甲亢患者自我形象水平及其危险因素分析

Analysis of Self-image Level in Hyperthyroidism Patients and Its Risk Factors

目的:探讨甲亢患者自我形象水平及其危险因素。方法:选取2019年8月-2021年8月莆田学院附属医院收治的甲亢患者85例。所有患者均进行基线资料调查,并在治疗3个月后采用自我形象量表(BIS)评估患者自我形象水平,同时进行分组。统计分组情况,采用单因素和Logistic回归分析检验甲亢患者自我形象水平较差的危险因素。结果:85例甲亢患者中,有31例BIS评分≥10分,占比为36.47%,纳入自我形象较差组;有54例BIS评分<10分,占比为63.53%,纳入自我形象较好组。两组年龄、性别、病程、受教育程度、婚姻状况、家庭月收入、Herth评分比较差异均无统计学意义(P>0.05),自我形象较好组一般自我效能量表(GSES)、心理弹性量表简表(RS-14)评分、创伤后成长水平正常及应对方式为积极占比均高于自我形象较差组(P<0.05)。Logistic回归分析结果显示,GSES评分低、RS-14评分低、创伤后成长水平低下、应对方式为消极是导致甲亢患者自我形象水平较差的危险因素(OR>1,P<0.05)。结论:甲亢患者自我形象水平受自我效能、心理弹性、创伤后成长、应对方式因素影响,临床可据此进行针对性干预。

Objective:To investigate the self-image level in hyperthyroidism patients and its risk factors.Method:A total of 85 hyperthyroidism patients admitted to the Affiliated Hospital of Putian College from August 2019 to August 2021 were selected.All patients were investigated for baseline data,and the self-image level of patients was assessed by body image scale(BIS)after 3 months of treatment,and were grouped at the same time.The grouping situation was counted,univariate and Logistic regression analysis were used to test the risk factors of poor self-image level of hyperthyroidism patients.Result:Among 85 patients with hyperthyroidism,31 patients with BIS score≥10 points,accounting for 36.47%,they were included in the poor self-image group;54 cases with BIS score<10 points,accounting for 63.53%,they were included in the better self-image group.There were no significant differences in age,sex,course of disease,education level,marital status,monthly family income and Herth score between the two groups(P>0.05).The general self-efficacy scale(GSES)and short form of psychological resilience scale(RS-14)scores,normal post-traumatic growth level and positive coping style proportions in the better self-image group were higher than those in the poor self-image group(P<0.05).Logistic regression analysis showed that low GSES score,low RS-14 score,low post-traumatic growth level and negative coping style were the risk factors for poor self-image of hyperthyroidism patients(OR>1,P<0.05).Conclusion:The self-image level of hyperthyroidism patients is affected by self-efficacy,psychological elasticity,post-traumatic growth and coping style factors,which can be targeted intervention in clinic.