摘要
目的了解大肠癌肠造口患者创伤后应激障碍的发生状况,探讨正念在患者神经质人格与创伤后应激障碍之间的中介作用。方法采用便利抽样法选取233例大肠癌肠造口患者,采用一般情况调查表、大五人格问卷-神经质分量表(FFI-N)、正念注意觉知量表(MAAS)及创伤后应激障碍检查量表-平民版(PCL-C)依次调查其一般情况、神经质人格、正念水平及创伤后应激障碍情况。运用Bootstrap检验法进行中介分析。结果大肠癌肠造口患者的平均PCL-C总分为(32.18±9.81)分。大肠癌肠造口患者创伤后应激障碍总阳性率为13.73%。单因素结果分析显示,永久性肠造口患者的PCL-C得分高于临时性肠造口患者,目前正在进行放化疗的肠造口患者的PCL-C得分高于目前未进行放化疗的肠造口患者(P<0.05)。Pearson相关性分析结果显示,FFI-N得分与MAAS得分呈负相关,FFI-N得分与PCL-C总分及回避麻木维度得分呈正相关,MAAS得分与PCL-C总分及反复体验、回避麻木维度得分呈负相关(P<0.05)。Bootstrap检验结果显示,MAAS得分在FFI-N得分与PCL-C总分之间的间接效应的95%置信区间(CI)为0.09~0.28,中介效应占总效应的34.69%。结论大肠癌肠造口患者神经质人格、正念与创伤后应激障碍关系密切,正念在大肠癌肠造口患者神经质人格与创伤后应激障碍之间起到部分中介作用。
Objective To understand the occurrence of post-traumatic stress disorder in patients with colorectal cancer undergoing enterostomy,and to explore the mediation effect of mindfulness between neuroticismpersonality and post-traumatic stress disorder in the patients.Methods A total of 233 patients with colorectal cancer undergoing enterostomy were selected by convenient sampling method.The general situation,neuroticism personality,mindfulness level and post-traumatic stress disorder were investigated with the general situation questionnaire,Five Factors Inventory-Neuroticism Subscale(FFI-N),Mindful Attention Awareness Scale(MAAS)andPost-traumatic Stress Checklist-Civilian Version(PCL-C).The Bootstrap test was used for intermediary analysis.Results The average PCL-C total score of patients with colorectal cancer undergoing enterostomy was(32.18±9.81).The total positive rate of post-traumatic stress disorder in patients with colorectal cancer undergoing enterostomy was 13.73%.The results of univariate analysis showed that the PCL-C score of patients with permanent enterostomy was higher than that of patients with temporary enterostomy,and the PCL-C score of patients with enterostomy undergoing radiotherapy and chemotherapy was higher than that of patients with enterostomy who did not undergo radiotherapy and chemotherapy(P<0.05).Pearson correlation analysis showed that the score of FFI-Nwas negatively correlated with the score of MAAS,the score of FFI-N was positively correlated with the total score of PCL-C and the score of avoidance numbness dimension,and the score of MAAS was negatively correlated with the total score of PCL-C and the scores of repeated experience and avoidance numbness dimensions(P<0.05).The Bootstrap test showed that 95%confidence interval(CI)of indirect effect of MAAS score between FFI-N score and PCL-C total score was 0.09-0.28,and the intermediary effect accounted for 34.69%of the total effect.Conclusion The neuroticism personality and mindfulness of patients with colorectal cancer undergoing enterostomy are closely related to post-traumatic stress disorder,and mindfulness plays a part of mediating effect between neuroticismpersonality and post-traumatic stress disorder of patients with colorectal cancer undergoing enterostomy.
作者
刘海旺
王相茹
谢垚
陈新莉
LIU Haiwang;WANG Xiangru;XIE Yao;CHEN Xinli(No.2 General Surgery Department,Xi'an Daxing Hospital,Xi'an 710016;Nursing Department,Xi'an Jiaotong University City College,Xi'an 710018,China)
出处
《临床医学研究与实践》
2022年第34期33-36,48,共5页
Clinical Research and Practice
基金
陕西省教育厅专项科研计划项目(No.19JK0494)。
关键词
大肠癌
肠造口
创伤后应激障碍
神经质人格
正念
colorectal cancer
enterostomy
post-traumatic stress disorder
neuroticism personality
mindfulness
