甲状腺癌患者术后自我管理效能水平及其危险因素分析

Analysis of Postoperative Self-management Efficacy and Risk Factors in Patients with Thyroid Cancer

目的:探讨甲状腺癌患者术后自我管理效能水平及其危险因素。方法:选择2019年3月-2021年3月江西省肿瘤医院收治的90例甲状腺癌患者,全部患者均行甲状腺切除术治疗,并于出院前采用自我管理效能测评量表(SUPPH)评估90例患者术后自我管理效能水平,设计基线资料调查表,收集全部患者基线资料。比较不同资料甲状腺癌患者术后SUPPH评分,分析可能影响甲状腺癌患者术后自我管理效能水平的影响因素。结果:90例甲状腺癌患者术后自我管理效能水平一般,SUPPH评分平均得分为(86.32±5.48)分。不同年龄、性别、文化程度、婚姻状况、工作状况甲状腺癌患者的自我管理效能评分比较,差异均无统计学意义(P>0.05)。不同应对方式、社会支持、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分甲状腺癌患者的自我管理效能比较,差异均有统计学意义(P<0.05)。多元线性回归分析结果显示,应对方式、社会支持、SAS、SDS评分是甲状腺癌患者术后自我管理效能水平的影响因素(P<0.05)。结论:甲状腺癌患者术后自我管理效能水平一般,可能受消极应对、社会支持度差、焦虑、抑郁的影响,临床可据此给予针对性干预。

Objective:To investigate the efficacy of postoperative self-management and risk factors in patients with thyroid cancer.Method:A total of 90 patients with thyroid cancer admitted to Jiangxi Tumor Hospital from March 2019 to March 2021 were selected,and all patients underwent thyroidectomy.Strategies used by people to promote health(SUPPH)was used to evaluate the postoperative self-management efficacy level of 90 patients before discharge.A baseline data questionnaire was designed to collect the baseline data of all patients.The SUPPH score of patients with thyroid cancer after surgery was compared with different data to analyze the influence factors that may affect the self-management efficiency of patients with thyroid cancer after surgery.Result:The postoperative self-management efficiency of 90 patients with thyroid cancer was average,and the average score of SUPPH was(86.32±5.48).There were no significant differences in self-management efficacy scores among thyroid cancer patients with different age,gender,education level,marital status and working status(P>0.05).There were significant differences in self-management efficacy scores among thyroid cancer patients with different coping styles,social support,self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score(P<0.05).The results of multiple linear regression analysis showed that coping style,social support,SAS,SDS scores were the influencing factors of postoperative self-management efficiency of thyroid cancer patients(P<0.05).Conclusion:Postoperative self-management efficiency of patients with thyroid cancer is average,which may be affected by negative coping,poor social support,anxiety and depression,according to which targeted intervention can be given clinically.