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妇科恶性肿瘤化疗患者人格特征、正念及创伤后应激障碍的关系
何亚林, 王炫力, 王雪, 贺兰, 但鑫
四川大学华西第二医院妇科肿瘤放化疗科护理单元/四川大学华西护理学院,出生缺陷与相关妇儿疾病教育部重点实验室,四川 成都 610041
摘要:
目的 探讨妇科恶性肿瘤化疗患者人格特征、正念及创伤后应激障碍的关系。方法 抽取成都市3所三级甲等医院妇科肿瘤病房230例患者为研究对象,使用大五人格量表、正念注意觉知量表和事件影响量表-修订版进行调查。结果 大五人格得分为(45.88±6.20)分,正念得分为(58.40±15.27)分,创伤后应激障碍得分为(20.61±14.13)分。外倾性人格、宜人性人格、尽责性人格、神经质人格及正念与创伤后应激障碍得分相关。正念、神经质人格和宜人性人格对创伤后障碍起预测作用,联合预测力为35.0%。正念在神经质人格和创伤后应激障碍间起中介作用,中介效应量为27.42%。结论 妇科恶性肿瘤化疗患者正念水平越高,神经质人格越低,其创伤后应激障碍越轻,临床工作人员应采取干预措施来改善患者的正念水平和神经质人格以减轻创伤后应激障碍。
关键词:  妇科恶性肿瘤  大五人格  应激障碍  创伤后  正念
DOI:10.16252/j.cnki.issn1004-0501-2021.01.005
分类号:R749.5
文章编号:1004-0501(2021)01-0017-05
文献标识码:A
基金项目:四川省卫生健康委员会科研课题(编号:20PJ083)
The Relationship Between Personality Traits, Mindfulness and Posttraumatic Stress Disorder in Patients with Gynecological Cancer.
He Yalin, Wang Xuanli, Wang Xue, He Lan, Dan Xin
Department of Radiation Therapy and Chemotherapy for Gynecological Center Nursing, West China Second University Hospital, Sichuan University/ West China School of Nursing, Sichuan University ,Key Laboratory of Birth Defects and Related Diseases of Women and Children(Sichuan University), Ministry of Education, Chengdu, Sichuan 610041 , China.
Abstract:
Objective To explore the relationship between personality traits, mindfulness and posttraumatic stress disorder(PTSD)in patients with gynecological cancer.Methods A total of 230 patients with gynecological cancer and admitted inthree Class Ⅲ Grade A hospitals in Chengdu were selected in the study.Ten-Item Personality Inventory in China(TIPI-C), Mindful Attention Awareness Scale(MAAS)and Impact of Event Scale-Revised(IES-R)were used in the survey. Results The total score of TIPI-C was(45.88±6.20), the total score of MAAS was(58.40±15.27), the total score of IES-R was(20.61±14.13),and the personality of extraversion,agreeableness, conscientious, neuroticism and mindfulness level were related to the scores of IES-R.Mindfulness level,neurotic personality and agreeable personality had a predictive effect on PTSD, with a combined predictive power of 35.0%.Mindfulness level played a mediating role between neurotic personality and PTSD, and the mediating effect was 27.42%.Conclusion Patients with high level of mindfulness level and low neurotic personality have less PTSD.Clinical staff should take intervention measures to improve the level of mindfulness and neuroticism of patients to reduce PTSD.
Key words:  gynecological cancer  big five personality  Stress Disorders  post-traumatic  mindfulness
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