乳腺癌患者积极心理资本、创伤后成长、生命质量现状相关性研究
Study on the Correlation among Positive Psychological Capital, Posttraumatic Growth and Quality of Life of Breast Cancer Patients
摘要: 目的:探讨乳腺癌患者创伤后成长、积极心理资本及生活质量现状的相关性,为乳腺癌患者的治疗和实施心理干预提供理论依据,提高乳腺癌患者的生活质量。方法:运用一般情况调查问卷、积极心理资本问卷、创伤后成长量表、乳腺癌痛者生命质量测定量表,通过方便抽样选取125例乳腺癌患者进行施测,采用描述统计、多元回归分析的方法进行分析。结果:1) 积极心理资本、生命质量现状得分中等偏上,各个维度均显著高于中值;2) 创伤后成长总分处于中等水平,各维度与量表中值无显著差异;3) 乳腺癌患者积极心理资本、创伤后成长以及生命质量现状存在显著正相关关系;4) 乐观、韧性两个维度显著正向预测患者生命质量现状;5) 人际关系、精神变化显著正向预测患者生命质量现状。结论:乳腺癌患者的积极心理资本与创伤后成长对于其生命质量现状存在一定的预测作用。
Abstract: Objective: To explore the correlation between breast cancer patients’ post-traumatic growth, positive psychological capital and quality of life, so as to provide theoretical basis for the treatment and psychological intervention of breast cancer patients and improve the quality of life of breast cancer patients. Methods: 125 patients with breast cancer were tested by using general situation questionnaire, positive psychological capital questionnaire, post-traumatic growth scale and quality of life of breast cancer sufferers through convenient sampling, and analyzed by descriptive statistics and multiple regression analysis. Results: 1) The scores of positive psychological capital and quality of life were above average, and all dimensions were significantly higher than the median; 2) the total score of post-traumatic growth was at the middle level, and there was no significant difference between each dimension and the median of the scale; 3) there was a significant positive correlation between positive psychological capital, post-traumatic growth and quality of life of breast cancer patients; 4) optimism and resilience positively predicted the quality of life of patients; 5) the changes of interpersonal relationship and spirit positively predicted the quality of life of patients. Conclusion: The positive psychological capital and post-traumatic growth of breast cancer patients can predict their quality of life.
文章引用:甄倩 (2022). 乳腺癌患者积极心理资本、创伤后成长、生命质量现状相关性研究. 心理学进展, 12(11), 3749-3758. https://doi.org/10.12677/AP.2022.1211454

参考文献

[1] 董璐, 胡雁, 徐国会, 黄嘉玲(2013). 中文版创伤后成长量表应用于乳腺癌患者的信效度分析. 护理学杂志, 28(22), 21-23.
[2] 李赛蕊, 张珂, 孟隽, 孙君红, 秦霞(2017). 癌症患者积极心理资本与生命质量的相关性研究. 中国实用护理杂志, 33(21), 1627-1630.
[3] 宋旭红, 徐世林, 李凌飞, 史梦竹, 曹旭敏, 李丽萍(2017). 心理资本干预对广泛性焦虑障碍患者心理状况及其免疫功能的影响. 中国药物与临床, 17(4), 475-478.
[4] 唐家林, 李祚山, 张小艳(2012). 大学生积极心理资本与主观幸福感的关系. 中国健康心理学杂志, 20(7), 1105-1108.
[5] 万崇华, 张冬梅, 汤学良, 张文莉, 李文辉, 任宏轩, 和瑞生, 王雯(2003). 乳腺癌患者生命质量测定量表(FACT-B)中文版的修订. 中国心理卫生杂志, 17(5), 298-300.
[6] 王建丽, 周毅娟, 夏伶俐, 王新艳(2020). 基于积极心理学视角的乳腺癌术后患者创伤后成长纵向调查. 中国实用神经疾病杂志, 23(15), 1344-1348.
[7] 王胜琴, 宋江艳(2017). 肠造口患者心理韧性及创伤后成长与其生活质量的相关性研究. 中国护理管理, 17(6), 840-844.
[8] 吴秋平, 徐栋, 吕超然, 贺鹭(2022). 乳腺癌患者术后焦虑、抑郁对生命质量的影响及社会支持的中介作用. 重庆医学, 51(2), 326-330.
