Sun Yuqing, Wu Shirong, Zou Qunfeng, Qiu Dingrong, Fu Xiuzhen, Liu Silu, Chen Gongna, Zheng Xiaojie
The Second Clinical School of Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.
Department of Nursing, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Front Psychiatry. 2025 Jul 28;16:1552946. doi: 10.3389/fpsyt.2025.1552946. eCollection 2025.
Studies have found that post-traumatic growth exists in patients with recent hysterectomy. However, previous studies have overlooked heterogeneity within groups. There is a lack of research on whether there are different categories of post-traumatic growth levels in patients with recent hysterectomy. Therefore, this study explores different categories of post-traumatic growth and their influencing factors in patients with recent hysterectomy based on latent profile analysis. It also analyses the relationship between stigma and different profiles of post-traumatic growth in patients.
This study, which used convenience sampling to select patients who underwent hysterectomy at the gynaecology department of a tertiary hospital in Guangzhou, Guangdong Province, was conducted from February to September 2024. The study included 210 patients aged 18 years or over who had undergone a hysterectomy and had agreed to participate in the questionnaire survey. A total of 210 questionnaires were distributed and 202 valid responses were received. The study used the following scales: a general information questionnaire (covering patients' sociodemographic and clinical characteristics); post-traumatic growth inventory-Chinese version (C-PTGI); and social impact scale (SIS). The C-PTGI primarily measures the level of posttraumatic growth in patients with recent hysterectomy; higher total scores indicate greater posttraumatic growth. The SIS assesses the level of stigma experienced by patients with recent hysterectomy, with higher scores indicating a greater degree of stigma. The data were analysed using SPSS 25.0 and Mplus 8.3.
Post-traumatic growth in patients with recent hysterectomy consisted of 3 types: negative growth group (18%), low-transformation-moderate growth group (53%), and positive growth group (29%). Significant differences in post-traumatic growth and scores on each dimension were found in different subgroups ( < 0.05). Patients with recent hysterectomy aged 40-59 were more likely to be classified as belonging to the positive growth group. Those with high scores on the internalized shame and social isolation dimensions were more likely to belong to the negative growth group. Compared with the positive growth group, educational attainment at elementary or junior high school level was a predictor of belonging to the low-transformation-moderate growth group.
Heterogeneity exists in the post-traumatic growth level of patients with recent hysterectomy. Younger patients with higher levels of education and lower scores on the SIS tend to experience better post-traumatic growth after hysterectomy. Healthcare professionals should adopt more flexible and targeted interventions to help patients enhance their post-traumatic growth levels under the premise of correctly identifying the characteristics of different potential categories. This can better improve the mental health status of patients, promote their postoperative recovery, and enhance their quality of life and satisfaction.
研究发现，近期接受子宫切除术的患者存在创伤后成长。然而，以往研究忽视了组内的异质性。对于近期接受子宫切除术的患者创伤后成长水平是否存在不同类别，目前缺乏相关研究。因此，本研究基于潜在剖面分析，探讨近期接受子宫切除术患者创伤后成长的不同类别及其影响因素。同时分析患者的耻辱感与创伤后成长不同剖面之间的关系。
本研究于2024年2月至9月进行，采用便利抽样法选取在广东省广州市某三级医院妇科接受子宫切除术的患者。研究纳入210例年龄18岁及以上、接受过子宫切除术且同意参与问卷调查的患者。共发放问卷210份，回收有效问卷202份。本研究使用以下量表：一般信息问卷（涵盖患者的社会人口学和临床特征）；创伤后成长问卷中文版（C-PTGI）；以及社会影响量表（SIS）。C-PTGI主要测量近期接受子宫切除术患者的创伤后成长水平；总分越高表明创伤后成长程度越高。SIS评估近期接受子宫切除术患者所经历的耻辱感水平，得分越高表明耻辱感程度越高。数据采用SPSS 25.0和Mplus 8.3进行分析。
近期接受子宫切除术患者的创伤后成长分为3种类型：负性成长组（18%）、低转变-中度成长组（53%）和正性成长组（29%）。不同亚组在创伤后成长及各维度得分上存在显著差异（<0.05）。40 - 59岁的近期接受子宫切除术患者更有可能被归类为正性成长组。内化羞耻和社会孤立维度得分高的患者更有可能属于负性成长组。与正性成长组相比，小学或初中学历是属于低转变-中度成长组的一个预测因素。
近期接受子宫切除术患者的创伤后成长水平存在异质性。年龄较小、教育程度较高且SIS得分较低的患者在子宫切除术后往往经历更好的创伤后成长。医护人员应采取更灵活、有针对性的干预措施，在正确识别不同潜在类别的特征前提下，帮助患者提高其创伤后成长水平。这可以更好地改善患者的心理健康状况，促进其术后康复，提高其生活质量和满意度。
