甲状腺癌术后131I隔离治疗患者孤独感现状及影响因素研究

目的：调查甲状腺癌术后¹³¹I隔离治疗患者孤独感现状，并分析其影响因素。方法：采用方便抽样法，2021年3月至12月选择228例甲状腺癌术后¹³¹I隔离治疗患者为研究对象，采用一般资料调查表、癌症孤独感量表(CLS)、一般疏离感量表(GSA)、安全感量表(SQ)进行调查，采用多元线性回归分析患者孤独感影响因素。结果：甲状腺癌术后¹³¹I隔离治疗患者孤独感总分为(18.86±4.03)分；疏离感总分为(32.07±4.87)分；安全感总分为(59.73±12.39)分。多元线性回归分析结果显示，年龄、负面社会期望、疏离感、安全感、学历、居住状态是孤独感影响因素(P<0.05)，可解释总变异的56%。结论：甲状腺癌术后¹³¹I隔离治疗患者孤独感处于中等水平，重点关注年龄较大、学历较低、独居、疏离且缺乏安全感的患者。医护工作者应早期识别¹³¹I隔离治疗患者的孤独感情绪，采取积极的态度和科学的方法改善或解决患者孤独感问题，提升治疗效果，帮助患者早日回归社会。

The status and influencing factors of loneliness in patients undergoing 131I isolation treatment after thyroid cancer surgery

Objective: To investigate the status of loneliness in patients with thyroid cancer after ¹³¹ I isolation treatment, andto analyze its influencing factors. Methods: The convenience sampling method was used and 228 patients with thyroidcancer after ¹³¹ I isolation treatment from March to December 2021 were included. The general information questionnaire,Cancer Loneliness Scale (CLS) and General Alienation Scale (GSA) and Security Scale (SQ) were used for investigation, andmultiple linear regression was used to analyze the influencing factors of loneliness in patients. Results: The total score ofloneliness in patients undergoing ¹³¹ I isolation treatment after thyroid surgery was 18.86±4.03, the total score of alienationwas 32.07±4.87, the total score of security was 59.73±12.39. Age, negative social expectation, sense of alienation, sense ofsecurity, educational background, and living status were the influencing factors of loneliness (P<0.05), which could explain56% of the total variance. Conclusion: The loneliness of patients undergoing 131I isolation treatment after thyroid cancersurgery is at a moderate level, and patients with older age, lower education, living alone, alienation and lack of securityneed more attention. Medical staffs should identify the loneliness of patients undergoing 131I isolation treatment at an earlystage, take positive attitudes and scientific methods to improve or solve the problem of loneliness in patients, improve thetreatment effect, so as to help patients return to society as soon as possible.