Pathway analysis of self-disclosure to posttraumatic growth in patients after cervical cancer surgery
10.3760/cma.j.cn211501-20231208-01243
- VernacularTitle:宫颈癌术后患者自我表露对创伤后成长的作用路径分析
- Author:
Min LIU
1
;
Ying GUO
;
Yaning ZHOU
;
Wenjun ZHANG
;
Xueqi TIAN
;
Fuli ZHAO
Author Information
1. 山东第一医科大学附属省立医院乳腺甲状腺外科，济南 250021
- Keywords:
Uterine cervical neoplasms;
Self-disclosure;
Posttraumatic growth;
Resilience;
Family resilience
- From:
Chinese Journal of Practical Nursing
2024;40(19):1470-1476
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the pathway of self-disclosure to posttraumatic growth in patients after cervical cancer surgery, and to provide reference for improving the level of posttraumatic growth in patients.Methods:A convenient sampling method was used to investigate 300 patients with cervical cancer after surgery in Shandong Provincial Hospital Affiliated to Shandong First Medical University from June to November 2022 by using general data questionnaire, Distress Disclosure Index (DDI), Connor-Davidson Resilience Scale (CD-RISC), the Shortened Chinese Version of the Family Resilience Assessment Scale (FRAS-C) and the Posttraumatic Growth Inventory (PTGI) in a cross-section study.Results:A total of 290 valid questionnaires were collected, with an effective recovery rate of 96.7%. The patients were aged 23-70(48.13 ± 10.39) years. The scores of self-disclosure, resilience, family resilience and posttraumatic growth were (46.41 ± 9.82), (67.06 ± 14.63), (108.18 ± 11.06) and (58.24 ± 17.86) respectively. The results of pathway analysis showed that self-disclosure could not only directly predict posttraumatic growth, but also indirectly predict posttraumatic growth through the mediating role of resilience and family resilience, and the chain mediating role of resilience and family resilience, respectively. The direct effect of self-disclosure on posttraumatic growth was 0.236(95% CI 0.138-0.335), and the chain mediating effect of family resilience and resilience between self-disclosure and posttraumatic growth was 0.036(95% CI 0.018-0.060). Conclusions:Medical staff should not only consider the direct influence of self-disclosure on posttraumatic growth, but also pay attention to improve the resilience and family flexibility of patients after cervical cancer surgery, so as to promote their posttraumatic growth.
