甲状腺功能亢进症患者自我形象现状及其影响因素分析  

Analysis of self-image status of patients with hyperthyroidism and its influencing factors

作　　者：成超[1] 郭枫 任娟[1] CHENG Chao;GUO Feng;REN Juan(Department of Nuclear Medicine,Qingdao Municipal Hospital,Shandong Province,Qingdao 266071,China)

机构地区：[1]山东省青岛市市立医院核医学科,山东青岛266071

出　　处：《中国医药导报》2021年第6期87-90,共4页China Medical Herald

摘　　要：目的探讨甲状腺功能亢进症(以下简称“甲亢”)患者自我形象现状及其影响因素。方法回顾性采集2018年1月—2019年8月山东省青岛市市立医院收治76例甲亢患者资料。经治疗6个月后以自我形象量表(BIS)评估甲亢患者自我形象现状,根据BIS评分结果将甲亢患者分为较好组36例(BIS<10分)和较差组40例(BIS≥10分)。比较两组一般资料,采用多因素logistic回归分析评估甲亢患者自我形象现状影响因素。结果两组性别、病程、婚姻状况、文化程度、家庭月收入、工作状况比较,差异无统计学意义(P>0.05);较差组年龄、自我管理能力均低于较好组,差异均有统计学意义(均P<0.05);多因素logistic回归分析结果显示,年龄小(OR=1.096,95%CI:1.007~1.193)、自我管理能力低下(OR=1.343,95%CI:1.181~1.527)均是甲亢患者自我形象较差的影响因素(P<0.05)。结论甲亢患者超半数存在自我形象较差情况,可能与患者年龄及自我管理能力有关,尤以自我管理能力带来的影响较显著,患者自我管理能力差则自我形象差,临床可考虑通过干预甲亢患者的自我管理能力,来改善自我形象现状。Objective To explore the influencing factors self-image status of patients with hyperthyroidism(hereinafter referred to as“hyperthyroidism”)and its influencing factors.Methods Data of 76 patients with hyperthyroidism admitted to Qingdao Municipal Hospital,Shandong Province from January 2018 to August 2019 were collected retrospectively.After six months of treatment,the self-image status of hyperthyroidism patients was evaluated by the self-image scale(BIS),and the patients were divided into the good group(36 cases)(BIS<10 points)and the poor group(BIS≥10 points)according to the result of BIS score.The general data of the two groups were compared,and multivariate logistic regression analysis was used to evaluate the influencing factors of self-image status of patients with hyperthyroidism.Results There were no significant differences in gender,course of disease,marital status,educational level,monthly family income and working status between the two groups(P>0.05).The age and self-management ability of the poor group were lower than those of the good group,and the differences were statistically significant(all P<0.05).Multivariate logistic regression analysis showed that young age(OR=1.096,95%CI:1.007-1.193)and low self-management ability(OR=1.343,95%CI:1.181-1.527)were the influencing factors for poor self-image of hyperthyroidism patients(P<0.05).Conclusion More than half of patients with hyperthyroidism have poor self-image,which may be related to patients’age and self-management ability,especially the influence of self-management ability is more significant.Patients with poor self-management ability have poor self-image.Clinically,intervention in self-management ability of patients with hyperthyroidism can be considered to improve the self-image status.

关 键 词：甲状腺功能亢进症 自我形象 自我管理能力 年龄 

分 类 号：R581.1[医药卫生—内分泌]