Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2024, Vol. 38 ›› Issue (5): 37-42.doi: 10.6040/j.issn.1673-3770.0.2023.144

• Original Article • Previous Articles    

Analysis of body image cognition status and influencing factors of patients with thyroid papillary carcinoma after open neck surgery

HAN Jingjing, WEN Xiaowen, WANG Yali, GUO Yujie, LI Na, SUN Lan   

  1. Department of Head and Neck Surgery, Shandong Cancer Hospital and Institute, Jinan 250117, Shandong, China
  • Published:2024-09-25

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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

CLC Number: 

  • R653
[1] Guarnizo A, López Palacio R, Carrillo Bayona JA. Skip and mediastinal metastasis in papillary thyroid cancer[J]. Radiol Imaging Cancer, 2023, 5(4): 230018. doi:10.1148/rycan.230018
[2] 邵长秀, 贺青卿, 庄晓璇, 等. 934例甲状腺微小乳头状癌颈淋巴结部位转移及危险因素[J]. 山东大学学报(医学版), 2023, 61(2): 57-64. doi: 10.6040/j.issn.1671-7554.0.2022.1004 SHAO Changxiu, HE Qingqing, ZHUANG Xiaoxuan, et al. Cervical lymph node metastasis and risk factors in 934 cases of papillary thyroid carcinoma[J]. Journal of Shandong University(Health Sciences), 2023, 61(2): 57-64. doi: 10.6040/j.issn.1671-7554.0.2022.1004
[3] Jung MS, Visovatti M. Post-treatment cognitive dysfunction in women treated with thyroidectomy for papillary thyroid carcinoma[J].Support Care Cancer, 2017, 25(3): 915-923. doi:10.1007/s00520-016-3481-y
[4] 陶磊, 吴春萍, 徐成志, 等. 头颈肿瘤外科临床治疗新技术与应用[J]. 中国耳鼻咽喉颅底外科杂志, 2023, 29(2): 1-7. doi: 10.11798/j.issn.1007-1520.202300430 TAO Lei, WU Chunping, XU Chengzhi, et al. New techniques and applications in head and neck tumor surgery[J]. Chinese Journal of Otorhinolaryngology-skull Base Surgery, 2023, 29(2): 1-7. doi: 10.11798/j.issn.1007-1520.202300430
[5] 岳涛, 庄大勇, 周鹏, 等. 达芬奇机器人甲状腺手术中气管损伤并发症4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 46-50. doi:10.6040/j.issn.1673-3770.0.2022.073 YUE Tao, ZHUANG Dayong, ZHOU Peng, et al. The complications of tracheal injury in da Vinci robotic thyroidectomy: four case reports and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 46-50. doi:10.6040/j.issn.1673-3770.0.2022.073
[6] 温瑞芳. 头颈部肿瘤颈淋巴结清扫术后患者肩颈功能锻炼方案构建及效果评价[D]. 杭州: 浙江中医药大学,2022
[7] 张礼俊, 胥然, 罗继芳, 等. 头颈肿瘤游离皮瓣修复术后皮瓣坏死及皮瓣相关并发症影响因素分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 86-90. doi:10.6040/j.issn.1673-3770.0.2021.375 ZHANG Lijun, XU Ran, LUO Jifang, et al. Factors affecting flap neurosis and other postoperative flap-related complications after free-flap reconstruc-tion of head and neck tumors[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 86-90. doi:10.6040/j.issn.1673-3770.0.2021.375
[8] 葛丹丹, 何伦. 身体意象对社交焦虑的影响: 基于社交焦虑认知模型[J]. 中国健康心理学杂志, 2022, 30(10): 1492-1496. doi: 10.13342/j.cnki.cjhp.2022.10.010 Ge DD, He L. Influence of body image on social anxiety: base on cognitive model of social anxiety[J]. China Journal of Health Psychology, 2022, 30(10): 1492-1496. doi: 10.13342/j.cnki.cjhp.2022.10.010
[9] 李艳丰. 美学意识形态与文化政治:重审伊格尔顿的文化政治批评[J]. 社会科学家, 2023(4): 40-45. doi: 10.3969/j.issn.1002-3240.2023.04.006
