甲状腺癌术后患者重返工作自我效能的潜在剖面分析  

Latent profile analysis of return-to-work self-efficacy of postoperative patients with thyroid cancer

作　　者：唐晓霞 易小林[3] 王梅[4] 陈芮 周许敏 毛惠娜[1] Tang Xiaoxia;Yi Xiaolin;Wang Mei;Chen Rui;Zhou Xumin;Mao Huina(Department of Nursing,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;School of Nursing,Southern Medical University,Guangzhou 510515,China;Department of Breast and Thyroid Surgery,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China;Department of Oncology,Zhujiang Hospital,Southern Medical University,Guangzhou 510282,China)

机构地区：[1]南方医科大学珠江医院护理部,广州510282 [2]南方医科大学护理学院,广州510515 [3]南方医科大学珠江医院乳腺甲状腺外科,广州510282 [4]南方医科大学珠江医院肿瘤科,广州510282

出　　处：《中国实用护理杂志》2024年第11期831-839,共9页Chinese Journal of Practical Nursing

基　　金：广东省医学科学技术研究基金项目(A2023117)。

摘　　要：目的探讨甲状腺癌术后患者重返工作自我效能的潜在类别并分析其影响因素,为制订职业康复精准干预方案提供理论依据。方法采用便利抽样法,于2022年5月至2023年7月选取南方医科大学珠江医院257例甲状腺癌术后患者为调查对象,使用一般资料调查表、重返工作自我效能量表、癌症疲乏量表进行横断面问卷调查。运用潜在剖面分析探讨甲状腺癌术后患者重返工作自我效能的不同潜在类别,采用Logistic回归和决策树分析其影响因素。结果最终纳入250例甲状腺癌术后患者,男76例,女174例,年龄(37.91±8.04)岁。甲状腺癌术后患者重返工作自我效能可分为2个潜在类别:低重返工作自我效能组(72.0%,180/250)和高重返工作自我效能组(28.0%,70/250)。Logistic回归分析显示文化程度、促甲状腺激素抑制治疗是否达标、癌因性疲乏、年龄是甲状腺癌术后患者重返工作自我效能潜在类别的影响因素(OR值为0.951~19.820,均P<0.05)。决策树分析显示文化程度和癌因性疲乏是甲状腺癌术后患者重返工作自我效能潜在类别的重要影响因素(χ2=31.40、16.95,均P<0.05)。结论甲状腺癌术后患者重返工作自我效能存在2个潜在类别,大部分患者重返工作自我效能处于较低水平。医护人员应重点关注文化程度低、癌因性疲乏严重的患者,同时不能忽略促甲状腺激素抑制治疗未达标、年龄较大的患者,对不同类别患者实施职业康复精准干预以提高其重返工作自我效能,促进患者职业康复。Objective To explore the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer and analyze the influencing factors,so as to provide theoretical basis for implementing precise interventions of occupational rehabilitation.Methods This was a cross-sectional study.A convenient sampling method was used to select 257 postoperative patients with thyroid cancer in Zhujiang Hospital of Southern Medical University from May 2022 to July 2023.The General Information Questionnaire,Return-To-Work Self-Efficacy Questionnaire and Cancer Fatigue Scale were used for investigation.Latent profile analysis was used to explore the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer.Logistic regression and decision tree were used to analyze the influencing factors of different potential categories.Results Finally,250 postoperative patients with thyroid cancer were included.There were 76 males and 174 females,aged(37.91±8.04)years old.The return-to-work self-efficacy of postoperative patients with thyroid cancer was divided into 2 potential categories:low return-to-work self-efficacy group(72.0%,180/250)and high return-to-work self-efficacy group(28.0%,70/250).Logistic regression showed education,thyrotropin suppressive therapy,cancer-related fatigue and age were factors influencing the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer(OR values were 0.951-19.820,all P<0.05).Decision tree model showed education level and cancer-related fatigue were the most important factors(χ2=31.40,16.95,both P<0.05).Conclusions There were two potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer.Most of them had low levels of return-to-work self-efficacy.Health care professionals should focus on patients who are less educated and having cancer-related fatigue,meanwhile,should not ignore patients who are substandard thyrotropin suppressive therapy,and older.Implement

关 键 词：甲状腺肿瘤 决策树 重返工作自我效能 潜在剖面分析 影响因素 

分 类 号：R473.73[医药卫生—护理学]