| 其他摘要 | Objective:The relationship between postoperative traumatic growth and self-sensory burden and psychological resilience in young and middle-aged patients with rectal cancer was analyzed. Methods:100 patients hospitalized for colorectal cancer surgery at China-Japan Friendship Hospital from January 2019–April 2020 were followed for 1 year after surgery, using the post-traumatic growth scale (Post-Traumatic Growth Scale,PTGI), Psychological toughness scale (Connor-Davidson resilience scale,CD-RISC) and Self-sensory burden scale (Self-Perceived burden scale, SPBS) at 1,3,6 and 12 months estimate.Data were analyzed using ANOVA, t-test, linear regression analysis, and Pearson correlation analysis. Results: 18 patients were lost to follow-up, and 82 patients were finally enrolled. At 3, 6 and 12 months after operation, the PTGI and CD-RISC scores were higher than that at 1 month after operation, and the SPBS scores were lower than that at 1 month after operation ( P < 0.05); the results of covariance univariate analysis showed that the average PTGI score of the high-level psychological resilience group was higher than that of the low-level psychological resilience group，the average SPBS score of the high-level psychological resilience group was lower than that of the low-level psychological resilience group. Correlation analysis showed that PTGI score was positively correlated with CD-RISC score, SPBS score was negatively correlated with CD-RISC score. The total score of posttraumatic growth of 82 patients in this study was 62.34 ± 0.80, with an average score of 3.08 ± 0.06. The total score was 50 points higher than the theoretical median level, which was at the medium level. There were significant differences in residence, work status, health status of main caregivers and main caregivers, economic income and payment methods of medical expenses (P < 0.05) The scores of all dimensions of patients' self perceived burden: the total score of physical burden dimension is 11.32 ± 6.37, with an average score of 2.18 ± 0.94; the total score of emotional burden dimension is 9.08 ± 4.99, with an average score of 2.34 ± 1.16; the results of multiple regression analysis show that the influence degree is family location, economic income and religious belief in order from large to small. Self improvement is the most important factor in all dimensions of patients' Psychological Resilience Scale The highest score, followed by self-improvement, tenacity and optimism from high to low, with statistical difference (P < 0.05) After the regression calculation, the main caregivers, economic income, self perceived burden and psychological resilience factors enter the regression equation of post-traumatic growth of young and middle-aged patients after rectal cancer surgery. From the standardized partial regression coefficient, we can see the degree of impact on post-traumatic growth, that is, the degree of impact on post-traumatic growth from the largest to the smallest is the main caregivers, psychological resilience and self perceived burden , economic income, there was significant difference (P < 0.05). Conclusion:In this study, the postoperative self-sensory burden, psychological resilience level and post-trauma growth level of young and middle-aged rectal cancer patients were all moderate.Among them, young and middle-aged patients with rectal cancer showed a positive correlation between postoperative traumatic growth and psychological resilience, a negative correlation between self-sensory burden and psychological resilience, and a negative correlation between post-traumatic growth and self-sensory burden.The main factors affecting the postoperative growth of trauma, psychological resilience and self-sensory burden of young and middle-aged patients with rectal cancer are patients' economic income, working status, main caregivers, health status of main caregivers, etc. |
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