Post-traumatic Growth Status And Influencing Factors In Patients With Ovarian Cancer

Objective:1.To understand the current status of post-traumatic growth in patients with ovarian cancer;2.To explore the influencing factors of post-traumatic growth in patients with ovarian cancer;3.To analyze the relationship between disease perception,coping style,self-efficacy,social support and general demographic factors and post-traumatic growth in ovarian cancer patients,and to provide effective reference for ovarian cancer patients to improve the post-traumatic growth of ovarian cancer patients.method:A random sampling method was used to select 200 patients with ovarian cancer who were hospitalized in 2 grade A general hospitals and 1 grade3 general hospital in Changsha City,Hunan Province from May to December 2018.Object.Questionnaires were surveyed using self-designed general demographic data and clinical related data questionnaires,post-traumatic growth scales,simple disease perception questionnaire scales,comprehension social support scales,general self-efficacy scales,and medical coping style questionnaires..Relevant statistical analysis was performed using SPSS 24.0:including analysis of variance,descriptive statistics,and multiple linear stepwise regression analysis.Results:1.The post-traumatic growth score of ovarian cancer patients was（58.56±8.329）points.The scores from high to low in each dimension were:relationship with others（20.88±3.174）,new possibility（12.71±2.774）,personal strength（11.68±2.173）,appreciation of life（9.78±1.835）,mental change（3.37±1.657）.2.Occupation,marital status,place of residence,education level,religious belief,work status,family monthly income,medical expenses,course of disease,pathological diagnosis,clinical stage,and whether there is a difference in post-traumatic growth scores of ovarian cancer patients with chronic diseases Significance（P<0.05）.3.The total score of the disease perception scale was 47.98±6.879.Among the 8 items in the scale,the scores of disease,understanding,concern and emotion were higher,6.79±1.780,6.45±1.176,6.30±.2.312,6.04±1.969.Personal control and impact were low,5.70±1.575,4.97±2.318.In addition,most of the three main reasons for ovarian cancer patients to think that they are sick are environmental pollution,negative emotions and lifestyle habits.4.In this study,the family support（24.99±2.246）of ovarian cancer patients was high,and the external support（47.92±5.546）was high.The general self-efficacy of ovarian cancer patients was（25.92±5.192）.74.5%（149 cases）of ovarian cancer patients were at a moderate level,and 14.0%（28 cases）of ovarian cancer patients were at a high level.In the coping style,ovarian cancer patients had the highest dimension score（21.58±4.497）and the lowest yield dimension score（9.55±2.290）.5.Correlation analysis showed that the disease perception of ovarian cancer patients was negatively correlated with PTG;the overall level of perceived social support,family internal and external support was positively correlated with other dimensions except the dimension of mental change,which was statistically significant（P<0.01）;The patient’s self-efficacy was positively correlated with the total score of PTG and other dimensions;the yield dimension score in coping style was negatively correlated with the total score of PTG and the scores of each dimension;face,avoidance dimension score,total score of PTG and each Dimensional scores are positively correlated.6.Multivariate linear stepwise regression analysis showed that the factors influencing the post-traumatic growth（Y）of ovarian cancer patients were:yield(X_13-2),combined with chronic disease(X₁₀),face(X_14-1),marital status.（X₃）,comprehending social support(X₁₃),the established stepwise regression equation is:Y=13.852+0.5369X_13-2+0.160 X₁₄-1.243X₁₀-0.177X₁₄-1-0.814X₃,where F=6.616,P=0.011,indicating that the fitted equation is statistically significant,and the coefficient of determination R²=0.790,indicating that post-traumatic growth（dependent variable）can be accounted for 79.0%by independent variables.Conclusions:1.The post-traumatic growth level of patients with ovarian cancer is at a moderate level.2.The yield dimension,face dimension,comprehension of social support,combined chronic disease and marital status in coping style are the main influencing factors of post-traumatic growth of ovarian cancer patients.3.Occupation,place of residence,course of disease,education level,religious belief,marital status,working status,family monthly income,medical expenses,pathological diagnosis,clinical stage,and whether chronic diseases are the influencing factors of post-traumatic growth of ovarian cancer patients.4.The lower the yield dimension score in the disease perception and coping style of ovarian cancer patients,the higher the total score of PTG;the higher the score of face and avoidance dimension in the overall level of social support,self-efficacy and coping style,the higher the total score of PTG.