摘要
目的 调查首发分化型甲状腺癌术后患者述情障碍现状,并分析述情障碍影响因素。方法 2022年2—12月选取412名首发分化型甲状腺癌术后1个月患者进行个体资料、疾病特征、多伦多述情障碍量表(TAS-20)、创伤后成长量表(PTGI)调查。结果 有22.6%和21.8%的首发分化型甲状腺癌术后患者分别为可疑述情障碍和存在述情障碍。首发分化型甲状腺癌术后患者创伤后成长总分为(50.61±14.25)分,存在述情障碍组的创伤后成长得分为(35.46±6.34)分,无述情障碍组得分为(58.68±13.04)分,可疑述情障碍组得分为(45.43±5.69)分,差异有统计学意义(LSD-t=17.726,6.407,P均<0.001)。等级logistic回归分析显示,创伤后成长的人际关系、新可能性、个人力量和精神改变维度是述情障碍的保护因素(P<0.05),有淋巴结转移、病灶≥1.5 cm、TNM分期Ⅱ期是述情障碍的危险因素(P<0.05)。结论 首发分化型甲状腺癌术后患者述情障碍发生率高,创伤后成长、病灶转移、病灶大小、疾病分期影响其发生,应加强针对性心理干预。
Objective To investigate the current status of alexithymia in patients with first-episode differentiated thyroid cancer after surgery and to analyze the influencing factors of alexithymia.Methods From February 2022 to December,412 patients with first-episode differentiated thyroid carcinoma 1 month after operation were investigated by personal data,disease characteristics,Toronto alexithymia scale(TAS-20),and post-traumatic growth inventory(PTGI).Results Totally 22.6%and 21.8%of postoperative patients with first-episode differentiated thyroid cancer had suspected alexithymia and present alexithymia respectively.The average total score of post-traumatic growth in patients with first-episode differentiated thyroid cancer was(50.61±14.25)points,the post-traumatic growth score in the alexithymia group was(35.46±6.34)points,the post-traumatic growth score in the non-alexithymia group was(58.68±13.04)points,and the post-traumatic growth score in the suspected alexithymia group was(45.43±5.69)points,and the differences were statistically significant(LSD-t=17.726,6.407,both P<0.001).Hierarchical logistic regression analysis showed that interpersonal relationships,new possibilities,personal strength,and spiritual change dimensions of post-traumatic growth were the protective factors of alexithymia(P<0.05),while lymph node metastasis,lesion≥1.5 cm,and TNM stageⅡwere risk factors of alexithymia(P<0.05).Conclusions The incidence of alexithymia in postoperative patients with first-episode differentiated thyroid carcinoma is high,and the occurrence of post-traumatic growth,lesion metastasis,lesion size,and disease stage affect its occurrence.Therefore,the targeted psychological intervention should be strengthened.
作者
张越
周凤芹
ZHANG Yue;ZHOU Fengqin(Department of Thyroid Surgery,Union Hospital of Fujian Medical University,Fuzhou 350001,Fujian,China)
出处
《中国校医》
2024年第1期41-44,共4页
Chinese Journal of School Doctor
关键词
分化型甲状腺癌
根治术
创伤后成长
述情障碍
Differentiated thyroid cancer
Radical resection
Post-traumatic growth
Alexithymia
