The Status And Influencing Factors Of Posttraumatic Growth In Breast Cancer Patients

Objective:Through investigated the status of posttraumatic growth in breast cancer patients, to explore the effects of general demographic information, anxiety, depression and cognitive emotion regulation on posttraumatic growth, to provide a theoretical basis for the development and improvement of the posttraumatic growth nursing interventions.Methods:This study adopted convenience sampling, 240 cases of breast cancer patients from Shanxi Cancer Hospital were screened by inclusion and exclusion criteria as the research objects. They were tested with the general demogr aphic information questionnaire, Posttraumatic Growth Inventory(PTGI), Self- rating Anxiety Scale(SAS), Self-rating Depression Scale(SDS) and the Chinese version of Cognitive Emotion Regulation Questionnaire(C ERQ-C). All data were analyzed by SPSS19.0 and AMOS17.0. There were 240 questionnaires were distributed, 226 valid questionnaires were taken back, the effective recovery rate was 94.17%.Results:1. The patients scored(62.67±9.84) on PTGI, and the rate of patients with PTG was 73.01%, single item scores of four dimensions were : relating to others(3.54±0.59), new possibilities(2.74±0.84), personal strength(3.42±1.05) and appreciation of life(3.57±0.66), from high to low were: appreciation of life, relating to others, personal strength and new possibilities.2. The scores of SAS and SDS were(38.98±9.81) and(42.18±11.82). The total score of CERQ-C was(108.15±12.07), and the score of positive cognitive emotion regulation strategies was(66.18±9.26), the score of negative cognitive emotion regula tion strategies was(41.98±8.66), the scores of nine cognitive emotion regulation strategies from high to low were: acceptance, refocus on planning, positive reappraisal, positive refocusing, self-blame, rumination, putting into perspective, catastrophizing and other-blame;3. The univariate analysis showed that age, the time of diagnosis, religion, residence, financial status, children, education level, career, marital status, medical insurance, chemotherapy, retaining breast, other chronic diseases and fa mily history of cancer were related to PTG level(P<0.05);4. The correlation analysis showed that the score of PTGI was positively correlated with positive cognitive emotion regulation strategies(r=0.391, P<0.01), and was negatively correlated with anxiety, depression and negative cognitive emotion regulation strategies,(r=-0.460,-0.470,-0.497, P<0.01).5. The multiple linear regression showed that negative cognitive emotion regulation strategies, depression, positive cognitive emotion regulation strate gies, retaining breast, marital status, children and family history of cancer account for 51.3% of total variance.6. The path analysis results showed that anxiety and depression can directly affect the level of PTG, cognitive emotion regulation can not only directly affect the level of PTG, but also can indirectly affect the level of PTG through the two intermediary variables of anxiety and depression.Conclusion:1. The development of posttraumatic growth was common in breast cancer patients;2. Cognitive emotion regulation strategies, anxiety, depression, retaining breast, marital status, children and family histor y of cancer were the possible influencing factors of PTG.3. Anxiety and depression as intermediary variables, can affect the relationship between cognitive emotion regulation strategies and PTG.