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R 2=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。
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.
作者
刘倩
莫霖
唐心悦
余璐
刘洋
LIU Qian;MO Lin;TANG Xinyue;YU Lu;LIU Yang(Department of Nursing,Children's Hospital of Chongqing Medical University,400014,Chongqing,China)
出处
《中国护理管理》
CSCD
2021年第5期674-679,共6页
Chinese Nursing Management
基金
重庆市科技计划项目(cstc2018jscx-msybX0110)。
关键词
儿童
青少年
癌症
创伤后成长
影响因素
children
adolescent
cancer
post-traumatic growth
influencing factor
