头颈部癌症术后患者身体意象与创伤后成长的关系研究

刘璐璐; 李秀川; 李建成; 季红敏; 蒋婕

doi:10.16766/j.cnki.issn.1674-4152.002476

头颈部癌症术后患者身体意象与创伤后成长的关系研究

doi: 10.16766/j.cnki.issn.1674-4152.002476

1.
蚌埠医学院第一附属医院口腔科, 安徽蚌埠 233004
2.
蚌埠医学院第一附属医院护理部, 安徽蚌埠 233004
3.
蚌埠医学院第一附属医院肿瘤外科, 安徽蚌埠 233004

基金项目:

安徽高校协同创新项目 GXXT-2020-021

；安徽高校自然科学研究项目 KJ2019A0374

详细信息

通讯作者:
李秀川, E-mail：lixiuhuan2005@yeah.net

中图分类号: R739.9
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- 文章访问数: 191
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- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2021-12-13
- 网络出版日期: 2022-09-05

Correlation between body image and posttraumatic growth in patients with head and neck tumour after surgery

1.
Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的调查头颈部癌症术后患者身体意象与创伤后成长水平现状并探讨两者间的相关性。方法选取2020年9月—2021年3月在安徽省某三甲医院住院或门诊复查的206例头颈部癌症术后患者作为研究对象，采用一般资料调查表、身体意象量表(BIS)、简体中文版创伤后成长量表(C-PTGI)对研究对象进行调查。结果头颈部癌症术后患者BIS总分为(7.12±3.56)分，BIS总分≥10分有61例，BIS总分 < 10分有145例，身体意象失调发生率为29.6%；C-PTGI总分为(60.91±9.74)分；以10分为分界点，BIS总分≥10分组患者C-PTGI总分及各维度得分均高于BIS总分 < 10分组(均P < 0.05)；Pearson相关分析结果显示，头颈部癌症术后患者BIS总分及各维度得分与C-PTGI总分及各维度得分之间呈负相关关系，差异有统计学意义(均P < 0.05)；分层回归分析模型结果显示，控制一般资料后，身体意象是创伤后成长的影响因素(β=-0.513, ΔR²=0.222，F=41.147, P < 0.001)。结论头颈部癌症术后患者身体意象与创伤后成长水平均有待提高，良好的身体意象可以促进创伤后成长，临床医护人员可通过增进身体意象这一视角提高患者创伤后成长水平。
- 头颈部癌症 /
- 身体意象 /
- 创伤后成长
Abstract: Objective To investigate the relationship between body image and posttraumatic growth in patients with head and neck tumours. Methods A total of 206 cases of postoperative head and neck tumour who were hospitalised or out-patients in a third-class A hospital in Anhui Province from September 2020 to March 2021 were selected as the research objects. The self-compiled general data questionnaire, Body Image Scale and C-Posttraumatic Growth Inventory were used to investigate the subjects. Results The total BIS score of patients with head and neck cancer after surgery was (7.12±3.56) points, 61 cases with total BIS score ≥10 and 145 cases with total BIS score < 10. The incidence of body image disorder was 29.6%. The total score of C-PTGI was (60.91±9.74) points. The cut-off point is divided by 10, the score of C-PTGI and the score of all dimensions in patients with BIS score ≥10 were higher than those in patients with BIS score < 10 (all P < 0.05). Pearson correlation analysis showed that the BIS total score and each dimension score of patients with postoperative head and neck cancer were negatively correlated with C-PTGI total score and each dimension score, and the difference was statistically significant (all P < 0.05). The results of the hierarchical regression analysis model showed that body image was the influencing factor of posttraumatic growth after controlling for general data (β=-0.513, ΔR²=0.222, F=41.147, P < 0.001). Conclusion Both body image and post-traumatic growth of patients with head and neck cancer after surgery need to be improved. Good body image can promote post-traumatic growth, and clinical medical staff can improve patients' post-traumatic growth from the perspective of improving body image.
- Head and neck tumour /
- Body image /
- Post-traumatic growth

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表 1 不同身体意象水平头颈部癌症术后患者创伤后成长水平(x±s, 分)

Table 1. Posttraumatic growth of head and neck cancer patients with different body image levels (x±s, scores)

组别	例数	PTG总分	人生感悟	个人力量	新的可能性	与他人关系	自我转变
BIS总分 < 10分	145	64.55±7.33	20.46±2.73	10.83±1.68	10.54±2.41	9.57±2.11	12.37±2.32
BIS总分≥10分	61	52.26±9.33	15.54±3.82	9.00±1.75	8.54±1.86	8.23±1.76	10.05±2.60
t值		10.103	10.418	7.068	5.801	4.367	6.315
P值		< 0.001	< 0.001	< 0.001	< 0.001	< 0.001	< 0.001

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表 2 头颈部癌症术后患者身体意象与创伤后成长的相关分析(r值)

Table 2. Head and neck cancer postoperative patients with posttraumatic growth body image correlation analysis (r value)

项目	BIS总分	认知	情感	行为	PTG总分	人生感悟	个人力量	新的可能性	与他人关系	自我转变
BIS总分	1.000
认知	0.939^a	1.000
情感	0.850^a	0.696^a	1.000
行为	0.784^a	0.631^a	0.521^a	1.000
PTG总分	-0.667^a	-0.620^a	-0.598^a	-0.497^a	1.000
人生感悟	-0.634^a	-0.603^a	-0.557^a	-0.459^a	0.917^a	1.000
个人力量	-0.535^a	-0.476^a	-0.508^a	-0.408^a	0.831^a	0.695^a	1.000
新的可能性	-0.438^a	-0.416^a	-0.393^a	-0.306^a	0.793^a	0.651^a	0.661^a	1.000
与他人关系	-0.360^a	-0.324^a	-0.301^a	-0.317^a	0.581^a	0.464^a	0.404^a	0.453^a	1.000
自我转变	-0.420^a	-0.419^a	-0.333^a	-0.317^a	0.549^a	0.494^a	0.376^a	0.262^a	0.065	1.000
注：^aP < 0.05。

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表 3 头颈部癌症患者创伤后成长影响因素的分层回归分析

Table 3. Stratified regression analysis of influencing factors of post-traumatic growth in patients with head and neck cancer

模型	变量	B	SE	β	t值	P值	R²	ΔR²	F值	P值
第一层	(常数)	59.825	5.646		10.595	< 0.01	0.371		19.560	< 0.001
	性格类型	-2.614	0.682	-0.227	-3.835	< 0.01
	确诊后时间	5.240	0.740	0.424	7.079	< 0.01
	肿瘤分期	-2.190	0.925	-0.140	-2.368	< 0.05
第二层	(常数)	68.122	4.625		14.729	< 0.01	0.593	0.222	41.147	< 0.001
	家庭人均月收入	1.541	0.702	0.118	2.194	< 0.05
	性格类型	-1.676	0.557	-0.146	-3.007	< 0.01
	确诊后时间	3.476	0.621	0.281	5.598	< 0.01
	身体意象	-1.404	0.135	-0.513	-10.379	< 0.01

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