甲状腺癌根治术患者术前压力知觉、心理韧性调查及其与家庭支持度的关系

Investigation of preoperative stress perception and psychological resilience,and their relationshipwith family support in patients undergoing radical thyroidectomy

目的:探讨甲状腺癌根治术患者术前压力知觉、心理韧性调查及其与家庭支持度的关系。方法:选取某院2022年5月-2023年4月95例甲状腺癌根治术患者,术前进行问卷调查,回收有效问卷90份纳入研究,分别使用压力知觉量表中文版(CPSS)、心理韧性评定量表(CD-RISC)、家庭支持自评量表(PSS-Fa)评价患者压力知觉、心理韧性、家庭支持度,通过Pearson相关性分析甲状腺癌根治术患者术前压力知觉、心理韧性与家庭支持度的相关性。结果:甲状腺癌根治术患者家庭支持度PSS-Fa量表评分为9.19±1.72分,其中低家庭支持9例(10.00%),中家庭支持44例(48.89%),高家庭支持37例(41.11%);不同年龄、家庭居住地、家庭人均月收入、医疗费用付费方式、病理分型、肿瘤分期患者家庭支持度PSS-Fa量表评分比较无显著差异(P>0.05);女性、受教育程度大学及以上、已婚状态患者PSS-Fa量表评分高于其他患者(P<0.05);甲状腺癌根治术患者术前压力知觉CPSS量表总分为35.86±6.72分,紧张感维度得分为20.84±4.59分、失控感维度得分为15.01±3.98分,其中正常范围者23例(25.56%),压力较大者53例(58.89%),压力过大者14例(15.56%);甲状腺癌根治术患者心理韧性CD-RISC量表中,坚韧、乐观、自强维度及量表总分分别为25.69±4.77分、6.94±1.24分、18.81±4.20分、51.44±6.71分均低于国内常模(31.66±4.21分、9.66±3.34分、23.66±4.68分、65.66±13.93分)(P<0.05);甲状腺癌根治术患者家庭支持度PSS-Fa量表评分与压力知觉CPSS量表紧张感、失控感及量表总分呈现负相关(r=-0.646,-0.371,-0.665;P<0.05);PSS-Fa量表评分与心理韧性CD-RISC量表坚韧性、乐观性、力量性及量表总分呈现正相关(r=0.339,0.623,0.507,0.649;P<0.05)。结论:甲状腺癌根治术患者术前压力知觉水平较大,心理韧性降低,且家庭支持度的高低可影响患者术前压力知觉与心理韧性水平。

Objective:To explore the investigation of preoperative stress perception and psychological resilience,and their relationship with family support in patients undergoing radical thyroidectomy.Methods:A total of 90 patients undergoing radical thyroidectomy in the hospital were enrolled between May 2022 and April 2023.All underwent questionnaire survey before surgery.The stress perception,psychological resilience and family support of patients were evaluated by Chinese version perceived stress scale(CPSS),Connor-Davidson Resilience Scale(CD-RISC)and Family Support Scale(PSS-Fa),respectively.The correlation between preoperative stress perception,psychological resilience and family support was analyzed by Pearson correlation analysis.Results:In the 90 patients undergoing radical thyroidectomy,PSS-Fa score was(9.19±1.72)points,there were 9 cases(10.00%)with low family support,44 cases(48.89%)with moderate family support and 37 cases(41.11%)with high family support.There was no significant difference in PSS-Fa scores among patients with different age,family residence,family monthly income percapita,payment methods for medical cost,pathological classifications and tumor staging(P>0.05).PSS-Fa scores in patients with female gender,education level of college or above and married status were higher than those in the other patients(P<0.05).The total score of CPSS was(35.86±6.72)points,and scores of tension sense dimension and loss of control dimension were(20.84±4.59)points and(15.01±3.98)points,respectively.Among them,there were 23 cases(25.56%)with stress perception within normal range,53 cases(58.89%)with heavy stress and 14 cases(15.56%)with excessive stress.The scores of toughness,optimism and self-improvement,and total score of CD-RISC were(25.69±4.77)points,(6.94±1.24)points,(18.81±4.20)points and(51.44±6.71)points,lower than those in domestic norms[(31.66±4.21)points,(9.66±3.34)points,(23.66±4.68)points,(65.66±13.93)points;P<0.05].PSS-Fa score was negatively correlated with scores of tension and loss of control,and total score of(r=-0.646,-0.371,-0.665;P<0.05),while positively correlated with scores of toughness,optimism and self-improvement,and total score of CD-RISC(r=0.339、0.623、0.507、0.649,P<0.05).Conclusion:The level of preoperative stress perception is high and psychological resilience is declined in patients undergoing radical thyroidectomy.The family support can affect preoperative stress perception and psychological resilience.