分化型甲状腺癌术后行131Ⅰ治疗患者自我管理效能与生命质量的相关性分析(1)
摘要：目的 調查分化型甲状腺癌术后行放射性131Ⅰ治疗患者自我效能水平与生命质量现状，分析患者自我管理效能与生命质量的相关性。方法 采用方便抽样方法，选取2016年1月～2017年12月于南京市第一医院核医学科住院的215例甲状腺癌术后行放射性131Ⅰ治疗患者进行问卷调查，问卷包括自行设计的一般资料调查表、健康促进策略量表和癌症生命质量核心量表，记录患者自我效能得分及生活质量得分，Person相关性分析自我管理效能与生命质量的关系。结果 共发放调查问卷215份，回收215份，有效问卷200份，有效率为93.02%。分化型甲状腺癌术后行放射性131Ⅰ治疗患者的自我管理效能总分为(89.72±19.72)分，中等水平和高等水平比例分别为82.42%和15.31%，各维度得分由高到低分别为正性态度得分(48.28±9.27)分、自我减压得分(31.87±7.96)、自我决策得分(9.57±2.49)。患者生命质量总分为(59.04±10.17)分，功能领域中得分最低的是社会功能维度，症状领域得分最高的是疲倦维度，单项条目得分最高的是经济困难维度。Pearson相关性分析显示，生命质量中功能领域各维度和总体健康状况与自我管理效能总分及各维度呈正相关(P<0.05)，生命质量中症状领域、单项条目各维度与自我管理效能总得分及各维度呈负相关(P<0.05)。结论 甲状腺癌术后行放射性131Ⅰ治疗患者的自我管理效能处于中等水平，自我管理效能与生命质量中功能领域存在正性影响，与症状领域存在负性影响。
关键词：甲状腺癌;放射性碘治疗;自我管理;生命质量;相关性分析
中图分类号：R473.73;R736.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.04.063
文章编号：1006-1959(2020)04-0184-04
Abstract：Objective To investigate the status of self-efficacy and quality of life in patients with differentiated thyroid cancer undergoing radioactive 131Ⅰ surgery， and to analyze the correlation between self-efficacy and quality of life in patients. Methods A convenient sampling method was used. A questionnaire survey was conducted on 215 patients who underwent radioactive 131Ⅰ treatment for thyroid cancer after surgery in the Department of Nuclear Medicine of Nanjing First Hospital from January 2016 to December 2017. The questionnaire included self-designed general data Tables， health promotion strategy scale and core quality of life scale for cancer， recorded patients' self-efficacy scores and quality of life scores， and Person correlation analysis of the relationship between self-management efficacy and quality of life. Results A total of 215 questionnaires were distributed， the return of 215 respondents， 200 copies were valid， and the effective rate was 93.02%. The self-management efficacy of patients with differentiated thyroid cancer who underwent radioactive 131Ⅰ treatment was (89.72±19.72) score， and the proportions of intermediate and advanced levels were 82.42% and 15.31%， respectively; the scores of each dimension from high to low were positive attitude (48.28±9.27)score， self decompression (31.87±7.96) score， and self decision (9.57±2.49)score. The overall health score of the patient was (59.04±10.17) score. The lowest score in the functional area was the social function dimension， the highest score in the symptom field was the fatigue dimension， and the highest score in the single item was the economic difficulty dimension. Pearson correlation analysis showed that the dimensions of functional areas and overall health status in quality of life were positively correlated with the total score and dimensions of self-management efficacy (P<0.05)， while the dimensions of symptom areas and individual items in quality of life were negatively correlated with the total score and dimensions of self-management efficacy (P<0.05).Conclusion The self-management efficacy of patients undergoing radioactive 131Ⅰ treatment for thyroid cancer after surgery is at a medium level. The self-management efficacy and the functional area of quality of life are positively affected and negatively affected by the symptoms area., 百拇医药(冯鸾 高晓洁)
关键词：甲状腺癌;放射性碘治疗;自我管理;生命质量;相关性分析
中图分类号：R473.73;R736.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2020.04.063
文章编号：1006-1959(2020)04-0184-04
Abstract：Objective To investigate the status of self-efficacy and quality of life in patients with differentiated thyroid cancer undergoing radioactive 131Ⅰ surgery， and to analyze the correlation between self-efficacy and quality of life in patients. Methods A convenient sampling method was used. A questionnaire survey was conducted on 215 patients who underwent radioactive 131Ⅰ treatment for thyroid cancer after surgery in the Department of Nuclear Medicine of Nanjing First Hospital from January 2016 to December 2017. The questionnaire included self-designed general data Tables， health promotion strategy scale and core quality of life scale for cancer， recorded patients' self-efficacy scores and quality of life scores， and Person correlation analysis of the relationship between self-management efficacy and quality of life. Results A total of 215 questionnaires were distributed， the return of 215 respondents， 200 copies were valid， and the effective rate was 93.02%. The self-management efficacy of patients with differentiated thyroid cancer who underwent radioactive 131Ⅰ treatment was (89.72±19.72) score， and the proportions of intermediate and advanced levels were 82.42% and 15.31%， respectively; the scores of each dimension from high to low were positive attitude (48.28±9.27)score， self decompression (31.87±7.96) score， and self decision (9.57±2.49)score. The overall health score of the patient was (59.04±10.17) score. The lowest score in the functional area was the social function dimension， the highest score in the symptom field was the fatigue dimension， and the highest score in the single item was the economic difficulty dimension. Pearson correlation analysis showed that the dimensions of functional areas and overall health status in quality of life were positively correlated with the total score and dimensions of self-management efficacy (P<0.05)， while the dimensions of symptom areas and individual items in quality of life were negatively correlated with the total score and dimensions of self-management efficacy (P<0.05).Conclusion The self-management efficacy of patients undergoing radioactive 131Ⅰ treatment for thyroid cancer after surgery is at a medium level. The self-management efficacy and the functional area of quality of life are positively affected and negatively affected by the symptoms area., 百拇医药(冯鸾 高晓洁)