心理韧性、创伤后应激障碍对乳腺癌患者生活质量的影响。
Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer.
作者信息
Ha Boo Young, Jung Eun Jung, Choi So Young
机构信息
Department of Nursing, Samsung Changwon Hospital, Changwon, Korea.
出版信息
Korean J Women Health Nurs. 2014 Mar;20(1):83-91. doi: 10.4069/kjwhn.2014.20.1.83. Epub 2014 Mar 31.
PURPOSE
The purpose of this study was to identify relationships of resilience, Post-Traumatic Stress Disorder(PTSD), and quality of life of breast cancer patients. The findings from this study would provide baseline data needed for nursing intervention.
METHODS
A sample of 129 breast cancer patients was recruited from three hospitals in J and C cities in Korea. The survey was conducted with participants by utilizing self-reported questionnaires.
RESULTS
Quality of life showed statistically significant differences on religion (t=2.11, p=.033) and hobby (t=2.79, p=.006). Resilience and PTSD had a negative correlation (r=-.22, p=.010). Resilience and quality of life of the participants had a positive correlation (r=.58, p<.001), whereas PTSD and quality of life had a negative correlation (r=-.45, p<.001). Significant predictors of quality of life were resilience and PTSD. These variables explained 44.9% of the variance in quality of life.
CONCLUSION
Findings indicate that as resilience of breast cancer patients rose higher and PTSD got lower, their quality of life increased. Based on these results, nursing interventions directed towards improving resilience and relieving PTSD is proposed.
目的
本研究旨在确定乳腺癌患者的心理弹性、创伤后应激障碍（PTSD）与生活质量之间的关系。本研究结果将为护理干预提供所需的基线数据。
方法
从韩国J市和C市的三家医院招募了129名乳腺癌患者作为样本。通过使用自填问卷对参与者进行调查。
结果
生活质量在宗教信仰方面（t=2.11，p=0.033）和爱好方面（t=2.79，p=0.006）存在统计学上的显著差异。心理弹性与创伤后应激障碍呈负相关（r=-0.22，p=0.010）。参与者的心理弹性与生活质量呈正相关（r=0.58，p<0.001），而创伤后应激障碍与生活质量呈负相关（r=-0.45，p<0.001）。生活质量的显著预测因素是心理弹性和创伤后应激障碍。这些变量解释了生活质量变异的44.9%。
结论
研究结果表明，随着乳腺癌患者心理弹性的提高和创伤后应激障碍程度的降低，他们的生活质量会提高。基于这些结果，建议采取旨在提高心理弹性和缓解创伤后应激障碍的护理干预措施。
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