Objective To explore the effect of self-compassion on general well-being of patients with thyroid cancer after surgery and the mediating role of alexithymia,so as to provide a theoretical basis for the formulation of relevant intervention measures.Methods A total of 150 patients who underwent radical thyroidectomy in the First Affiliated Hospital of Air Force Medical University from July to December 2022 were selected as research objects by the convenient sampling method.A survey was conducted on patients using the general information questionnaire,Toronto Alexithymia Scale(TAS-20),Self-compassion Scale(SCS)and General Well-being Scale(SWB).Results A total of 150 questionnaires were distributed in this study,and 136 valid questionnaires were collected,with an effective response rate of 90.67%.The total scores of SCS,TAS-20 and SWB for postoperative thyroid cancer patients were(93.07±11.82),(55.72±7.23)and(70.71±14.09),respectively.There was a negative correlation between self-compassion and alexithymia(P<0.01),a positive correlation between self-compassion and general well-being(P<0.01),and a negative correlation between alexithymia and general well-being(P<0.01).Alexithymia had a partial mediating effect between self-compassion and general well-being in patients with thyroid cancer after surgery.The mediating effect was 0.165,accounting for 31.02%of the total effect.Conclusions Self-compassion can not only directly affect the overall well-being of patients after thyroid cancer surgery,but also indirectly affect the general well-being of patients through alexithymia,which should arouse the attention of clinical medical staff.In the future clinical intervention,attention should be paid to taking certain intervention measures to improve the self-compassion level of patients and reduce the alexithymia of patients,so as to improve the general well-being of patients.
关键词
甲状腺肿瘤/述情障碍/自我怜悯/总体幸福感/中介效应/护理
Key words
Thyroid neoplasms/Alexithymia/Self-compassion/General well-being/Mediating effect/Nursing care