甲状腺癌患者术后焦虑、抑郁、心理社会适应现状的影响因素及干预策略  

Influencing factors and intervention strategies of postoperative anxiety,depression,and psychosocial adaptation status in patients with thyroid cancer

作　　者：方蕾 杨懿 冯晓瑜 王静[1] FANG Lei;YANG Yi;FENG Xiaoyu;WANG Jing(Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中西医结合护理(中英文)》2025年第1期129-132,共4页Journal of Clinical Nursing in Practice

摘　　要：目的分析甲状腺癌患者术后焦虑、抑郁、心理社会适应现状的影响因素并探讨相应的干预策略。方法纳入华中科技大学同济医学院附属同济医院2021年1月至2022年12月收治的180例甲状腺癌患者为研究对象,分析其术后焦虑自评量表(SAS)、抑郁自评量表(SDS)和疾病心理社会适应量表(PAIS-SR)评分及评分的相关性,并采用多元线性回归法总结影响患者SAS、SDS及PAIS-SR评分的相关因素。结果180例甲状腺癌患者分别有43.89%、47.78%的患者存在焦虑、抑郁情绪。患者PAIS-SR评分为44.36±4.07分,心理状况、娱乐情况、工作能力维度评分较高。Pearson相关性分析结果显示,SAS评分与PAIS-SR评分呈正相关(P<0.05),SDS评分与PAISSR评分呈正相关(P<0.05)。多元线性回归分析结果显示,农村居住、家庭人均月收入<1000元、肿瘤分期Ⅲ~Ⅳ期均是影响甲状腺癌患者术后SAS评分的独立危险因素;家庭人均月收入<1000元、肿瘤分期Ⅲ~Ⅳ期均是影响甲状腺癌患者术后SDS评分的独立危险因素,已婚、企事业单位工作均为保护性因素;高中以下文化程度、农村居住、家庭人均月收入<1000元、肿瘤分期Ⅲ~Ⅳ期均是影响甲状腺癌患者术后PAIS-SR评分的独立危险因素,企事业单位工作为保护性因素,上述比较均有统计学差异(P均<0.05)。结论多数甲状腺癌患者术后伴有焦虑和抑郁情绪且心理社会适应能力较差,并受居住地、月收入、肿瘤分期等多种因素的影响。Objective To analyze the influencing factors of postoperative anxiety,depression,and psychosocial adaptation status in thyroid cancer patients and explore corresponding intervention strategies.Methods A total of 180 patients with thyroid cancer admitted to Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology from January 2021 to December 2022 were included as the research subjects.The correlation between their scores on the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Self-Report Psychosocial Adjustment to Illness Scale(PAIS-SR)was analyzed,and multiple linear regression was used to summarize the factors affecting the SAS,SDS,and PAIS-SR scores of patients.Results Among 180 patients with thyroid cancer,43.89%and 47.78%of patients experienced anxiety and depression,respectively.The patientsPAIS-SR score was(44.36±4.07),with high scores in the dimensions of psychological status,entertainment,and work ability.The Pearson correlation analysis results showed that SAS score was positively correlated with PAIS-SR score(P<0.05),and SDS score was positively correlated with PAIS-SR score(P<0.05).The results of multiple linear regression analysis showed that rural residence,family per capita monthly income<1000 yuan,and tumor stageⅢ~Ⅳwere independent risk factors affecting the postoperative SAS score of thyroid cancer patients.The family per capita monthly income<1000 yuan and tumor stageⅢ~Ⅳwere independent risk factors affecting the postoperative SDS score of thyroid cancer patients, and married and working in enterprises and institutions were protective factors.Education level below high school, rural residence, family per capita monthly income <1000 yuan, andtumor stage Ⅲ ~Ⅳ were all independent risk factors affecting postoperative PAIS-SR scores in thyroidcancer patients, and work in enterprises and institutions was a protective factor. The above comparisonshad statistical differences (all P <0. 05). Conclusion Most thyroid cancer patients experienc

关 键 词：甲状腺癌 焦虑和抑郁 心理社会适应 影响因素 干预策略 

分 类 号：R473.73[医药卫生—护理学]