本文關(guān)鍵詞： 結(jié)直腸癌 創(chuàng)傷后成長 積極心理品質(zhì) 兒童期逆境　出處：《山東大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：探討結(jié)直腸癌患者創(chuàng)傷后成長與積極心理品質(zhì)(一線希望、感恩)、兒童期逆境的關(guān)系。 方法：于濟(jì)南市某三級甲等醫(yī)院胃腸外科選取診斷為結(jié)直腸癌的患者為研究對象,采用自行設(shè)計(jì)的一般資料問卷、感恩問卷(Gratitude Questionnaire, GQ-6)、一線希望問卷(Silver Lining Questionnaire-38item,SLQ-38)、兒童期逆境問卷(Adverse Childhood Experiences, ACE)、創(chuàng)傷后成長問卷(Posttraumatic Growth Inventory, PTGI)收集患者的人口學(xué)資料和評估感恩、一線希望、兒童期逆境和創(chuàng)傷后成長水平。統(tǒng)計(jì)分析采用方差分析和獨(dú)立樣本t檢驗(yàn)比較不同人口學(xué)資料的患者一線希望、感恩和創(chuàng)傷后成長水平差異；pearson相關(guān)分析用于分析一線希望與創(chuàng)傷后成長及5個(gè)因子的相關(guān)性,spearman相關(guān)分析用于分析兒童期逆境與創(chuàng)傷后成長及5個(gè)因子的相關(guān)性；采用分層回歸分析驗(yàn)證創(chuàng)傷后成長的預(yù)測因素。 結(jié)果：PTG總分在不同人口學(xué)資料各個(gè)項(xiàng)目中無顯著差異(P0.05),感恩總分在不同年齡組間(F=3.633,P0.05)、不同家庭月收入組間(F=3.232,P0.05)、不同婚姻狀況的患者間存在統(tǒng)計(jì)學(xué)差異,結(jié)腸癌與直腸癌患者的一線希望得分有統(tǒng)計(jì)學(xué)差異差異,直腸癌患者的一線希望得分顯著高于結(jié)腸癌患者(t=2.091,P0.05)；非累積逆境組PTG水平較高(P=0.027)；ACE與PTG的人際關(guān)系維度存在負(fù)相關(guān)(r=-0.261,P0.01),一線希望與PTG總分及各維度均存在相關(guān)性(r=0.220～0.427,P0.05)；ACE和一線希望能顯著預(yù)測PTG總水平及相關(guān)維度。 結(jié)論： (1)兒童期逆境與創(chuàng)傷后成長總水平及人際關(guān)系維度呈負(fù)相關(guān)。 (2)一線希望與PTG及各維度呈正相關(guān)。 (3)ACE和一線希望能顯著預(yù)測PTG總水平及相關(guān)維度。
[Abstract]:Objective: to investigate the relationship between post-traumatic growth and positive psychological traits (glimmer of hope, gratitude, childhood adversity) in patients with colorectal cancer. Methods: the patients diagnosed as colorectal cancer in the gastrointestinal surgery department of Grade 3A Hospital in Jinan City were selected as the research objects, and the self-designed general information questionnaire was used. Gratitude questionnaire Gratitude Questionnaire, GQ-6, Silver Lining Questionnaire-38iteman SLQ-38, Adverse Childhood experience, ACEI, Post-traumatic Growth Inventory (PTGI) collected demographic data and assessed gratitude. Childhood adversities and post-traumatic growth levels. The statistical analysis used ANOVA and independent sample t-test to compare the different demographic data of patients with a glimmer of hope. Pearson correlation analysis was used to analyze the correlation between first-line hope and post-traumatic growth and 5 factors. Spearman correlation analysis was used to analyze the correlation between childhood adversity and post-traumatic growth and 5 factors. Stratified regression analysis was used to verify the prognostic factors of post traumatic growth. Results there was no significant difference in the total score of 1: PTG among different demographic data items (P0.05). The total score of gratitude was 3.633% (P0.05) among different age groups, and there were significant differences among different family income groups (3.232%, P0.05), and there were statistical differences among the patients with different marital status. There was a statistically significant difference in the score of first-line hope between colon cancer and rectal cancer patients. The score of first-line hope in patients with rectal cancer was significantly higher than that in patients with colon cancer (2.091%, P 0.05), and the level of PTG in non-cumulative stress group was higher than that in non-cumulative stress group. There was a negative correlation between PTG and the interpersonal relationship dimension of PTG. There was a negative correlation between the first hope score and the total score of PTG and every dimension of PTG, r0.2200.427P0.05ACE. Line hopes to significantly predict the total level of PTG and related dimensions. Conclusion:. 1) there was a negative correlation between childhood adversity and posttraumatic growth level and interpersonal dimension. 2) A ray of hope was positively correlated with PTG and each dimension. ACE and a ray of hope can significantly predict the total level of PTG and related dimensions.
【學(xué)位授予單位】：山東大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R473.72

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