【摘要】 目的:了解胃癌根治术后辅助治疗患者创伤后成长情况及其影响因素。方法:选取滁州市第一人民医院2018年10月～2020年9月收治的胃癌根治术后辅助治疗患者118例，采用中文版创伤后成长评定量表对术后1、3、6个月的创伤后成长情况进行调查，分析其影响因素。结果:患者各时刻个人力量、人生感悟、自我转变、新的可能性、与他人关系维度创伤后成长评分和总分的差异均有统计学意义(P<0.05),术后3、6个月上述评分均高于术后1个月(P<0.05),术后6个月上述评分均高于术后3个月(P<0.05);年龄>60岁、家庭月收入<3 000元、家庭不和睦、无医保、无社会支持、临床分期>Ⅱa期、术后复发/转移、低/未分化的患者术后各时刻创伤后成长总分均低于年龄≤60岁、家庭月收入≥3 000元、家庭和睦、有医保、有社会支持、临床分期Ⅰ～Ⅱa期、术后无复发/转移、中/高分化的患者(P<0.05),住院时间>15 d、一级护理、开放手术患者术后1个月创伤后成长总分均低于住院时间≤15 d、二级护理、微创手术患者(P<0.05);逐步回归分析结果显示，术后复发/转移、低分化、临床分期>Ⅱa期、年龄>60岁、家庭不和睦、无医保是胃癌患者术后6个月创伤后成长评分的危险因素(P<0.05)。结论:胃癌患者根治术后辅助治疗期间创伤后成长水平不断提升，且受多种因素影响，应采取针对性干预措施提升胃癌患者创伤后成长水平。更多还原

【Abstract】 Objective:To understand the factors affecting posttraumatic growth of patients with gastric cancer during adjuvant therapy after radical gastrectomy.Methods:One hundred and eighteen patients undergoing adjuvant therapy following radical gastrectomy were included from October 2018 to September 2020.Posttraumatic growth assessment scale(Chinese version) was used to investigate the posttraumatic growth of the patients in month 1,3 and 6 months after surgery, and the factors affecting posttraumatic growth were analyzed.Results:The difference was significantly concerning posttraumatic growth scores and total scores of personal strength, life perception, self-transformation, new possibility and relationship with others(P<0.05).The scoring on the components aforementioned was higher at month 3 and 6 than at month 1,and higher at month 6 than at month 3 after operation(all P<0.05).The scores of posttraumatic growth in individual time phase were lower in patients aged>60 years, with monthly family income<3000 RMB yuan, discord family, without medical insurance and social support, with clinical staging>Ⅱa, postoperative recurrence/metastasis and low/undifferentiated neoplasm than those aged≤60 years, with monthly family≥3000 RMB yuan, family harmony, with medical insurance and social support, clinical staging at Ⅰ-Ⅱa, without recurrence/metastasis following operation, with moderate/high differentiation(all P<0.05).The total scoring on posttraumatic growth in one month after surgery was lower in patients with hospital stay>15 days, received first class nursing and treated by open surgery than those with hospital stay≤15 days, received secondary class care and treated by minimally invasive surgery(all P<0.05).Stepwise regression analysis showed that postoperative recurrence/metastasis, low differentiation, clinical staging>Ⅱa, age>60 years, family disharmony and absence of medical insurance were the risk factors for the posttraumatic growth scores in patients with gastric cancer at month 6 after surgery(P<0.05).Conclusion:The level of posttraumatic growth is constantly improving in patients of gastric cancer during adjuvant therapy after radical operation, yet affected by many factors.Our findings suggest that targeted intervention measures should be taken to improve the level of posttraumatic growth in such patients.更多还原