主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (5): 674-679.doi: 10.3969/j.issn.1672-1756.2021.05.009

• 论著 • 上一篇    下一篇

儿童和青少年癌症幸存者创伤后成长现状及影响因素

刘倩 莫霖 唐心悦 余璐 刘洋   

  1. 重庆医科大学附属儿童医院(国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室)护理部,400014 (刘倩,莫霖,唐心悦);特需门诊(余璐);血液肿瘤科(刘洋)
  • 出版日期:2021-05-15 发布日期:2021-05-15
  • 通讯作者: 莫霖,本科,主任护师,教授,护士长,E-mail:molin999@126.com
  • 作者简介:刘倩,硕士在读
  • 基金资助:
    重庆市科技计划项目(cstc2018jscx-msybX0110)

Status of post-traumatic growth and its influencing factors of pediatric cancer survivors

LIU Qian, MO Lin, TANG Xinyue, YU Lu, LIU Yang   

  1. Department of Nursing, Children's Hospital of Chongqing Medical University, 400014, Chongqing, China
  • Online:2021-05-15 Published:2021-05-15
  • Contact: E-mail:molin999@126.com

摘要: 目的:分析儿童和青少年癌症幸存者创伤后成长现状及影响因素。方法:采用一般资料问卷、一般自我效能感量表、简易应对方式问卷、社会关系网络问卷和创伤后成长评定量表对64例儿童和青少年癌症幸存者进行调查。结果:儿童和青少年癌症幸存者创伤后成长总分为(53.30±20.22)分;儿童和青少年癌症幸存者创伤后成长总分与自我效能感(r=0.561,P<0.001)、积极应对维度(r=0.635,P<0.001)、肯定与支持维度(r=0.356,P=0.004)、陪伴与亲密维度(r=0.360,P=0.003)、满意度维度(r=0.290,P=0.020)得分均呈正相关,与消极应对维度(r=-0.439,P<0.001)得分呈负相关;多元线性回归分析结果表明,年龄、居住地、自我效能感、积极应对方式、消极应对方式、陪伴与亲密维度是儿童和青少年癌症幸存者创伤后成长的影响因素(调整后R2=0.635)。结论:儿童和青少年癌症幸存者的创伤后成长处于中等水平,临床实践中应关注患儿的年龄、居住地、自我效能感、应对方式以及社会支持力度,以提升个体创伤后成长的水平。

关键词: 儿童;青少年;癌症;创伤后成长;影响因素

Abstract: Objective: To explore the level and influencing factors of post-traumatic growth of pediatric cancer survivors. Methods: A total of 64 pediatric cancer survivors were investigated with the general information questionnaire, the General Self-efficacy Scale, the Simplified Coping Style Questionnaire, the Social Support Questionnaire and the Post-Traumatic Growth Scale. Results: The post-traumatic growth score of pediatric cancer survivors was (53.30±20.22). Pearson correlation analysis showed that post-traumatic growth of pediatric cancer survivors was positively correlated with self-efficacy (r=0.561, P<0.001), positive coping style (r=0.635, P<0.001), affirmation and support (r=0.356, P=0.004), companionship and intimacy (r=0.360, P=0.003), satisfaction (r=0.290, P=0.020), and negatively correlated with negative coping style (r=-0.439, P<0.001). Multiple linear regression analysis showed that post-traumatic growth of pediatric cancer survivors was associated with age, place of residence, self-efficacy, positive coping style, negative coping style, companionship and intimacy dimensions. Conclusion: The post-traumatic growth level of pediatric cancer survivors is at a moderate level. In clinical practice, we should pay attention to children's age, residence, self-efficacy, coping style and social support, so as to improve the level of post-traumatic growth.

Key words: children; adolescent; cancer; post-traumatic growth; influencing factor

中图分类号: 

  • R47