摘要目的 观察非手术食管癌患者主要照顾者创伤后成长水平,并分析其影响因素.方法 采用便利抽样法,选取2015年1月-2016年12月于郑州大学附属肿瘤医院住院治疗的非手术食管癌患者的主要照顾者,采用创伤后成长评定量表(PTGI)评定患者的主要照顾者创伤后成长水平并分析其影响因素.采用单因素分析、Spearman相关分析、多元线性回归分析非手术食管癌患者主要照顾者创伤后成长水平的影响因素.结果 非手术食管癌患者主要照顾者PTGI得分25~94分,平均(76.93±8.15)分.不同年龄、教育背景、家庭人均月收入、与患者的关系、医保报销比例、照顾时长及是否与患者同住的主要照顾者创伤后成长水平比较,差异有统计学意义(P<0.05);相关分析显示,非手术食管癌患者主要照顾者创伤后成长水平与年龄、照顾时长、教育背景、与患者的关系及是否与患者同住呈正相关(P<0.05);多元线性回归分析显示,年龄、教育背景、照顾时长及与患者的关系是非手术食管癌患者主要照顾者创伤后成长水平的影响因素.结论 非手术食管癌患者主要照顾者创伤后成长水平与照顾者的年龄、教育背景、照顾时长及与患者的关系有关.

abstractsObjective To observe the levels of post-traumatic growth in the primary caregivers of non-operative esophageal carcinoma patients, and analyze its influencing factors. Methods Primary caregivers of non-operative esophageal carcinoma patients hospitalized in the Affiliated Cancer Hospital of Zhengzhou University from January 2015 to December 2016 were selected by convenient sampling method. Posttraumatic Growth Inventory (PTGI) was used to evaluate the levels of post-traumatic growth and its influencing factors. The univariate analysis, Spearman correlation analysis, and multiple linear regression were performed to analyze influencing factors. Results The PTGI scores of the primary caregivers of non-operative esophageal carcinoma patients were between 25 and 94, with an average score of (76.93±8.15). The differences in the post-traumatic growth levels were statistically significant among caregivers with different ages, education background, household income per month, relationships with patients, reimbursement ratio, care hours, and live with the patient or not (P<0.05). Correlation analysis showed that post-traumatic growth levels positively correlated with age, care hours, education background, relationships with patients and live with the patient or not (P< 0.05). Multiple linear regression analysis revealed that age, education background, care hours and relationships with patients were influencing factors of the post-traumatic growth of the primary caregivers of non-operative esophageal carcinoma patients. Conclusions The post-traumatic growth of the primary caregivers of non-operative esophageal carcinoma patients is related to the age, education background, care hours and relationships with patients.