甲状腺癌术后疾病不确定感现状及与应对方式、负性情绪的影响

Current Status of Disease Uncertainty after Thyroid Cancer Surgery and The Impact with Coping Style and Negative Emotions

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(4)
作者
作者单位

宿州市第一人民医院 普外一科 ;

摘要
【摘要】 探讨甲状腺癌术后疾病不确定感现状及与应对方式、负性情绪的影响。方法 选择本院2019年1月到2022年12月80例甲状腺癌患者研究对象,术后1周时进行中文版疾病不确定感量表评估,并根据疾病不确定感严重程度进行分组,并比较各组医学应对方式问卷以及焦虑自评量表(SAS)、抑郁自评量表(SDS),并分析之间的相关性。结果 80例甲状腺癌患者术后疾病不确定感总分(98.17±10.72)分,复杂性评分(40.28±4.05)分,不确定性评分(58.89±6.38)分,轻度19例,中度46例,重度15例;重度组SAS评分、SDS评分、回避、屈服评分显著高于中度组、轻度组,中度组显著高于轻度组,(P<0.05), 重度组面对评分显著低于中度组、轻度组,中度组显著低于轻度组,(P<0.05);疾病不确定感评分与SAS评分、SDS评分、回避、屈服评分呈正相关,与面对评分呈负相关,(P<0.05)。结论 甲状腺癌术后疾病不确定感情况较为普遍,且疾病不确定感会影响患者的焦虑、抑郁情绪以及应对方式。
Abstract
[Abstract] Objective To explore the current state of disease uncertainty after thyroid cancer surgery and the impact with coping styles and negative emotions. Methods Eighty patients with thyroid cancer in our hospital from January 2019 to December 2022 were selected for the study, and the Chinese version of the Disease Uncertainty Scale was assessed at 1 week after surgery and grouped according to the severity of disease uncertainty. We also compared the medical coping style questionnaire as well as anxiety self-assessment scale (SAS) and depression self-assessment scale (SDS) among the groups, and analyzed the correlation between them. Results Eighty patients with thyroid cancer had a total postoperative disease uncertainty score (98.17±10.72), complexity score (40.28±4.05) and uncertainty score (58.89±6.38), 19 cases were mild, 46 cases were moderate and 15 cases were severe. SAS score, SDS score, avoidance, and yielding scores were significantly higher in the severe group than in the moderate and mild groups, and significantly higher in the moderate group than in the mild group (P<0.05). Confrontation scores were significantly lower in the severe group than in the moderate and mild groups, and significantly lower in the moderate group than in the mild group (P<0.05). Sickness uncertainty scores were positively correlated with SAS scores, SDS scores, avoidance, and submission scores, and negatively correlated with facing scores (P<0.05). Conclusion Uncertainty about disease after thyroid cancer surgery is common, and uncertainty about disease can affect patients anxiety, depression, and coping styles.
关键词
关键词:甲状腺癌;术后;疾病不确定感;应对方式;负性情绪
KeyWord
Key words Thyroid Cancer; Postoperative; Illness Uncertainty; Coping Styles; Negative Emotions
基金项目
页码 841-843
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黄传才*. 甲状腺癌术后疾病不确定感现状及与应对方式、负性情绪的影响 [J]. 国际精神病学杂志. 2023; 50; (4). 841 - 843.

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