Analysis Of Post-traumatic Growth Status And Influencing Factors Of Gynecological Malignant Tumor Patients In Lanzhou City

Objectives（1）Investigate the status of post-traumatic growth,and understand the psychological status of patients.（2）To analyze the correlation between post-traumatic growth and social support,coping styles and ruminant rumination in gynecological cancer patients.（3）To explore the influencing factors of post-traumatic growth of gynecological cancer patients,and provide a basis for medical personnel to carry out targeted intervention measures.MethodsFrom February 2019 to December 2019,318 gynecological cancer patients from four grade a hospitals in lanzhou city,gansu province,were selected by convenience sampling as the subjects of this study.General information questionnaire,post-traumatic growth scale,social support rating scale,simple coping style questionnaire,and event-related ruminant meditation scale were used to survey the subjects.Spss22.0 was used to input analysis data.All the measurement data were tested for normality,and the measurement data conforming to the normal distribution were expressed as（±s）.The independent sample t test and variance analysis were used for the comparison between the measurement data sets with homogeneous variances.The counting data is expressed as（n,%）.Pearson correlation analysis was used to analyze the correlation between post traumatic growth and social support,coping style and ruminating meditation in gynecological cancer patients.Multiple linear regression was used to analyze the factors affecting the growth of gynecological cancer patients after trauma（α_入=0.05,α_出=0.10）.P<0.05 was considered statistically significant in all the above test criteria.Results（1）The average score of post-traumatic growth level of gynecological cancer patients was（59.25±15.28）.The scores of the five dimensions were:relationship with others（8.14±2.94）,new possibilities（10.48±4.56）,personal strength（9.54±2.90）,self-change（10.96±3.70）,and life perception（20.31±5.10）.The social support score of gynecological cancer patients was（38.18±7.71）,including objective support（8.92±2.33）,subjective support（22.74±5.05）and social support utilization（6.68±2.21）.Among the coping styles,positive coping was（21.66±5.51）and negative coping was（10.32±4.10）.In ruminant rumination,the score was 14.90±6.53 for intrusive rumination and 11.62±6.03 for purposive rumination.（2）Religious belief and medical payment method were the main influencing factors of PTG score and each dimension of gynecological cancer patients（p<0.05）.In addition to the dimension of relationship with others,the total score of PTG and the other four dimensions showed statistically significant differences in residence,education level and per capita monthly income（p<0.05）.The total score of PTG and three dimensions of new possibility,self-change and life perception showed statistically significant differences in work conditions（p<0.05）.The scores of the two dimensions of new possibility and personal strength showed statistically significant differences in whether they were minorities（p<0.05）.The difference of life perception dimension score in stages was statistically significant（p<0.05）.There was a statistically significant difference（p<0.05）in the score of relationship dimension with others in the presence or absence of complications.（3）Correlation analysis showed that the total score of PTG and the scores of each dimension of gynecological cancer patients were significantly positively correlated with the total score of social support,objective support,subjective support,utilization of social support,positive coping,and purposiveness meditation（P<0.01）.The total score of PTG,new possibility,personal strength and life perception of gynecological cancer patients were negatively correlated with negative coping（P<0.01）.The score of self-change dimension was negatively correlated with negative coping（P<0.05）.The total score of PTG and the score of new possibility and personal strength in gynecological cancer patients showed a significant negative correlation with invasive meditation（P<0.01）.（4）Multiple linear stepstep regression analysis showed that education level（A₄）,Commercial medical insurance(A_7.3)social support（B₁）,social support util ization（B₄）,positive coping（C₁）,negative coping（C₂）,and purposeful meditati on（D₂）were the main factors influencing the total score of PTG in gynecolog ical cancer patients,with statistically significant differences（P<0.05）.The regr ession equation was Y₁=10.834+1.776A₄+6.798A_7.3+0.493B₁+0.958B₄+0.798C₁—0.573C₂+0.565D₂.Six patients accounted for 54.0%of the variance.ConclusionIn this study,post-traumatic growth of gynecological cancer patients was above the middle level,and the main influencing factors were education level,social support,utilization of social support,positive coping,negative coping and purposiveness meditation.In clinical evaluation of post-traumatic growth level of patients,the status of the main influencing factors should be evaluated.In raising the level of post-traumatic growth,targeted interventions were applied to different levels of education,social support,coping styles,and meditation.In this study,the level of purposiveness meditation in patients with gynecological cancer was relatively low,which may be related to the study area and disease type.In the intervention to improve the post-traumatic level of patients with gynecological cancer,certain attention should be paid to this aspect.