首页|甲状腺癌患者术后CD-RISC评分相关影响因素及干预策略

甲状腺癌患者术后CD-RISC评分相关影响因素及干预策略

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目的 探讨甲状腺癌患者术后心理弹性量表(CD-RISC)评分的影响因素,为提升患者心理弹性提供理论依据.方法 选取2019-09-02-2021-09-02郑州大学附属郑州中心医院收治的甲状腺癌术后患者106例作为研究对象.采用一般资料调查问卷、CD-RISC量表、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)、自我效能感量表(GSES),分析影响患者CD-RISC评分的因素,对有差异的因素赋值进行多元线性回归分析.结果 106例甲状腺癌术后患者CD-RISC平均得分为(59.36±2.75)分低于国内常模(65.40±13.90)分,差异有统计学意义,t=4.389,P<0.001;文化程度、病程、心理弹性训练、社会支持、积极应对SCSQ、消极应对SCSQ、GSES评分不同的患者CD-RISC评分比较,差异有统计学意义,均P<0.05;多元线性回归分析发现,文化程度(β=2.365)、病程(β=-1.257)、心理弹性训练(β=3.874)、社会支持(β=4.390)、积极应对 SCSQ(β=2.143)、消极应对 SCSQ(β=-2.268)、GSES 评分(β=2.058)是 CD-RISC 评分的影响因素.结论 文化程度、病程、心理弹性训练、社会支持、积极应对SCSQ、消极应对SCSQ、GSES评分是CD-RISC得分的影响因素.医务人员应该给予足够的关注并制定针对性的护理措施以改善预后.
Related influencing factors and intervention strategies of postoperative CD-RISC scores in patients with thyroid cancer
Objective To investigate the influencing factors of postoperative resilience scale(CD-RISC)in patients with thyroid cancer.Methods A total of 106 postoperative patients with thyroid cancer who were treated in our hospital from September 2019 to September 2021 were selected as the research objects.General information questionnaire,CD-RISC scale,Perceived Social Support Scale(PSSS),Simple Coping Style Questionnaire(SCSQ)and Self-Efficacy Scale(GSES)were used to analyze the factors affecting the CD-RISC score of patients,and multiple linear regression analysis was performed on the assignment of different factors.Results The average score of CD-RISC in 106 patients with thyroid cancer after surgery was(59.36±2.75)points,which was lower than the domestic norm(65.40±13.90)points,and the difference was statistically significant(t=4.389,P<0.001).There were significant differences in CD-RISC scores a-mong patients with different levels of education,disease duration,resilience training,social support,positive coping SCSQ,negative coping SCSQ,and GSES scores(all P<0.05).Multivariate linear regression analysis found that educa-tional level(β=2.365),disease duration(β=-1.257),resilience training(β=3.874),social support(β=4.390),posi-tive coping SCSQ(β=2.143),negative coping SCSQ(β=-2.268),and GSES score(β=2.058)were factors influen-cing CD-RISC scores.Conclusions Educational level,course of disease,resilience training,social support,active coping with SCSQ,negative coping with SCSQ,and GSES score are the influencing factors of CD-RISC score.Medical staff should pay enough attention and formulate targeted nursing measures to improve the prognosis.

thyroid cancerpsychological resilienceinfluencing factorscoping style

贾晓利、宋婷、申幸伟

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郑州大学附属郑州中心医院甲状腺外科,河南 郑州 450000

甲状腺癌 心理弹性 影响因素 应对方式

2024

社区医学杂志
中华预防医学会

社区医学杂志

影响因子:0.588
ISSN:1672-4208
年,卷(期):2024.22(4)
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