3H理念联合微视频健康宣教对甲状腺癌手术患者心理状态及自我效能的影响  

Influence of 3H concept combined with micro-video health education on psychological status and self-efficacy in patients with thyroid cancer undergoing surgery

作　　者：刘双双 刘宁[2] 刁春艳 LIU Shuangshuang;LIU Ning;DIAO Chunyan(Department of Endocrinology and Metabolic Diseases,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Second Department of Central Operating,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,He’nan,China;Department of Emergency Medicine,Women&Infants Hospital of Zhengzhou Qinling Road District,Zhengzhou 450000,He’nan,China)

机构地区：[1]郑州大学第一附属医院内分泌及代谢病科,郑州450000 [2]郑州大学第一附属医院中心手术部(2),郑州450000 [3]郑州市妇幼保健院秦岭路院区急诊医学科,郑州450000

出　　处：《癌症进展》2025年第8期895-898,共4页Oncology Progress

摘　　要：目的目的探讨3H理念联合微视频健康宣教对甲状腺癌手术患者心理状态及自我效能的影响。方法方法根据干预方式的不同将103例甲状腺癌手术患者分为对照组(n=48,微视频健康宣教)和干预组(n=55,3H理念联合微视频健康宣教)。比较两组患者的心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、自我效能[一般自我效能感量表(GSES)]、生活质量[健康调查简表(SF-36)]、患者和家属满意度及术后并发症发生情况。结果结果干预后,两组患者SAS、SDS评分均降低,GSES评分均升高,干预组患者SAS、SDS评分均低于对照组,GSES评分高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者生理职能、社会功能、情感职能、总体健康评分均升高,干预组患者生理职能、社会功能、情感职能、总体健康评分均高于对照组,差异均有统计学意义(P﹤0.05)。干预组患者总满意度和家属满意度评分均高于对照组,并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05)。结论结论3H理念联合微视频健康宣教可改善甲状腺癌手术患者的心理状态,提高患者的自我效能和生活质量,提升患者和家属的满意度,降低术后并发症发生率。Objective To explore the influence of 3H concept combined with micro-video health education on psy-chological status and self-efficacy in patients with thyroid cancer undergoing surgery.Method According to different in-tervention methods,103 patients with thyroid cancer who underwent surgery were divided into control group(n=48,mi-cro-video health education)and intervention group(n=55,3H concept combined with micro-video health education).The psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],self-efficacy[general self-ef-ficacy scale(GSES)],quality of life[the MOS 36-item short form health survey(SF-36)],patients and family members satisfaction and postoperative complications were compared between the two groups.Result After intervention,the SAS and SDS scores were decreased and GSES scores were increased in both groups,the SAS and SDS scores in inter-vention group were lower than those in control group,and the GSES score was higher than that in control group,the dif-ferences were statistically significant(P<0.05).After intervention,the scores of physiological function,social function,emotional function and overall health in both groups were increased,and the scores of physiological function,social func-tion,emotional function and overall health in intervention group were higher than those in control group,the differences were statistically significant(P<0.05).The total satisfaction rate of patients and the satisfaction scores of family members in intervention group were higher than those in control group,and the total incidence of complications was lower than that in control group,the differences were statistically significant(P<0.05).Conclusion 3H concept combined with mi-cro-video health education can improve the psychological status,self-efficacy and quality of life of patients with thyroid cancer undergoing surgery,enhance the satisfaction of patients and their families,and reduce the incidence of postopera-tive complications.

关 键 词：3H理念 微视频健康宣教 甲状腺癌 心理状态 自我效能 生活质量 满意度 

分 类 号：R736.1[医药卫生—肿瘤]