甲状腺癌患者述情障碍现状及其影响因素分析  

Analysis of the current status and influencing factors of alexithymia in patients with thyroid cancer

作　　者：黄元琦 梁波[2] 赵小乐 张晓东[4] 覃保瑜[5] 李弘[1] 吕萍 HUANG Yuanqi;LIANG Bo;ZHAO Xiaole;ZHANG Xiaodong;QIN Baoyu;LI Hong;LYU Ping(Outpatient Office,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Diagnostic Cardiology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Emergency Medicine,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Gastrointestinal Glandular Surgery,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Endocrinology,The First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)

机构地区：[1]广西医科大学第一附属医院门诊办公室,南宁530021 [2]广西医科大学第一附属医院心电诊断科,南宁530021 [3]广西医科大学第一附属医院急诊科,南宁530021 [4]广西医科大学第一附属医院胃肠腺体外科,南宁530021 [5]广西医科大学第一附属医院内分泌科,南宁530021

出　　处：《中国癌症防治杂志》2022年第4期440-444,共5页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200220)。

摘　　要：目的调查甲状腺癌患者述情障碍现状并分析其影响因素。方法选择2021年1月—2022年2月广西医科大学第一附属医院甲状腺疾病一体化诊治中心收治的194例甲状腺癌患者作为调查对象。采用多伦多述情障碍量表、身体意象量表和自我表露指数量表进行问卷调查,根据患者述情障碍得分情况分为述情障碍组和非述情障碍组,并采用二分类logistic回归分析述情障碍的影响因素。结果194例甲状腺癌患者中述情障碍发生率为64.4%。二分类logistic回归结果显示,女性和身体意象紊乱是述情障碍的危险因素(均P<0.05);自我表露水平是述情障碍的保护因素(P<0.05)。结论甲状腺癌患者述情障碍发生率较高,尤其应加强关注女性、身体意象紊乱以及自我表露水平低下患者,以便进行针对性心理社会干预。Objective To investigate the current status of alexithymia cancer and analyze its influencing factors.Methods A total of 194 thyroid cancer patients admitted to the First Affiliated Hospital of Guangxi Medical University´s Integrated Thyroid Disease Diag⁃nostic and Treatment Center from January 2021 to February 2022 were selected as the survey subjects.A questionnaire survey was con⁃ducted using the toronto alexithymia scale,body image scale and distress disclosure index scale,the patients were divided into the alexi⁃thymia group and the non⁃alexithymia group according to their alexithymia scores,and dichotomous logistic regression was used to ana⁃lyze the influencing factors of alexithymia.Results The incidence of alexithymia among 194 thyroid cancer patients was 64.4%.The results of dichotomous logistic regression showed that female gender and body imagery disorders were risk factors for alexithymia(both P<0.05);the self⁃representation level was a protective factor for alexithymia(P<0.05).Conclusions The incidence of alexithymia in pa⁃tients with thyroid cancer is relatively high,and special attention should be paid to women,patients with body imagery disorders,and pa⁃tients with low levels of self⁃representation for targeted psychosocial interventions.

关 键 词：甲状腺癌 述情障碍 身体意象 自我表露 

分 类 号：R736.1[医药卫生—肿瘤]