Wang Mu-Lan, Liu Jun-E, Wang Hui-Ying, Chen Jing, Li Yi-Ying
School of Nursing, Capital Medical University, You An Men, Beijing 100069, China.
Beijing Neurosurgical Institute, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100050, China.
Eur J Oncol Nurs. 2014 Oct;18(5):478-83. doi: 10.1016/j.ejon.2014.04.012. Epub 2014 Jun 21.
The factors that affect posttraumatic growth (PTG) in breast cancer survivors have been discussed for many years, but it remains unclear which are most influential. The purpose of this study was to determine the level of PTG and identify associated socio-demographic and clinical factors in Chinese breast cancer survivors.
A descriptive research design with a convenience sampling method was employed to collect data using the simplified Chinese version of the Posttraumatic Growth Inventory (PTGI-SC). This questionnaire was administered to 1227 participants recruited from eight tertiary hospitals and cancer survivor groups in Beijing between April 2010 and April 2012.
PTG is present in Chinese breast cancer survivors, with an average PTGI-SC score of 70.18 ± 15.85. There were five variables in the regression model: exercise, other chronic disease, income, education level, and work status. Exercise showed the strongest positive association with PTG after breast cancer. Household income and educational level also positively influenced PTG. Survivors with other accompanying chronic diseases had lower PTG. Retired survivors had the highest PTG, those working had moderate PTG, and those on sick leave had the lowest PTG.
PTG is common among Chinese breast cancer survivors. It is positively associated with exercise, income, education, and retirement, and negatively associated with the presence of other chronic diseases and working. The results may provide information on how to promote the development of PTG while nursing breast cancer survivors.
多年来一直在探讨影响乳腺癌幸存者创伤后成长（PTG）的因素，但最具影响力的因素仍不明确。本研究的目的是确定中国乳腺癌幸存者的PTG水平，并识别相关的社会人口学和临床因素。
采用描述性研究设计和便利抽样方法，使用中文版简化版创伤后成长量表（PTGI-SC）收集数据。该问卷于2010年4月至2012年4月在北京8家三级医院和癌症幸存者群体中招募的1227名参与者中进行发放。
中国乳腺癌幸存者存在PTG，PTGI-SC平均得分为70.18±15.85。回归模型中有五个变量：运动、其他慢性病、收入、教育水平和工作状态。运动与乳腺癌后的PTG显示出最强的正相关。家庭收入和教育水平也对PTG有积极影响。患有其他伴随慢性病的幸存者PTG较低。退休幸存者的PTG最高，在职者的PTG中等，病假者的PTG最低。
PTG在中国乳腺癌幸存者中很常见。它与运动、收入、教育和退休呈正相关，与其他慢性病的存在和工作呈负相关。研究结果可为护理乳腺癌幸存者时如何促进PTG的发展提供信息。