[10] 杨翠莲, 高丽, 王小娇, 等. 乳腺癌患者夫妻对治疗相关身体变化体验和二元应对质性研究的Meta整合[J]. 护理学杂志, 2023, 38(6): 4-10. doi: 10.3870/j.issn.1001-4152.2023.06.004 YANG Cuilian, GAO Li, WANG Xiaojiao, et al. Experience of altered body image and dyadic coping in couples with breast cancer: a meta-synthesis of qualitative studies[J]. Journal of Nursing Science, 2023, 38(6): 4-10. doi: 10.3870/j.issn.1001-4152.2023.06.004
[11] 上官非凡, 陈超, 方桂珍. 孕产妇身体意象体验质性研究的Meta整合[J]. 解放军护理杂志, 2022, 39(2): 56-59. doi: 10.3969/ji.ssn.1008-9993.2022.02.014 SHANGGUAN Feifan, CHEN Chao, FANG Guizhen. Qualitative studies of body image experience among maternal: a meta-synthesis[J]. Nursing Journal of Chinese People's Liberation Army, 2022, 39(2): 56-59. doi: 10.3969/ji.ssn.1008-9993.2022.02.014
[12] Hopwood P, Fletcher I, Lee A, et al. A body image scale for use with cancer patients[J]. Eur J Cancer, 2001, 37(2): 189-197. doi:10.1016/S0959-8049(00)00353-1
[13] Chen SC, Huang CY, Huang BS, et al. Factors associated with healthcare professional’s rating of disfigurement and self-perceived body image in female patients with head and neck cancer[J]. Eur J Cancer Care, 2018, 27(2): 12710. doi:10.1111/ecc.12710
[14] Nikita, Rani R, Kumar R. Body image distress among cancer patients: needs for psychosocial intervention development[J]. Support Care Cancer, 2022, 30(7): 6035-6043. doi:10.1007/s00520-022-07049-8
[15] 曹德冉, 卢文红, 王廷廷, 等. 积极心理干预对头颈肿瘤术后放疗患者身体意象和情绪的影响[J]. 护理学杂志, 2023(1): 10-14. doi: 10.3870/j.issn.1001-4152.2023.01.010 Cao DR, Lu WH, Wang TT, et al. Effects of positive psychological intervention on body image and emotion in patients undergoing radiotherapy after head and neck tumor surgery[J]. Journal of Nursing Science, 2023(1): 10-14. doi: 10.3870/j.issn.1001-4152.2023.01.010
[16] Graboyes EM, Hill EG, Marsh CH, et al. Temporal trajectory of body Image disturbance in patients with surgically treated head and neck cancer[J]. Otolaryngol Head Neck Surg, 2020, 162(3): 304-312. doi: 10.1177/0194599819898861
[17] Cherba M, Brummans BHJM, Hier MP, et al. Framing concerns about body image during pre- and post-surgical consultations for head and neck cancer: a qualitative study of patient-physician interactions[J]. Curr Oncol, 2022, 29(5): 3341-3363. doi:10.3390/curroncol29050272
[18] Silvia C, Maria S, Giovanni S, et al. Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress[J]. Support Care Cancer, 2022, 30(11): 9127-9139. doi: 10.1007/s00520-022-07334-6
[19] 周亚杰, 王斐, 于理想, 等. 女性乳腺癌保乳手术决策相关因素[J]. 山东大学学报(医学版), 2022, 60(12): 1-6. doi: 10.6040/j.issn.1671-7554.0.2022.1143 ZHOU Yajie, WANG Fei, YU Lixiang, et al. Factors related to decision-making of breast-conserving surgery for female breast cancer[J]. Journal of Shandong University(Health Science), 2022, 60(12): 1-6. doi: 10.6040/j.issn.1671-7554.0.2022.1143
[20] 曹家燕, 陈昌连, 王玲玲, 等. 头颈部癌症患者身体意象失调现状及其影响因素研究[J]. 中国护理管理, 2019, 19(9): 1317-1321. doi:10.3969/j.issn.1672-1756.2019.09.008 CAO Jiayan, CHEN Changlian, WANG Lingling, et al. Analysis on body image disorder in patients with head and neck cancer and its influencing factors[J]. Chinese Nursing Management, 2019, 19(9): 1317-1321. doi:10.3969/j.issn.1672-1756.2019.09.008
