结直肠癌患者创伤后成长与积极心理品质、儿童期逆境的关系

发布时间：2018-02-26 14:54

本文关键词： 结直肠癌创伤后成长积极心理品质儿童期逆境　出处：《山东大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：探讨结直肠癌患者创伤后成长与积极心理品质(一线希望、感恩)、儿童期逆境的关系。方法：于济南市某三级甲等医院胃肠外科选取诊断为结直肠癌的患者为研究对象,采用自行设计的一般资料问卷、感恩问卷(Gratitude Questionnaire, GQ-6)、一线希望问卷(Silver Lining Questionnaire-38item,SLQ-38)、儿童期逆境问卷(Adverse Childhood Experiences, ACE)、创伤后成长问卷(Posttraumatic Growth Inventory, PTGI)收集患者的人口学资料和评估感恩、一线希望、儿童期逆境和创伤后成长水平。统计分析采用方差分析和独立样本t检验比较不同人口学资料的患者一线希望、感恩和创伤后成长水平差异；pearson相关分析用于分析一线希望与创伤后成长及5个因子的相关性,spearman相关分析用于分析儿童期逆境与创伤后成长及5个因子的相关性；采用分层回归分析验证创伤后成长的预测因素。结果：PTG总分在不同人口学资料各个项目中无显著差异(P0.05),感恩总分在不同年龄组间(F=3.633,P0.05)、不同家庭月收入组间(F=3.232,P0.05)、不同婚姻状况的患者间存在统计学差异,结肠癌与直肠癌患者的一线希望得分有统计学差异差异,直肠癌患者的一线希望得分显著高于结肠癌患者(t=2.091,P0.05)；非累积逆境组PTG水平较高(P=0.027)；ACE与PTG的人际关系维度存在负相关(r=-0.261,P0.01),一线希望与PTG总分及各维度均存在相关性(r=0.220～0.427,P0.05)；ACE和一线希望能显著预测PTG总水平及相关维度。结论： (1)儿童期逆境与创伤后成长总水平及人际关系维度呈负相关。 (2)一线希望与PTG及各维度呈正相关。 (3)ACE和一线希望能显著预测PTG总水平及相关维度。
[Abstract]:Objective: to investigate the relationship between post-traumatic growth and positive psychological traits (glimmer of hope, gratitude, childhood adversity) in patients with colorectal cancer. Methods: the patients diagnosed as colorectal cancer in the gastrointestinal surgery department of Grade 3A Hospital in Jinan City were selected as the research objects, and the self-designed general information questionnaire was used. Gratitude questionnaire Gratitude Questionnaire, GQ-6, Silver Lining Questionnaire-38iteman SLQ-38, Adverse Childhood experience, ACEI, Post-traumatic Growth Inventory (PTGI) collected demographic data and assessed gratitude. Childhood adversities and post-traumatic growth levels. The statistical analysis used ANOVA and independent sample t-test to compare the different demographic data of patients with a glimmer of hope. Pearson correlation analysis was used to analyze the correlation between first-line hope and post-traumatic growth and 5 factors. Spearman correlation analysis was used to analyze the correlation between childhood adversity and post-traumatic growth and 5 factors. Stratified regression analysis was used to verify the prognostic factors of post traumatic growth. Results there was no significant difference in the total score of 1: PTG among different demographic data items (P0.05). The total score of gratitude was 3.633% (P0.05) among different age groups, and there were significant differences among different family income groups (3.232%, P0.05), and there were statistical differences among the patients with different marital status. There was a statistically significant difference in the score of first-line hope between colon cancer and rectal cancer patients. The score of first-line hope in patients with rectal cancer was significantly higher than that in patients with colon cancer (2.091%, P 0.05), and the level of PTG in non-cumulative stress group was higher than that in non-cumulative stress group. There was a negative correlation between PTG and the interpersonal relationship dimension of PTG. There was a negative correlation between the first hope score and the total score of PTG and every dimension of PTG, r0.2200.427P0.05ACE. Line hopes to significantly predict the total level of PTG and related dimensions. Conclusion:. 1) there was a negative correlation between childhood adversity and posttraumatic growth level and interpersonal dimension. 2) A ray of hope was positively correlated with PTG and each dimension. ACE and a ray of hope can significantly predict the total level of PTG and related dimensions.
【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R473.72

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