目的 探讨癌症患者自我表露、家庭抗逆力和创伤后成长的现状，分析其对创伤后成长的影响，为提高癌症患者创伤后成长水平提供依据。方法 2022年1-5月，采用便利抽样法选取厦门市3所综合性医院的293名癌症患者为研究对象，采用创伤后成长评定量表、自我表露量表和家庭抗逆力量表等对其进行调查。结果 癌症患者创伤后成长总分、自我表露得分、家庭抗逆力得分分别为（57.20±15.93）分、（35.61±6.66）分和（96.39±8.74）分；自我表露和家庭抗逆力与创伤后成长均呈正相关（r=0.213、0.300，均P＜0.01）；家庭抗逆力可直接正向影响创伤后成长，直接效应为0.29；家庭抗逆力可通过自我表露的中介作用间接影响创伤后成长，中介效应为0.0374，中介效应占总效应值的11%。结论 癌症患者创伤后成长处于中等水平，提高患者的家庭抗逆力水平和促进患者负性情绪的自我表露可促进患者的创伤后成长和更好的康复。

Objective To explore the current status of self-disclosure,family resilience and post-traumatic growth in cancer patients,and analyze the effects of self-disclosure and family resilience on post-traumatic growth,so as to provide evidence for improving the level of post-traumatic growth in cancer patients.Methods From January to May 2022,convenience sampling was used to select 293 cancer patients from three general hospitals in Xiamen as the research objects.Post-traumatic growth Inventory (PTGI),the distress disclosure index (DDI) and the shortened Chinese version of the family resilience assessment scale (FRAS-C) were used to conduct the questionnaire survey.Results The total score of post-traumatic growth,self-disclosure and family resilience in cancer patients were (57.20±15.93),(35.61±6.66) and (96.39±8.74),respectively.Self-disclosure and family resilience were positively correlated with post-traumatic growth (r=0.213,0.300,P＜0.01).Self-disclosure and family resilience can directly and positively influence post-traumatic growth,with a direct effect of 0.29.Family resilience can also indirectly influence post-traumatic growth through the mediating effect of self-disclosure,which is 0.0374,accounting for 11% of the total effect.Conclusions The post-traumatic growth of cancer patients is at a moderate level.Improving the family resilience of patients and promoting the self-disclosure of patients’ negative emotions can promote the post-traumatic growth and better recovery of patients.

R473.2

山东省自然基金面上项目（ZR2020MG005）；泰安市科技局科技创新发展项目(2021NS342)