Dong Xiaoling, Li Guopeng, Liu Chunlei, Kong Linghua, Fang Yueyan, Kang Xiaofei, Li Ping
School of Nursing, Shandong University, China; Shandong Cancer Hospital affiliated to Shandong University, Shandong Academy of Medical Science, China.
School of Nursing, Shandong University, China.
Eur J Oncol Nurs. 2017 Aug;29:47-52. doi: 10.1016/j.ejon.2017.04.007. Epub 2017 May 18.
Information on posttraumatic growth (PTG) among colorectal cancer (CRC) survivors with permanent intestinal ostomies is limited. The aim of this cross-sectional study was to investigate the occurrence of PTG among CRC survivors with permanent intestinal ostomies and its association with perceived social support and resilience.
This study was conducted with 164 CRC survivors with permanent intestinal ostomies at least one month after surgery. Participants completed questionnaires assessing socio-demographic and clinical characteristics, perceived social support, resilience and PTG.
The mean total score on the Post Traumatic Growth Inventory was 66.74 (SD = 13.99). Perceived social support (r = 0.450) and resilience (r = 0.545) were significantly positively correlated with PTG. Structural equation modeling analysis showed that resilience mediated the relationship between perceived social support and PTG in which the indirect effect of perceived social support on PTG through resilience was 0.203 (P < 0.001).
Moderate to high PTG was found in CRC survivors with permanent intestinal ostomies. The most important implication of this study was that improving social support and resilience might be scientific intervention strategies for promoting PTG among CRC survivors.
关于永久性肠造口的结直肠癌（CRC）幸存者创伤后成长（PTG）的信息有限。这项横断面研究的目的是调查永久性肠造口的CRC幸存者中PTG的发生情况及其与感知到的社会支持和心理韧性的关联。
本研究对164名术后至少1个月的永久性肠造口CRC幸存者进行。参与者完成了评估社会人口学和临床特征、感知到的社会支持、心理韧性和PTG的问卷调查。
创伤后成长量表的平均总分是66.74（标准差=13.99）。感知到的社会支持（r=0.450）和心理韧性（r=0.545）与PTG显著正相关。结构方程模型分析表明，心理韧性介导了感知到的社会支持与PTG之间的关系，其中感知到的社会支持通过心理韧性对PTG的间接效应为0.203（P<0.001）。
在永久性肠造口的CRC幸存者中发现了中到高度的PTG。本研究最重要的意义在于，改善社会支持和心理韧性可能是促进CRC幸存者PTG的科学干预策略。
