述情障碍在甲状腺癌术后患者自我怜悯与总体幸福感间的中介效应分析

Mediating effect of alexithymia on self-compassion and general well-being in postoperative thyroid cancer patients

目的探讨自我怜悯对甲状腺癌术后患者总体幸福感的影响以及述情障碍的中介作用,为相关干预措施的制订提供理论依据。方法采用便利抽样法,于2022年7—12月,选取在空军军医大学第一附属医院接受甲状腺癌根治术的150例患者为研究对象。采用一般资料问卷、多伦多述情障碍量表、自悯量表、总体幸福感量表对患者进行调查。结果本研究共发放问卷150份,回收有效问卷136份,有效回收率为90.67%。甲状腺癌术后患者自悯量表、多伦多述情障碍量表、总体幸福感量表总分分别为(93.07±11.82)(55.72±7.23)(70.71±14.09)分。甲状腺癌术后患者自我怜悯与述情障碍呈负相关(P<0.01),自我怜悯与总体幸福感呈正相关(P<0.01),述情障碍与总体幸福感呈负相关(P<0.01)。述情障碍在甲状腺癌术后患者自我怜悯与总体幸福感间起部分中介效应,中介效应为0.165,中介效应占总效应的31.02%。结论自我怜悯不仅能直接影响甲状腺癌术后患者的总体幸福感,也能通过述情障碍间接影响患者的总体幸福感,应引起临床医护人员的关注。在今后的临床干预中,应注意采取一定的干预手段提高患者的自我怜悯水平,降低患者的述情障碍,从而提高患者的总体幸福感。

Objective To explore the effect of self-compassion on general well-being of patients with thyroid cancer after surgery and the mediating role of alexithymia,so as to provide a theoretical basis for the formulation of relevant intervention measures.Methods A total of 150 patients who underwent radical thyroidectomy in the First Affiliated Hospital of Air Force Medical University from July to December 2022 were selected as research objects by the convenient sampling method.A survey was conducted on patients using the general information questionnaire,Toronto Alexithymia Scale(TAS-20),Self-compassion Scale(SCS)and General Well-being Scale(SWB).Results A total of 150 questionnaires were distributed in this study,and 136 valid questionnaires were collected,with an effective response rate of 90.67%.The total scores of SCS,TAS-20 and SWB for postoperative thyroid cancer patients were(93.07±11.82),(55.72±7.23)and(70.71±14.09),respectively.There was a negative correlation between self-compassion and alexithymia(P<0.01),a positive correlation between self-compassion and general well-being(P<0.01),and a negative correlation between alexithymia and general well-being(P<0.01).Alexithymia had a partial mediating effect between self-compassion and general well-being in patients with thyroid cancer after surgery.The mediating effect was 0.165,accounting for 31.02%of the total effect.Conclusions Self-compassion can not only directly affect the overall well-being of patients after thyroid cancer surgery,but also indirectly affect the general well-being of patients through alexithymia,which should arouse the attention of clinical medical staff.In the future clinical intervention,attention should be paid to taking certain intervention measures to improve the self-compassion level of patients and reduce the alexithymia of patients,so as to improve the general well-being of patients.