psychological resilience, optimism, self-improvement, and toughness of patients with liver cancer after operation were significantly lower than the scores of the Chinese norm(P<0.05). The scores of all quality of life dimensions of patients with liver cancer after operation were significantly lower than the scores of the Chinese norm(P<0.05). The scores of coping styles of patients with liver cancer after operation were lower than those of the Chinese norm, and the scores of avoidance and yielding coping styles were higher than the scores of the Chinese norm(P<0.05). The total post-traumatic growth score and the scores of all dimensions were significantly lower than those in the Chinese norm score(P<0.05). The total psychological resilience scores of patients with liver cancer after operation were positively correlated with the scores of each quality of life dimension (P<0.05). The total psychological resilience score of patients with liver cancer after operation was negatively correlated with avoiding and yielding coping styles, but positively correlated with the scores of facing coping styles(P<0.05). The total score of psychological resilience of patients with liver cancer after operation was positively correlated with the total score of post-traumatic growth and the scores of all dimensions (P<0.05). Conclusion: The psychological resilience level patients with liver cancer after operation is low, and the psychological resilience level is positively correlated with active coping styles, quality of life and post-traumatic growth. Targeted measures should be taken to improve the psychological resilience level of patients with liver cancer after operation and promote postoperative recovery of patients. |
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