[21] 中国抗癌协会甲状腺癌专业委员会护理学组. 甲状腺癌加速康复外科围术期护理专家共识[J]. 护理研究, 2022, 36(1): 1-7. doi: 10.12102/j.issn.1009-6493.2022.01.001 Nursing Committee Of Chinese Association Of Thyroid Oncology. Enhanced recovery after surgery(ERAS)of perioperative nursing in thyroid oncology: experts consensus Nursing Committee of Chinese Association of Thyroid Oncology[J]. Chinese Nursing Research, 2022, 36(1): 1-7. doi: 10.12102/j.issn.1009-6493.2022.01.001
[22] Melissant HC, Jansen F, Eerenstein SE, et al. Body image distress in head and neck cancer patients: what are we looking at?[J]. Support Care Cancer, 2021, 29(4): 2161-2169. doi: 10.1007/s00520-020-05725-1
[23] Mohamadirizi S, Bahrami M, Mohamadirizi M, et al. Evaluation of body image in cancer patients and its association with clinical variables[J]. J Edu Health Promot, 2017, 6(1): 81. doi:10.4103/jehp.jehp_4_15
[24] 马会丽, 王帅杰, 高艳平, 等. 中青年甲状腺癌术后患者自我管理积极度及影响因素分析[J]. 护理学杂志, 2023, 38(9): 27-30. doi: 10.3870/j.issn.1001-4152.2023.09.027 MA Huili, WANG Shuaijie, GAO Yanping, et al. The self-management activation and associated factors in young and middle-aged patients with thyroid cancer after surgery[J]. Journal of Nursing Science, 2023, 38(9): 27-30. doi: 10.3870/j.issn.1001-4152.2023.09.027
[25] 蒋燕, 周利红, 彭逸思. 加速康复外科在甲状腺癌围手术期应用效果的Meta分析[J]. 当代护士(上旬刊), 2022, 29(10)6-11. doi 10.19791/j.cnki.1006-6411.2022.28.002 JIANG Yan, ZHOU Lihong, PENG Yisi. The effect of enhanced recovery after surgery in the perioperative period of thyroid cancer: a Meta-Analysis[J]. Modern Nurse, 2022, 29(10)6-11. doi: 10.19791/j.cnki.1006-6411.2022.28.002
[26] 曹德冉, 卢文红, 熊娜, 等. 头颈肿瘤术后出院患者身体意象现状及其影响因素研究[J]. 现代临床护理, 2022, 21(11)21-27. doi: 10.3969/j.issn.1671-8283.2022.11.004 CAO Deran, LU Wenhong, XIONG Na, et al. Current status and influencing factors of body images in patients after head and neck tumour surgery[J]. Modern Clinical Nursing, 2022, 21(11)21-27. DOI: 10.3969/j.issn.1671-8283.2022.11.004
[27] 曹家燕, 陈昌连. 头颈部癌症患者身体意象的研究进展[J]. 中华护理杂志, 2019, 54(3): 452-457. doi:10.3761/j.issn.0254-1769.2019.03.026 CAO Jiayan, CHEN Changlian. Research progress on body image of patients with head and neck cancer[J]. Chinese Journal of Nursing, 2019, 54(3): 452-457. doi:10.3761/j.issn.0254-1769.2019.03.026
[28] 甲状腺癌诊疗指南(2022年版)[J]. 中国实用外科杂志, 2022, 42(12): 1343-1357, 1363 Guidelines for the diagnosis and treatment of thyroid carcinoma[J]. Chinese Journal of Practical Surgery, 2022, 42(12): 1343-1357, 1363
[29] 李娇娇. 头颈部恶性肿瘤放射性皮肤损伤患者身体意象现状及影响因素研究[D]. 沈阳: 辽宁中医药大学
[30] 邹艳萍. 术前颈部体位训练在甲状腺癌全切术患者中的应用效果观察[J]. 中国现代药物应用, 2023, 17(8): 136-139. doi: 10.14164/j.cnki.cn11-5581/r.2023.08.042 ZOU Yanping. The effect of preoperative neck position training in patients undergoing total thyroidectomy[J]. Chinese Journal of Modern Drug Application, 2023, 17(8): 136-139. doi: 10.14164/j.cnki.cn11-5581/r.2023.08.042
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