摘要
Abstract
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 patients'PAIS-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 stage Ⅲ～Ⅳ were 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,and tumor stageⅢ～Ⅳwere all independent risk factors affecting postoperative PAIS-SR scores in thyroid cancer patients,and work in enterprises and institutions was a protective factor.The above comparisons had statistical differences(all P<0.05).Conclusion Most thyroid cancer patients experience anxiety and depression after surgery,and have poor psychosocial adaptation abilities,which are influenced by various factors such as place of residence,monthly income,and tumor stage.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Key words
thyroid cancer/anxiety and depression/psychosocial adaptation/influencing factor/intervention strategy分类
医药卫生
