A Longitudinal Study of the Trajectory of Post-traumatic Growth and Disease Perception in Surgical Patients with Laryngeal Cancer and Its Influencing Factors
Objective To explore the potential categories and influencing factors of post-traumatic growth and disease per-ception 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 meth-od.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 de-cline 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 indi-vidual 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.
squamous cell carcinoma of head and neckpost-traumatic growthdisease perceptionlatent category growth model
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