甲状腺癌术后患者疾病感知与应对方式的相关性研究

Correlation of illness perception and coping style in patients with thyroid cancer after surgery

目的 调查甲状腺癌术后患者疾病感知现状并分析其与应对方式的相关性。方法 选取2020年9月至2021年3月广州市某三甲医院就诊的确诊并已行甲状腺癌根治术的甲状腺癌患者140例,采用一般资料调查表、简易疾病感知问卷(BIPQ)、医学应对问卷(MCMQ)对甲状腺癌术后患者进行调查。采用Spearman相关分析法分析甲状腺癌术后患者疾病感知与应对方式的相关性。结果 甲状腺癌术后患者平均BIPQ总分为(32.74±11.50)分,处于中等水平。平均MCMQ各维度得分面对为(17.84±3.39)分、回避为(12.35±3.39)分、屈服为(7.46±2.54)分。BIPQ总分与MCMQ回避、屈服维度得分呈正相关(r=0.443、0.653,P<0.05)。结论 甲状腺癌术后患者疾病感知与应对方式相关,医务人员应帮助患者采取有效的应对方式,正确认识疾病,以减少患者负面的疾病感知。

Objective To investigate the present situation of illness perception in patients with thyroid cancer after surgery and explore its correlation with coping styles.Methods A total of 140 patients with thyroid cancer who were diagnosed and had undergone radical surgery for thyroid cancer were selected from a tertiary hospital in Guangzhou from September 2020 to March 2021.The general information questionnaire,Brief Illness Perception Questionnaire(BIPQ)and the Medical Coping Modes Questionnaire(MCMQ)were used to investigate patients with thyroid cancer after surgery.Spearman correlation analysis was used to analyze the correlation between disease perception and coping style in patients with thyroid cancer after surgery.Results The average BIPQ score of patients with thyroid cancer after surgery was(32.74±11.50),which was in the medium level.The scores of the three dimensions of coping style were confrontation(17.84±3.39),avoidance(12.35±3.39)and yield(7.46±2.54).The total score of BIPQ was positively correlated with MCMQ avoidance and yield scores(r=0.443,0.653,P<0.05).Conclusion Illness perception in patients after thyroidectomy for thyroid cancer is related to coping styles.Medical staffs should help patients adopt effective coping styles and correctly understand the disease to reduce their negative illness perception.