甲状腺乳头状癌开放式手术后患者体像认知现状及影响因素分析

doi:10.6040/j.issn.1673-3770.0.2023.144

摘要/Abstract

摘要： 目的探讨甲状腺乳头状癌颈部开放式手术术后患者的体像认知现状并分析其影响因素。方法采用便利整群抽样的方法,抽取山东省两家三级甲等医院收治的甲状腺乳头状癌颈部开放手术后200例患者为研究对象,使用一般资料问卷、体像自评问卷进行调查。单因素分析及多元线性回归分析甲状腺乳头状癌开放式手术后患者体像认知的影响因素及其影响程度。结果 200例患者体像认知水平平均得分(12.86±5.56)分。多重线性回归分析结果显示其是否瘢痕体质(P=0.006)、家庭人均月收入(P=0.042)、性别(P=0.003)、年龄(P=0.004)、学历(P=0.037)、术后时间(P=0.036)与甲状腺乳头状癌颈部开放手术后患者体像认知密切相关,差异均有统计学意义(P<0.05 )。结论甲状腺乳头状癌开放式手术后患者的体像认知为中度不满意,医护人员应关注患者术后体像认知,依据患者性别、年龄、是否瘢痕体质、术后时间、家庭人均月收入、学历不同,实施个体化的干预措施,尽量保持患者体像完整,从而提高患者体像认知水平。本调查存在一定的局限,仅纳入了一般人口学资料进行调查,建议今后的学者纳入更多的社会学变量(如社会支持)。

关键词: 甲状腺乳头状癌, 颈部开放式手术, 体像认知, 颈部瘢痕, 影响因素

Abstract: Objective To study the status of body image cognition in patients with thyroid papillary carcinoma after open neck surgery and analyze its influencing factors. Methods A total of 200 patients with thyroid papillary carcinoma after open neck surgery in two Grade 3A hospitals in Shandong Province participated in questionnaires pertaining to general demographic data and body image self-evaluation. Univariate analysis and multiple linear regression were used to analyze the influencing factors and degree of body image cognition of patients with thyroid papillary carcinoma after open neck surgery. Results The 200 patients' average score of body image cognition was(12.86±5.56). The results of multiple linear regression analysis showed that the scar physique(P=0.006), family per capita monthly income(P=0.042), sex(P=0.003), age(P=0.004), educational background(P=0.037), and postoperative time(P=0.036)were closely related to the body image cognition of these patients and the difference was statistically significant(P<0.05). Conclusion The body image cognition of patients after open neck surgery for papillary thyroid cancer is moderately unsatisfactory. Medical staff should pay attention to the body image cognition of patients after surgery and implement individualized intervention measures according to the differences in the patient's gender, age, physical scars, postoperative time, per capita monthly family income, and educational background to maintain the utmost integrity of the patient's body image. This will improve the body-image cognition of patients. There were some limitations in this survey; only the general demographic data were included, and it is suggested that future research should include more sociological variables(such as social support).

Key words: Thyroid papillary carcinoma, Open surgical operation on neck, Body image cognition, Neck scar, Influencing factors

中图分类号:

R653

韩静静,温晓文,王雅莉,郭玉洁,李娜,孙兰. 甲状腺乳头状癌开放式手术后患者体像认知现状及影响因素分析[J]. 山东大学耳鼻喉眼学报, 2024, 38(5): 37-42.

HAN Jingjing, WEN Xiaowen, WANG Yali, GUO Yujie, LI Na, SUN Lan. Analysis of body image cognition status and influencing factors of patients with thyroid papillary carcinoma after open neck surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 37-42.

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