[9] 严洁芳(2016). 乳腺癌术后化疗病人创伤后成长现状及影响因素. 护理研究: 下旬版, 30(6), 2280-2281.
[10] 杨常娱(2015). 口腔恶性肿瘤患者的心理资本在压力与抑郁倾向关系中的作用. 硕士学位论文, 沈阳: 中国医科大学.
[11] 张阔, 张赛, 董颖红(2010). 积极心理资本: 测量及其与心理健康的关系. 心理与行为研究, 8(1), 58-64.
[12] 郑春娆, 王惠珍(2018). 乳腺癌术后患者病耻感现状及影响因素分析. 护理学报, 25(2), 7-9.
[13] 郑莹, 吴春晓, 张敏璐(2013). 乳腺癌在中国的流行状况和疾病特征. 中国癌症杂志, 23(8), 561-569.
[14] Cella, D. F., Tulsky, D. S., Gray, G., Sarafian, B., Linn, E., Bonomi, A. et al. (1993). The Functional Assessment of Cancer Therapy Scale: Development and Validation of the General Measure. Journal of Clinical Oncology, 11, 570-579.
https://doi.org /10.1200/JCO.1993.11.3.570
[15] Felix, E., Afifi, T., Kia-Keating, M., Brown, L., Afifi, W., & Reyes, G. (2015). Family Functioning and Posttraumatic Growth among Parents and Youth Following Wildfire Disasters. American Journal of Orthopsychiatry, 85, 191-200.
https://doi.org /10.1037/ort0000054
[16] Hennessy, M. (2014). Using Positive Psychology Measures in Clinical Practice: A New Way Forward. Annals of the Australasian College of Tropical Medicine, 15, 68.
[17] Ho, S., Rajandram, R. K., Chan, N., Samman, N., Mcgrath, C., & Zwahlen, R. A. (2011). The Roles of Hope and Optimism on Posttraumatic Growth in Oral Cavity Cancer Patients. Oral Oncology, 47, 121-124.
https://doi.org /10.1016/j.oraloncology.2010.11.015
[18] Jung, J., & Yun, Y. H. (2014). The Risk Factors of Poor Post Traumatic Growth (PTG) in Lung Cancer Patients and the Association of Post Traumatic Growth (PTG) with Health Related Quality of Life (HRQOL). Psycho-Oncology: Journal of the Psychological Social and Behavioral Dimensions of Cancer, 23, 392-393.
[19] Luthans, F., Avolio, B. J., Avey, J. B., & Norman, S. M. (2007). Positive Psychological Capital: Measurement and Relationship with Performance and Satisfaction. Personnel Psychology, 60, 541-572.
https://doi.org /10.1111/j.1744-6570.2007.00083.x
[20] Ristevska-Dimitrovska, G., Filov, I., Rajchanovska, D., Stefanovski, P., & Dejanova, B. (2015). Resilience and Quality of Life in Breast Cancer Patients. Open Access Macedonian Journal of Medical Sciences, 3, 727-731.
https://doi.org /10.3889/oamjms.2015.128
[21] Sears, S. R., Stanton, A. L., & Danoff-Burg, S. (2003). The Yellow Brick Road and the Emerald City: Benefit Finding, Positive Reappraisal Coping and Posttraumatic Growth in Women with Early-Stage Breast Cancer. Health Psychology, 22, 487-497.
https://doi.org /10.1037/0278-6133.22.5.487
[22] Taku, K., Calhoun, L. G., Tedeschi, R. G., Gil-Rivas, V., Kilmer, R. P., & Cann, A. (2007). Examining Posttraumatic Growth among Japanese University Students. Anxiety, Stress, and Coping, 20, 353-367.
https://doi.org /10.1080/10615800701295007
[23] Tian, J., Chen, Z. C., Wu, B., & Meng, X. (2004). Comparison of Quality of Life between Urban and Rural Gastric Cancer Patients and Analysis of Influencing Factors. World Journal of Gastroenterology, 10, 2940-2943.
https://doi.org /10.3748/wjg.v10.i20.2940
[24] Wilson, B., Morris, B. A., & Chambers, S. (2014). A Structural Equation Model of Posttraumatic Growth after Prostate Cancer. Psycho-Oncology, 23, 1212-1219.
https://doi.org /10.1002/pon.3546