| Objective（1）To Understand the present situation and dynamic changes of the meaning in life,empirical avoidance and post-traumatic growth of breast cancer patients;（2）To explore the correlation of meaning in life,empirical avoidance and post-traumatic growth of breast cancer patients in different disease stage;（3）To enhance the intervention research foundation about the level of breast cancer patients’ post-traumatic growth,which will provide a scientific basis for nursing workers.MethodsUsing convenient sampling method choosing primary breast cancer patients in 2015.9-2016.9 in the first affiliated hospital of Dalian Medical University,to simplify 80 breast cancer radical patients with conventional chemotherapy after surgery.Research tools including the General Information Questionnaire,The Meaning in Life Questionnaire（MLQ）,Acceptance Action Questionnaire（AAQ-II）and Post-traumatic Growth Inventory（PTGI）.On the day before surgery（T1）,we describe to the patients about the significance and purpose of research,after the patients’ consent,help them sign the informed consent,and then,hand out the research tools.Hand out the C-MLQ,AAQ-II and C-PTGI scale on the third day after the operation（T2）,during chemotherapy（T3）and during the end of the chemotherapy（T4）of longitudinal investigation.The questionnaire was granted on the spot,and called back soon,We establish We-Chat group to answer patients doubts during the treatment,in order to establish a good relationship between nurses and patients,show the humanized care,and improve patients compliance.Input the data by double.Use the SPSS19.0 statistical software for the integration,processing and analysis the data.Statistical methods including:（1）Discriptive statistical analysis,（2）X test,（3）ANOVA and independent-samples T test,（4）Repeated ANOVA,（5）Pearson analysis,（6）Multiple linear regression equation and so on.Results 1.Dynamic change of meaning in life about breast cancer patientsThe score of sense of meaning in life is 47.08±9.44（T1）,MLQ-Presence score is 27.44±5.73 and MLQ-Search score is 19.64±4.66,the score of T2 is 49.21±7.66,T3 is 44.99±9.88,T4 is 49.81±9.31.The outcome of Repeated ANOVA shows that the difference is significant（P<0.05）.2.Dynamic change of experiential avoidance about breast cancer patientsT1 empirical investigation can be shown that breast cancer patients’ score of experiential avoidance is 18.51±7.19,the score of T2 is highest,19.21±9.72,T3 is 18.01±6.91,T4 is 15.65±5.58,which is the lowest.The outcome of Repeated ANOVA shows that the difference is significant.Except the T2,it is proved to be a trend of decline.3.Dynamic change of post-traumatic growth about breast cancer patientsFrom T1 to T4,breast cancer patients’ score of post-traumatic growth is 83.04±20.90,62.84±19.21,59.58±13.78,67.85±13.51.The score of T3 is the lowest.And during the treatment,breast cancer patients’ level of post-traumatic growth will be improved（P<0.05）.4.Correlation analysis of meaning in life,experiential avoidance and post-traumatic growth about Breast cancer patients.Pearson correlation analysis and step-wise regression results showed that: post-traumatic growth in Breast cancer patients is related to sense of meaning of life（r=0.470,0.513,0.416,0.640,and R2=0.203,0.244,0.156,0.399,P<0.01）,At the T2,sense of meaning of life and experiential avoidance has a negative correlation（r=-0.36,P<0.01）.Conclusion 1.Breast cancer patients’ sense of the meaning of life isn’t a positive change over time,during T3（the first chemotherapy）,sense of meaning of life has the lowest levels,and then increases gradually,reaches the highest level at the end of chemotherapy.Showed that patients with chemotherapy may inspire sense of the meaning of life;2.In addition to T2（the period after surgery）,breast cancer patients’ empirical avoidance decline gradually.Showed that during the pass of time,patients can face disease,self-acceptance level increase gradually;3.Surgery and chemotherapy can cause certain influence to patients’ post-traumatic growth,as the treatment smoothly,patients’ post-traumatic growth is on rise.Showed that patients with surgery and chemotherapy treatments can trigger post-traumatic growth levels;4.Breast cancer patients’ sense of the meaning of life can positively predict the patient’s level of post-traumatic growth,improving the feeling of significance about the patient’s life is helpful to improve patients with post-traumatic growth. |
PDF Full Text Request