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目的探讨心理防御水平以及疾病特征对乳腺癌住院患者创伤后成长(posttraumatic growth,PTG)的影响,为积极开展有效、个性化心理干预提供依据,进而促进患者康复进程,提高其生存质量。方法选取2014年7月至2015年2月在唐山市三所三甲医院住院治疗的乳腺癌患者350例,运用一般情况调查表、创伤后成长量表、心理弹性量表、中文版创伤后应激障碍问卷、希望量表进行问卷调查并进行统计分析。结果病程越长,保留乳房手术者,心理弹性、希望水平越高,心理痛苦程度越轻、应激障碍越轻者PTG总分越高,差异均有统计学意义(P<0.05);结论乳腺癌患者应该采取积极心理应对方式,提高创伤后成长水平,同时医务人员应注重病人的心理健康,采用有效、个性化心理干预措施,帮助病人恢复健康,提高生存质量。
Objective To explore the influence of psychological defense and disease characteristics on posttraumatic growth (PTG) in hospitalized patients with breast cancer, and to provide a basis for active and personalized psychological intervention to promote the rehabilitation process and quality of life of patients. Methods A total of 350 breast cancer patients hospitalized in the three top three hospitals in Tangshan City from July 2014 to February 2015 were selected. The general condition questionnaire, the post-traumatic growth scale, the psycho-elastic scale, the Chinese version of post-traumatic stress Barrier questionnaire, hope that the questionnaire survey and statistical analysis. Results The longer the course of the disease, the lower the degree of psychological distress was, the lower the degree of psychological distress was. The higher the PTG score was, the lower the stress disorder was. The difference was statistically significant (P <0.05) Cancer patients should adopt a positive coping style to improve the level of post-traumatic growth. At the same time, medical staff should pay attention to the mental health of patients and adopt effective and individualized psychological interventions to help patients recover their health and improve their quality of life.