Posttraumatic Growth And Its Influencing Factors In Children With Malignant Bone Tumor

Objective:To describe the status quo of posttraumatic growth(PTG)of parents of children with malignant bone tumors,to explore the influencing factors of PTG and its relationship with PTG of parents of children with malignant bone tumors,in order to provide clinical basis for psychological intervention of parents of children with malignant bone tumors,and to urge clinical doctors and nurses to help parents improve their physical and mental state from a new perspective.Methods:In this study,129 parents of children with malignant bone tumors who were reexamined in orthopaedic and orthopaedic oncology departments of 6 tertiary A hospitals in Jiangxi Province were investigated by cross-sectional method.The general information questionnaire,Posttraumatic Growth Inventory(PTGI),Simplified Coping Style Questionnaire(SCSQ)and Social Support Rating Scale(SSRS)were used to investigate the children and their parents.SPSS 19.0 software was used to analyze the data.Two independent samples t-test and one-way ANOVA were used to compare the posttraumatic growth of parents of children with malignant bone tumors with different demographic characteristics.Pearson correlation analysis was used to analyze the correlation between social support,simple coping style and the posttraumatic growth of parents of children with malignant bone tumors,and multiple stepwise regression scores were used.Influencing factors of parental growth after trauma in children with osteolytic tumors.Results:1.A total of 129 questionnaires were sent out and 120 valid questionnaires were recovered,with a recovery rate of 93.02%.2.Parents with malignant bone tumors had a total PTG score of(62.19±7.58).The highest average score of each dimension was the appreciation of life(4.11±0.70),the second was the enhancement of manpower(2.96±0.39),the change of spirit(1.84±0.52),the new possibility(2.56±0.58),and the lowest average score was the relationship with others(1.91±0.65).3.The total score of SSRS in parents of children with malignant bone tumors was(42.56±3.39).The scores of subjective support(24.43±1.59),objective support(12.50±1.54)and social support utilization(6.81±1.63).In coping style,the scores of positive coping style were(2.51±0.21)and negative coping style were(2.45±0.33).4.There was a significant positive correlation between the total score of parental social support and the scores of each dimension,positive coping and the total score of post-traumatic growth and its dimensions in children with malignant bone tumors(P < 0.001),and a significant negative correlation between the total score of negative coping and the total score of post-traumatic growth and its dimensions(P < 0.001).5.Multivariate stepwise regression analysis showed that the correlative factors affecting PTGI total score of parents of children with malignant bone tumors were positive coping,economic status,course of disease,total score of social support and marital status.The coefficient of determination was 0.674,i.e.the combination of five variables could predict 67.4% variation of PTGI total score of parents of children with malignant bone tumors,F=39.143,P<0.001.This indicated that the regression equation model established had the following characteristics.In addition,marital status,educational level,economic income and working status entered the regression equation of parents’ appreciation of life,personal strength enhancement and relationship with others.Conclusions:1.The PTG of parents of children with malignant bone tumors is medium level.The average score of single item in the dimension of life appreciation of parents of children with malignant bone tumors is the highest,the average score of individual strength enhancement,new possibility and interpersonal relationship is the middle level,and the lowest in the dimension of spiritual change.2.The social support of parents of children with malignant bone tumors is at a medium level,and the coping style is mainly positive coping style.3.The PTGI total score and each dimension score of parents of children with malignant bone tumors are affected by the course of illness and their parents’ marital status,economic income,educational level,working status,social support and coping style;the higher the score of parents’ post-traumatic growth level is in good marital status;the higher the family’s economic income is,the higher the score of parents’ post-traumatic growth level is;the lower the educational level is,the higher the higher the PTGI score of parents’ post-traumatic growth level is The higher the score of parents’ post-traumatic growth level was,the higher the score of parents’ post-traumatic growth level was.4.The total scores of social support and positive coping style of parents of children with malignant bone tumors were positively correlated with their total scores of post-traumatic growth and their scores of various dimensions(P < 0.001),while the total scores of post-traumatic growth and their scores of various dimensions were negatively correlated with their negative coping style(P < 0.001).