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乳腺癌患者生命意义感对创伤后成长的影响

高冉 史铁英 李艳娇 姜桐桐 宋春利   

  1. 大连医科大学附属第一医院护理部,116011 辽宁省
  • 出版日期:2018-03-25 发布日期:2018-03-25
  • 基金资助:
    辽宁省教育厅2016年科学研究一般项目(W2016007)

The influence of sense of meaning in life on post-traumatic growth among breast cancer patients

  • Online:2018-03-25 Published:2018-03-25

摘要: 目的:分析乳腺癌患者生命意义感与创伤后成长的动态变化及相关关系,为护理管理者决策提供理论依据。方法:采用方便抽样的方法,运用一般资料调查表、生命意义感量表中文版(Chinese version of Meaning in Life Questionnaire,C-MLQ)与创伤后成长评定量表简体中文版(Chinese-Posttraumatic Growth Inventory,C-PTGI)对80名初诊为原发性乳腺癌的患者于手术前一天(T1)、手术后第3天(T2)、术后4~6周首次入院化疗时(T3)以及患者术后3~6个月末次入院化疗时(T4)行问卷调查。结果:重复测量方差分析显示乳腺癌患者MLQ与PTGI在不同时间点的差异具有统计学意义(P<0.05);Pearson相关分析示MLQ与PTGI呈正相关(P<0.01);多重线性回归分析显示,MLQ是PTGI的影响因素(P<0.01)。结论:MLQ是PTGI的重要影响因素,提高患者的MLQ有助于提高患者的PTGI;医务人员应加强围手术期与化疗初期患者与生命意义相关的护理,从而促进患者创伤后成长的提升以及身心恢复。

Abstract: Objective: To explore the status, dynamic changes and relationship of sense of meaning of life and post-traumatic growth among breast cancer patients, to provide a theoretical basis for nursing managers. Methods: We investigated 80 newly diagnosed breast cancer patients using the Demographic Questionnaire, the Chinese versien of Meaning in Life Questionnaire (C-MLQ), and the Chinese-Posttraumatic Growth Inventory (C-PTGI) during the period before surgery after surgery, the first chemotherapy and the last chemotherapy. Results: Repeated measurement of variance analysis indicated that the difference was significant. Pearson analysis showed that MLQ was positively related with PTGI (P<0.01). Conclusion: Improving the patients' MLQ could improve their PTGI. We should strengthen relevant nursing strategies about sense of meaning in life among patients during peri-operative stage and chemotherapy, so as to promote the patients' post-traumatic growth and physical and psychological recovery.