摘要
目的 了解中青年甲状腺癌术后患者自我管理积极度状况并分析影响因素,为制定针对性护理干预措施提供参考。方法 采用便利抽样法抽取就诊的中青年甲状腺癌术后患者268例,使用一般情况调查表、患者积极度量表、社会影响量表、疾病接受度量表进行调查。结果 中青年甲状腺癌术后患者积极度得分为(57.48±16.57)分。患者积极度总分与病耻感总分呈负相关,与疾病接受度总分呈正相关(均P<0.05)。多重线性回归分析显示,文化程度、^(131)I治疗、病耻感、疾病接受度是中青年甲状腺癌术后患者积极度的影响因素(均P<0.05)。结论 中青年甲状腺癌术后患者积极度处于中等水平。医护人员应根据中青年甲状腺癌术后患者自我管理积极度的影响因素制定系统、有效的护理干预策略,以提高其自我管理积极度水平。
Objective To investigate the level and associated factors of the self-management activation among young and middle-aged patients with thyroid cancer after surgery,and to provide reference for targeted intervention.Methods A total of 268 young and middle-aged patients with thyroid cancer after surgery were selected using convenience sampling and invited to complete a demographic questionnaire,the Patient Activation Measure(PAM),Social Impact Scale(SIS),and Acceptance of Illness Scale(AIS).Results The total PAM score was(57.48±16.57),which was negatively correlated with the total SIS score and positively correlated with the total AIS score(both P<0.05).Multiple linear regression indicated that,education level,^(131)I therapy,stigma,and illness acceptance were the influencing factors of activation in young and middle-aged patients with thyroid cancer after surgery(all P<0.05).Conclusion The self-management activation of young and middle-aged patients with thyroid cancer after surgery is at the medium level.Medical staffs should formulate systematic and effective nursing intervention strategies according to the influencing factors,so as to improve patients′the self-management activation.
作者
马会丽
王帅杰
高艳平
赵瑞
Ma Huili;Wang Shuaijie;Gao Yanping;Zhao Rui(Department of Head and Neck Thyroid Surgery,The Affiliated Cancer Hospital of Zhengzhou University,Zhengzhou 450008,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第9期27-30,共4页
Journal of Nursing Science
基金
2020年度河南省医学科技攻关计划联合共建项目(LHGJ20200157)。
