创伤后成长及心理控制源与肠造口病人心理接受关联程度的模型分析

目的分析创伤后成长及心理控制源与肠造口病人心理接受关联程度的关系。方法选取88例结直肠癌造口病人，采用造口病人社会心理适应量表(OAI-20)评估心理接受，创伤后成长评定量表评估创伤后成长，多维度健康状况心理控制源量表评估心理控制源。采用AMOS24.0软件建立结构方程模型，验证心理控制源在心理接受与创伤后成长间的中介作用。结果88例病人的OAI-20得分为(43.66±6.26)分，为中低度适应水平；其中各维度条目均分:正性情绪维度(2.28±0.38)分，负性情绪维度(2.42±0.52)分，社会生活维度(2.21±0.46)分。创伤后成长总分为(68.33±10.46)分，具有创伤后成长者54例(61.36%)。健康内部控制得分为(21.33±4.37)分，健康权威人士控制得分为(24.26±4.68)分，健康机遇控制得分为(20.35±4.26)分。心理控制源在心理接受与创伤后成长间存在中介作用，中介效应占总效应的61.60%。结论应重视直肠癌病人创伤后成长对心理接受的影响，采取有效措施提高病人的创伤后成长及心理控制源，从而提升造口心理接受程度。

Model analysis of the degree of association between post-traumatic growth,locus of control and psychological acceptance of enterostomy patients

ObjectiveTo analyze the relationship between post-traumatic growth, locus of control and psychological acceptance of patients with enterostomy.MethodsEighty-eight patients with rectal cancer enterostomy were selected.The ostomy adjustment inventory-20(OAI-20) was used to evaluate the psychological acceptance, the posttraumatic growth inventory was applied to assess the post-traumatic growth, and the multidimentional health locus of control scale was employed to assess the locus of control. A structural equation model established by AMOS24.0 software was used to verify the mediating effect of locus of control between psychological acceptance and post-traumatic growth.ResultsThe OAI-20 score of 88 patients was(43.66±6.26) points, which was at a medium-low adaptation level; the average score of each dimension item was as follows: positive emotion dimension(2.28±0.38) points, negative emotion dimension(2.42±0.52) points, and social life dimension(2.21±0.46) points. The total score of post-traumatic growth was(68.33±10.46) points, and 54 patients(61.36%) had post-traumatic growth.The score of health internal control was(21.33±4.37) points, the score of health authority control was(24.26±4.68) points, and the score of health opportunity control was(20.35±4.26) points. The locus of control had a mediating effect between psychological acceptance and post-traumatic growth, and the mediating effect accounted for 61.60% of the total effect.ConclusionsThe influence of post-traumatic growth on psychological acceptance of rectal cancer patients should be paid attention to, and effective measures should be taken to improve the post-traumatic growth and locus of control of patients, so as to improve the psychological acceptance of stoma.