分化型甲状腺癌术后患者不良心理状态的影响因素调查及其干预对策

目的 调查研究分化型甲状腺癌（differenciatedthyroidcarcinoma，DTC）术后患者不良心理状态的影响因素及其干预对策。方法 选取于我院头颈科行手术治疗的DTC患者128例为研究对象，通过焦虑自评量表(self-rating anxiety scale,SAS)量表评估其焦虑状态并分析其焦虑影响因素。结果 128例患者焦虑发生率为39.84%，SAS量表评估显示轻度（54.18±3.01）分，占32.03%；中度（64.22±3.13）分，占比6.25%；重度（71.07±1.55）分，占比1.56%；Logistic回归分析显示女性、未婚、对病情不知悉、家庭人均月收入＜3 000元、医疗费用自费、疾病复发危险性高危等是DTC术后患者焦虑情绪的主要影响因素（P＜0.05）。结论 女性、未婚、对病情不知悉、家庭人均月收入＜3 000元、医疗费用自费、疾病复发危险性高危是DTC术后患者焦虑情绪的主要影响因素，应选择性开展社会支持、心理干预、激励干预等护理促进患者心理状态改善。

Investigation into influencing factors of poor mental state of patients with differentiated thyroid cancer after operation and its intervention

Objective To investigate the influencing factors and intervention strategies for the poor mental state of patients with differentiated thyroid cancer(DTC) after surgery.Methods A total of 128 DTC patients who underwent surgery in the Department of Head and Neck Surgery of our hospital were selected as the research subjects. Their anxiety status was evaluated by self-rating anxiety scale(SAS) and the influencing factors of anxiety were analyzed.Results The incidence of anxiety in 128 patients was 39.84%. The SAS evaluation showed mild anxiety(54.18±3.01) points, accounting for 32.03%; moderate anxiety(64.22±3.13) points,accounting for 6.25%; severe anxiety(71.07±1.55) points, accounting for 1.56%.Logistic regression analysis showed that female, unmarried status, unawareness of the condition,family monthly income per capita＜3 000 yuan, self-paid medical expenses, and high risk of disease recurrence were the major influencing factors of anxiety after DTC(P＜0.05).Conclusion Female gender, unmarried status, unawareness of the condition, family monthly income per capita＜3 000 yuan, self-paid medical expenses and high risk of disease recurrence are the major influencing factors of anxiety of patients after surgery for DTC. Nursing such as social support, psychological intervention and incentive intervention should be selectively carried out to improve the psychological state of patients.