分化型甲状腺癌RAI治疗患者自我管理效能的现状及影响因素分析

The current situation and influencing factors of self efficacy in patients with differentiated thyroid cancer treated with radioactive iodine

目的:了解分化型甲状腺癌RAI治疗患者的自我管理效能水平,并分析其影响因素。方法:采用中文版SUPHH问卷、医学应对问卷、医院焦虑抑郁量表和患者一般情况问卷对363例分化型甲状腺癌RAI治疗患者进行问卷调查。结果:分化型甲状腺癌RAI治疗患者自我管理效能感得分为(89.71±19.45)分;多元线性回归结果显示,抑郁、面对、回避、屈服、性格、病理分期、知情是自我管理效能感的主要影响因素。结论:分化型甲状腺癌RAI治疗患者自我管理效能感处于中等水平,有待提高;临床医护人员可参考影响患者自我管理效能感因素,有针对性地帮助患者制定疾病自我管理方案,从而提升患者的生存质量。

Objective：To evaluate the level of self management efficacy of differentiated thyroid cancer patients with RAI,and to analyze the influencing factors.Method：The Chinese version of SUPHH questionnaire,medical coping questionnaire,hospital anxiety and depression scale and patients general condition questionnaire were used to investigate 363 patients.Result：The self-management efficacy score of the patients is 89.71±19.45.The results of multiple linear regression showed that the depression,face,avoidance,yield,character,pathological stage and the knowledge were the main influencing factors of self management efficacy.Conclusion：The sense of self management efficacy of differentiated thyroid cancer patients with the RAI treatment is in the middle level,and needs to be improved.Clinical health care workers can refer to the factors and help patients to develop disease self-management programs and finally to improve the quality of patients life.