甲状腺癌术后患者心盛现状及影响因素分析  

The status quo of flourishing and its influencing factors among postoperative patients with thyroid cancer

作　　者：马会丽 赵瑞 樊蕴莉 陈艳艳 刘燕燕 王玥 刘舒宁 Ma Huili;Zhao Rui;Fan Yunli;Chen Yanyan;Liu Yanyan;Wang Yue;Liu Shuning(Department of Head and Neck Thyroid Surgery,Henan Cancer Hospital,Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China)

机构地区：[1]郑州大学附属肿瘤医院(河南省肿瘤医院)头颈甲状腺外科,河南郑州450008 [2]郑州大学附属肿瘤医院(河南省肿瘤医院)护理部,河南郑州450008 [3]河南省医学科学院

出　　处：《护理学杂志》2025年第5期11-16,共6页Journal of Nursing Science

基　　金：2023年度河南省医学科学院青年医学科研人员研究项目(QNYJ2023005)。

摘　　要：目的分析甲状腺癌术后患者心盛现状及影响因素,为医护人员采取针对性措施提高患者心盛水平提供参考。方法基于心盛理论框架选定潜在影响变量,使用一般资料调查表、心盛量表、自我同情量表、心理韧性量表和领悟社会支持量表对362例甲状腺癌术后患者进行调查。结果甲状腺癌术后患者心盛得分(39.13±3.44)分。患者心盛总分与自我同情、心理韧性及社会支持呈正相关(均P<0.05)。多元线性回归分析显示,家庭月收入、^(131)I治疗、自我同情、心理韧性和社会支持是甲状腺癌术后患者心盛的影响因素(均P<0.05)。结论甲状腺癌术后患者心盛处于中等水平。医护人员应多关注家庭月收入较低和接受^(131)I治疗的患者,提高其自我同情、心理韧性及增强社会支持,从而提高患者的心盛水平。Objective To analyze the current situation of flourishing in postoperative patients with thyroid cancer and its influencing factors,providing references for healthcare providers to take targeted measures to enhance the level of flourishing of patients.Methods Based on the framework of flourishing theory,potential influencing variables were selected.A total of 362 postoperative thyroid cancer patients were investigated by the general information questionnaire,the Flourishing Scale(FS),the Self-Compassion Scale(SCS),the Cornor-Davidson Resilience Scale(CD-RISC),and the Perceived Social Support Scale(PSSS).Results The score of flourishing for postoperative patients with thyroid cancer was(39.13±3.44).The score of flourishing was positively correlated with self-compassion,resilience,and social support(all P<0.05).Multiple linear regression analysis indicated that monthly family income,^(131)I therapy,self-compassion,resilience and social support were the influencing factors of flourishing in postoperative patients with thyroid cancer(all P<0.05).Conclusion Postoperative patients with thyroid cancer exhibit a moderate level of flouri-shing.Healthcare providers should pay more attention to the patients with lower monthly family incomes and those who receive ^(131)I therapy,and improve their self-compassion,resilience and social support,so as to improve the patients′flourishing level.

关 键 词：甲状腺癌 ^(131)I治疗 心盛 自我同情 心理韧性 社会支持 积极心理 心理健康 

分 类 号：R473.6[医药卫生—护理学] R395.6[医药卫生—临床医学]