甲状腺癌术后患者自我管理效能水平及影响因素分析

Level of self management efficacy and influencing factors in patients with thyroid carcinoma after operation

目的了解甲状腺癌术后患者自我管理效能并分析其影响因素。方法采用自我管理效能、医学应对状况、社会支持评定、焦虑抑郁、生命质量、患者一般资料量表对363例甲状腺癌术后住院患者进行问卷调查。结果甲状腺癌术后患者自我管理效能得分(91.12±21.163)分,处于中等偏高水平;总体健康、焦虑、放射性碘治疗、文化程度、宗教信仰最终进入多元逐步回归方程式,可解释自我管理效能水平全部变异的46.0%。结论多数甲状腺癌术后患者总体健康状况、焦虑水平、放射性碘治疗、文化程度、宗教信仰是甲状腺癌术后患者自我管理效能的独立影响因素。

OBJECTIVE To investigate the status of self-management efficacy of thyroid cancer patients and analyze its influencing factors. METHODS By using Strateges Used by People to Promote Health （SUPHH）, Social Support Rate Scale（SSRS） , EORTC QLQ-C30, Hospital Anxiety and Depression Scale, HADS, MCMQ, the general situation scale to 363 hospitalized patients with thyroid cancer after operation, a questionnaire survey was conducted. RESULTS Thyroid cancer patients＇ self-efficacy score was 91.12±21.163 and was in a moderately high level. Total health, anxiety, radioactive iodine therapy, education level, religious belief finally entered into the multiple regression equation, which explained 46% of the total variation of the level of self management effectiveness. CONCLUSION The independent risk factors influencing the self management efficacy of patients with thyroid cancer were patients＇ general health status, anxiety level, radiotherapy, education and religion.