A Longitudinal Study of the Trajectory of Post-traumatic Growth and Disease Perception in Surgical Patients with Laryngeal Cancer and Its Influencing Factors

HE Susu; CHEN Minghong; LIU Guangzhi; LIU Zhiying; Song Xiaohua; CHEN Hongtao

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Journal of Hunan Normal University(Medical Science) ›› 2024, Vol. 21 ›› Issue (3) : 161-166.

A Longitudinal Study of the Trajectory of Post-traumatic Growth and Disease Perception in Surgical Patients with Laryngeal Cancer and Its Influencing Factors

HE Susu¹, CHEN Minghong¹, LIU Guangzhi¹, LIU Zhiying², Song Xiaohua³, CHEN Hongtao¹

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Abstract

Objective To explore the potential categories and influencing factors of post-traumatic growth and disease perception in surgical patients with laryngeal cancer. Method 92 cases with laryngeal cancer treated in a first-class hospital in Hunan province from September 2018 to December 2021 were selected as the research object using convenient sampling method. The general data questionnaire, post-traumatic growth scale, disease awareness scale in preoperative were used for follow-up evaluation before surgery, 1 month after discharge, 3 months after discharge and 6 months after discharge. Latent category growth model and multi-category Logistic regression analysis were used. Results According to the relevant indicators of the model, the development trajectory of laryngeal cancer patients could be divided into three potential categories: high score growth group (16/92, 17.4%), medium growth group (55/92, 59.8%) and low steady growth group (21/92, 22.8%). Compared with the low steady growth group, the patients with partial laryngectomy were more likely to enter the high score growth group (OR=0.88, P=0.006). The development trajectory of disease perception was divided into rapid decline group (26/92, 28.3%), steady decline group (42/92, 45.6%), slow decline group (24/92, 26.1%). Conclusion From preoperative to 6 months after discharge, post-traumatic growth and disease perception of laryngeal cancer patients show three different trajectories, and there are individual differences among groups. Medical staff can identify the population with low post-traumatic growth by surgical methods and predict the dynamic changes of post-traumatic growth. It is suggested that clinical medical staff should formulate targeted individualized intervention programs according to the development trajectory types and influencing factors of disease perception and post-traumatic growth of laryngeal cancer patients.

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squamous cell carcinoma of head and neck / post-traumatic growth / disease perception / latent category growth model

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HE Susu, CHEN Minghong, LIU Guangzhi, LIU Zhiying, Song Xiaohua, CHEN Hongtao. A Longitudinal Study of the Trajectory of Post-traumatic Growth and Disease Perception in Surgical Patients with Laryngeal Cancer and Its Influencing Factors[J]. Journal of Hunan Normal University(Medical Science). 2024, 21(3): 161-166

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