描述胃癌幸存者的创伤后生长轨迹:基于人口的纵向研究
Xinran Zhu1, Yitong Qu1, Yinan Zhang1
1School of Nursing, Tianjin Medical University, 22 Meteorological Station Road, Heping District, Tianjin, 300070, China.
概括
创伤后生长 (PTG) 轨迹在胃癌幸存者之间有所不同. 心理性,焦虑和应对方式预测了这些PTG模式,为改善生活质量提供了有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 心理学 心理学 心理学
- 健康结果的健康结果.
背景情况:
- 创伤后成长 (PTG) 是经历逆境后的积极心理结果.
- 癌症的生存率,特别是在胃癌手术后,提出了独特的挑战,影响了生活质量.
- 了解PTG异质性对于个性化患者护理至关重要.
研究的目的:
- 为了研究经创伤后生长 (PTG) 的多样性轨迹,在接受外科手术期间胃癌治疗的患者中.
- 为了确定预测个体PTG轨迹的关键特征.
- 为旨在增强PTG在这个人群中的干预措施提供信息.
主要方法:
- 使用潜增长混合模型来识别不同的PTG轨迹.
- 使用决策树模型来探索轨迹成员的预测因素.
- 在多个时间点收集了403名胃癌幸存者的数据:手术前,重症监护室出院,医院出院和出院后1个月.
主要成果:
- 确定了三种不同的PTG轨迹:稳定高 (20.6%),波动 (44.4%) 和持久低 (35.0%).
- 心理性成为PTG轨迹的主要预测因素.
- 焦虑和应对风格也对预测轨迹亚型作出了重大贡献.
结论:
- 在胃癌幸存者中,创伤后生长经历存在显著的变化.
- 确定患有波动性或低PTG风险的幸存者至关重要.
- 专注于增强心理性的干预措施可以改善PTG并减轻胃癌幸存者的负面结果.
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