| Objective:To investigate current status and influential factors on the posttraumatic growth of patients with Hematologic Malignancies;To explore their relationship with event-related rumination,emotion regulation,self-efficacy and and perceived social support;To determine predictive factors for the posttraumatic growth of patients with hematologic malignancies;And to provide theoretical support for clinical staff in order to develop individualized psychological interventional strategiesMethods:Total of 350 cases of patients with hematologic malignancies from six 3A-level hospitals in Shandong Province were randomly selected for questionnaire investigation in the current study.The tools of investigation included general information questionnaire,Chinese Version of Posttraumatic Growth Inventory(C-PTGI),Perceived Social Support Scale(PSSS),Chinese Version of Event-related Rumination Inventory(C-ERRI),Emotion Regulation Scale(ERS),and General self-efficacy Scale(GSES).This study released total 350 questionnaires,with 343 effective response(effective response efficiency of 98%).SPSS 21.0 statistical software was used and statistical methods such as descriptive statistical analysis,Students' t-test,ANOVA,Pearson correlation analysis and multivariate linear regression analysis were used to collate and analyze the research data,with significance level a=0.05Results:1.Information of Social Demography and Disease Condition of patients with hematologic malignanciesIn the total 343 patients with hematologic malignancies recruited in this study,there are 186 males(54.23%),aged between 18?73,with an average of 44.58±11.33.The majority of patients had good family relationship(61.52%),and 3.21%had bad family relationship.Disease diagnose is mainly acute leukemia(46.65%)and lymphoma patients(26.82%).The majority of patients are initial diagnosed(42.86%)or in the remission stage(40.82%),and 16.33%are in relapse.Mild and medium-level pain was reported in 23.6%of the patients investigated in this study2.Posttraumatic Growth Status of Patients with Hematologic MalignanciesIn this study,the post-traumatic growth score of the patients with hematologic malignancies was(65.06±15.62),which was above the average Among this,the average scores of each dimension are(ranked from low to high):new possibilities(2.97±0.93),self-transformation(2.99±0.83),relating with others(3.24±0.96),personal strength(3.38±0.95),life feeling(3.56±0.91)3.Differential Analysis of General Information in Patients with Hematologic MalignanciesStudent's t-test or ANOVA analysis indicates that,posttraumatic growth of these patients are statistically different in family relationship and presence/absence of pain(P<0.05).However,there is no statistical difference in other categories of general information,for example,age,gender,average monthly income per person,education,residential location,marital status,disease diagnose and disease stage(P>0.05)4.Correlation Analysis of Rumination,Social Support,Emotional Regulation,Self-Efficacy and Posttraumatic Growth in Patients with Hematological MalignanciesPearson analysis shows:The total score of post-traumatic growth and its various dimensions were positively correlated with the following variables and the differences in the results were statistically significant,including the total score of ruminant(r=0.196-0.265,P<0.01)and deliberate rumination(r=0.170-0.261,P<0.01),the total score of social support(r=0.409-0.652,P<0.01)and family support(r=0.351-0.623,P<0.01),friend support(r=0.423-0.629,P<0.01),other support(r=0.338-0.539,P<0.01),the total score of emotional regulation(r=0.254-0.453,P<0.01)and cognitive reappraisal(r=0.410-0.585,P<0.01),and the total score of self-efficacy(r=0.319-0.432,P<0.01).The total score of post-traumatic growth and its various dimensions were negatively correlated with expression suppression(r=-0.243-0.183,P<0.01)and the differences in the results were statistically significant5.Comparisons between Low-and High-Scored Groups in Posttraumatic Growth of Social Support,Rumination,Cognitive Reappraisal,and Social FunctionalityThis study found that,the group of patients with high scores of posttraumatic growth also has significantly higher scores in social support,rumination,cognitive reappraisal,and social functionality than those scored low in posttraumatic growth(P<0.001),the score of expression suppression was significantly lower than that of the low group.Patients with high scores of posttraumatic growth has a trend of having lower scores in invasive rumination(P<0.05),although the difference between the two groups was not statistically significant6.Multiple Factor Linear Regression Analysis of Posttraumatic Growth of Patients with Hematologic MalignanciesMultiple factor linear regression was performed using posttraumatic growth score as the dependent variable.Independent variables are those significant factors identified in ANOVA analysis,including family relationship,presence/absence of pain,all dimensions of social support,deliberate rumination,emotion adjustment,self-efficacy,etc.The results show that friends support,self-efficacy,family support,cognitive reappraisal,deliberate rumination and presence/absence of pain can fit into the regression equation of posttraumatic growth and account for 59.9%of the total variation,among which pain could be a negative predictor for posttraumatic growth of patients with hematologic malignanciesConclusions:1.Patients with hematologic malignancies could gain posttraumatic growth,with the total score 65.06±15.62,positioning in the upper average overall level.Among the 5 dimensions,Life Feeling has the highest score.This finding indicates that during the combat with their diseases,patients with hematologic malignancies changed their personal belief,perceived differently in term of the meaning of life,therefore facing the current life situations more positively.2.Posttraumatic growth of patients with hematologic malignancies are affected by multiple factors,such as Family Relationship,Presence/Absence of Pain,Social Support,Rumination,Emotion Regulation,and Self Efficacy3.Family Support,Self-Efficacy,Friends Support,Re-Evaluation,Deliberate Rumination and Presence/Absence of Pain are important predictive factors for the posttraumatic growth of patients with hematologic malignancies,among which Presence of Pain is the negative predictive factor.4.Tips:Clinical medical staff should pay attention to the psychological status of patients in their work and strengthen the positive guidance of patients,such as helping patients seek more social support,guiding patients to actively meditate on life events,encouraging patients to vent negative emotions,and improving self-efficacy Sense,etc.,to help patients regain their confidence in life,actively face treatment,and get more posttraumatic growth. |
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