乳腺癌患者和配偶的创伤后成长及与积极心理资本的关系

doi:10.3761/j.issn.0254-1769.2023.07.004

摘要/Abstract

摘要：

目的调查乳腺癌患者及其配偶的创伤后成长状况，探究患者和配偶的积极心理资本对自身及彼此创伤后成长的影响。方法采取方便抽样方法，应用一般资料调查表、创伤后成长量表及积极心理资本量表，于2021年3月—6月对在天津市某三级甲等医院就诊的女性乳腺癌患者及其配偶共132对进行调查，130对完成调查。结果乳腺癌患者及配偶创伤后成长得分分别为（2.43±1.11）、（2.34±1.27）分，均显著低于量表理论中值3.5分（均P<0.001），处于中等偏下水平；患者的积极心理资本总分低于配偶（P=0.033）；在患者积极心理资本维度中，韧性水平相对较低。主客体互倚模型分析表明，患者及配偶的积极心理资本均正向预测自身的创伤后成长（Ps<0.001）；乳腺癌患者的积极心理资本正向预测配偶的创伤后成长（P<0.05），而配偶的客体效应差异无统计学意义（P>0.05）。结论乳腺癌患者及配偶的创伤后成长处于中等偏下水平；患者的心理韧性低于其积极心理资本的其他维度。乳腺癌患者和配偶的积极心理资本与创伤后成长关系的客体效应呈现不对称性，配偶的积极心理资本对于乳腺癌患者的创伤后成长的支持力不足。

关键词: 乳腺肿瘤, 创伤后成长, 心理资本, 主客体互倚, 心理护理

Abstract:

Objective To investigate the post-traumatic growth status of breast cancer patients and their spouses，and to explore the effect of the positive psychological capital of patients and spouses on their own and each other’s post-traumatic growth. Methods From March to June 2021，a total of 130 pairs of female breast cancer patients and their spouses in a tertiary hospital in Tianjin were investigated by convenience sampling method and completed the investigation，using the general information questionnaire，Posttraumatic Growth Inventory，and Positive Psychological Capital Scale. Results The posttraumatic growth scores of breast cancer patients and their spouses of（2.43±1.11）（2.34±1.27） were significantly lower than the theoretical median value of 3.5，which were in the lower middle level（P<0.001）. The total score of positive psychological capital of patients was lower than that of spouses（P=0.033）. In the dimension of patients’ positive psychological capital，the level of resilience was relatively low. Subject-object interdependence model analysis showed that the positive psychological capital of patients and their spouses positively predicted their posttraumatic growth（Ps<0.001）. Positive psychological capital positively predicted the posttraumatic growth of spouses in breast cancer patients（P<0.05），but the partner effect on spouses was not significant（P>0.05）. Conclusion The posttraumatic growth level of breast cancer patients and their spouses is in the lower middle level. The level of patients’ resilience is relatively low. The partner effect of positive psychological capital of patients and spouses on posttraumatic growth is asymmetric，and the support of positive psychological capital of spouses and patients’ posttraumatic growth is insufficient.

Key words: Breast Neoplasms, Posttraumatic Growth, Psychological Capital, Subject-Object Interdependence, Psychological Nursing

刘英, 甄倩, 王晓庄, 张皎霄, 张亚平, 王德欣, 王熙棋. 乳腺癌患者和配偶的创伤后成长及与积极心理资本的关系[J]. 中华护理杂志, 2023, 58(7): 794-799.

LIU Ying, ZHEN Qian, WANG Xiaozhuang, ZHANG Jiaoxiao, ZHANG Yaping, WANG Dexin, WANG Xiqi. Posttraumatic growth in breast cancer patients and their spouses and its relationship with positive psychological capital[J]. Chinese Journal of Nursing, 2023, 58(7): 794-799.

图/表 3

表1 乳腺癌癌症患者及配偶的创伤后成长和积极心理资本

Table 1 Comparison of post-traumatic growth and positive psychological capital in breast cancer patients and their spouses（score，$\bar{x}\pm s$）

图1 积极心理资本与创伤后成长主客体效应路径分析结果注：虚线表示不显著路径，实线表示显著路径。 1）P<0.05，2）P<0.01，3）P<0.001。

Figure 1 Analysis results of the subject-object effect path of positive psychological capital and post-traumatic growth

图2 积极心理资本维度与创伤后成长主客体效应路径分析结果注：虚线表示不显著路径，实线表示显著路径。 1）P<0.05，2）P<0.01，3）P<0.001。

Figure 2 Analysis results of positive psychological capital dimension and subject-object effect path of post-traumatic growth

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