头颈部癌症术后病人反刍性沉思、应对方式与创伤后成长的相关性研究

目的 调查头颈部癌症术后病人创伤后成长水平，并分析其影响因素。 方法 选取2020年9月至2021年3月在安徽省某三甲医院住院或门诊复查的206例头颈部癌症病人作为研究对象，采用一般资料调查表、创伤后成长量表(C-PTGI)、简体中文版事件相关反刍性沉思问卷(C-ERRI)、医学应对方式(MCMQ)进行调查。 结果 头颈部癌症术后病人C-PTGI总分为(60.91±9.74)分；不同月收入、婚姻状况、居住地、性格类型、术后时间、肿瘤分期的头颈部癌症术后病人C-PTGI得分差异均有统计学意义(P < 0.05~P < 0.01);反刍性沉思、目的性反刍性沉思与C-PTGI总分及各维度均呈正相关关系，侵入性反刍性沉思与C-PTGI总分及各维度均呈负相关关系；面对得分与C-PTGI总分及各维度均呈正相关关系，屈服得分与C-PTGI总分及各维度均呈负相关关系，回避与C-PTGI总分及各维度(除“与他人关系”)均呈正相关关系(P < 0.01);影响创伤后成长水平的保护因素是外向型性格、目的性反刍性沉思和面对应对方式；危险因素是内向型性格和屈服应对方式(P < 0.01)。 结论 头颈部癌症术后病人创伤后成长处于中低水平，外向型性格、目的性反刍性沉思水平高、采取面对应对方式可能有助于病人创伤后成长，护理人员应给予针对性干预，以改善病人治疗结局。

Correlation between rumination,coping style and posttraumatic growth of post-surgical patients with cephalocevical cancer

Objective To investigate posttraumatic growth level of post-surgical patients with cephalocevical cancer and analyze its influencing factors. Methods A total of 206 patients with cephalocevical cancer who were hospitalized or re-examined in the outpatient department of a tertiary grade A hospital in Anhui province were selected as the research subjects.The general data questionnaire, the posttraumatic growth inventory scale(C-PTGI), the simplified Chinese version of the event-related rumination inventory(C-ERRI), and the medical coping modes questionnaire(MCMQ) were used to investigate the status of the subjects. Results The total C-PTGI score of post-surgical patients with cephalocevical cancer was(60.91±9.74) points.There was significant difference in PTG scores among patients with different monthly income, marital status, residence, personality type, postoperative time and tumor stage(P < 0.05 to P < 0.01).Rumination and purposeful rumination were positively correlated with PTG score and its each dimension, while invasive rumination was negatively correlated with PTG total score and its each dimension.Facing score was positively correlated with PTG total score and its each dimension, yield score was negatively correlated with PTG total score and its each dimension, avoidance was positively correlated with PTG total score and its each dimensions(except "relationship with others")(P < 0.01).The protective factors of posttraumatic growth were extraversion, purposive rumination and coping style, and the risk factors were introversion and yielding coping style(P < 0.01). Conclusions The post-traumatic growth of post-surgical patients with cephalocevical cancer is at a low and medium level.Extroverted personality, high level of purposeful rumination and coping style may contribute to the posttraumatic growth of patients.Nurses should give targeted intervention to improve the treatment outcome of patients.