甲状腺癌患者积极度的潜在类别及影响因素分析

Potential profile and influencing factors analysis of the positivity of thyroid cancer patients

目的 探讨并分析甲状腺癌患者积极度的潜在类别及其影响因素,为临床制订干预策略提供实证依据。方法 选取2023年3月至7月广西某综合医院日间手术病房的188例甲状腺癌患者为研究对象,采用一般资料调查表、患者积极度量表、一般自我效能量表、疾病接受度量表进行调查,采用Mplus 8.3软件探索患者积极度的潜在类别,运用Logistic回归分析潜在类别的影响因素。结果 甲状腺癌患者积极度分为两个潜在类别:高积极度-主动适应型(42.04%),低积极度-应对依赖型(7.98%)。主要照顾者类型、医疗保险类型、疾病接受度是甲状腺癌患者积极度潜在类别的影响因素(P<0.05)。结论 甲状腺癌患者积极度存在两个潜在类别,且以低积极度-应对依赖型为主,提示临床医护人员根据潜在类别及其影响因素为患者制订个性化、有效性的干预策略,以期提高甲状腺癌患者自我管理能力和积极度水平。

Objective To explore and analyze the potential categories and influencing factors of positivity in thyroid cancer patients,to provide empirical evidence for the development of clinical intervention strategies.Methods A total of 188 thyroid cancer patients who were admitted to the day surgery ward from March to July 2023 were selected as research objects.The General Information Questionnaire,Patient Activation Measure,General Self-Efficacy Scale,Acceptance Scale were used for the survey.Mplus 8.3 software was used to explore the potential categories of patient positivity,and Logistic regression was used to analyze the influencing factors of potential categories.Results The positivity of daytime thyroid cancer patients could be divided into two potential categories,including high accumulation extreme active adaptation(42.04%),and low accumulation extreme coping dependence(7.98%).The type of main caregiver,medical insurance,and disease acceptance were their potential influencing factors(P<0.05).Conclusion There are two potential categories of positivity in thyroid cancer patients,with low accumulation extreme coping dependence being the main type.This suggestes that clinical medical staff should develop personalized and effective intervention strategies for patients according to the potential categories and their influencing factors,to improve the self-management and positivity levels of daytime thyroid cancer patients.