结直肠癌患者情绪体验、应激后成长和心理弹性的特点及相互关系

目的:探讨结直肠癌患者情绪体验、应激后成长和心理弹性的特点及三者相互间的关系。方法:采用正负性情绪量表(PANAS)、心理弹性量表(CD-RISC)、应激后成长量表(PTGI)、特质焦虑量表(SAP)对某医院就诊196名结直肠癌患者进行抽样调查,并对结果进行统计分析。结果:1结直肠癌患者的正性情绪与心理弹性、应激后成长呈显著正相关(r=0.657~0.705,P0.01),与特质焦虑、负性情绪呈显著负相关(r=-0.499~-0.439,P0.01);结直肠癌患者的负性情绪与特质焦虑呈显著正相关(r=0.472,P0.01),与心理弹性、应激后成长呈显著负相关(r=-0.575~-0.506,P0.01);结直肠癌患者的心理弹性与应激后成长呈显著正相关(r=0.694,P0.01),与特质焦虑呈显著负相关(r=-0.451,P0.05);结直肠癌患者的应激后成长与特质焦虑呈显著负相关(r=-0.537,P0.01);2负性情绪组患者的心理弹性水平、应激后成长水平显著低于正性情绪组而特质焦虑则显著高于正性情绪组(t=-2.747~3.218,P0.05);3结直肠癌患者的正性情绪、负性情绪、特质焦虑具有预测应激后成长的可能,解释率为58.7%。结论:结直肠癌患者正性情绪体验越多,其心理弹性及应激后成长水平越高,焦虑及负性情绪体验越少,更有助于患者提高术后的生活质量。

he Relations among Emotional Experience,Posttraumatic Growth and Resilience in Colorectal Cancer Patients

Objective:To investigate the relations among emotional experience ,posttraumatic growth and resilience in colorectal cancer patients .Methods:Positive and negative affect schedule(PANAS) ,Connor -Davidson Resilience Scale(CD-RISC) ,Posttraumatic growth inventory (PTGI) ,Trait anxiety inventory (TAI)were applied in this sur‐vey to 196 patients by cluster sampling .Results:①During in hospital ,the colorectal cancer patients’ the positive e‐motion had significantly positive correlation with CD score and PTGI score (r=0 6.57~0 7.05 ,P<0 0.1) ,negative correlation with negative emotion and trait anxiety (r=‐0 4.99~‐0 4.39 ,P<0 0.1) .The negative emotion had signifi‐cantly positive correlation with trait anxiety (r= 0 .472 ,P< 0 .01) ,negative correlation with CD score and PTGI score (r=‐0 .575~‐0 .506;P< 0 .01);The CD score had significantly positive correlation with PTGI score (r=0 6.94 ,P<0 .01) ,negative correlation with trait anxiety (r=‐0 .451 ,P< 0 .05);The PTGI score had significantly negative correlation with trait anxiety (r=‐0 5.37 ,P<0 0.1) ,②Compared with groups of positive emotion and nega‐tive emotion ,the CD score and PTGI score of negative emotion were lower ,and the trait anxiety were higher(t=‐2 7.47~3 2.18 ,P<0 0.5);③The positive emotion ,negative emotion and trait anxiety of the colorectal cancer patients could predict their posttraumatic growth(explaining rate 53% ) .Conclusion:The colorectal cancer patients who expe‐rience more positive emotion have higher level of resilience and posttraumatic growth ,and will have more comforta‐ble quality of postoperative life .