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Analysis of self-image status of patients with hyperthyroidism and its influencing factors |
CHENG Chao GUO Feng REN Juan▲ |
Department of Nuclear Medicine, Qingdao Municipal Hospital, Shandong Province, Qingdao 266071, China |
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Abstract Objective To explore the influencing factors self-image status of patients with hyperthyroidism (hereinafter referred to as “hyperthyroidism”) and its influencing factors. Methods Data of 76 patients with hyperthyroidism admitted to Qingdao Municipal Hospital, Shandong Province from January 2018 to August 2019 were collected retrospectively. After six months of treatment, the self-image status of hyperthyroidism patients was evaluated by the self-image scale (BIS), and the patients were divided into the good group (36 cases) (BIS < 10 points) and the poor group (BIS≥10 points) according to the result of BIS score. The general data of the two groups were compared, and multivariate logistic regression analysis was used to evaluate the influencing factors of self-image status of patients with hyperthyroidism. Results There were no significant differences in gender, course of disease, marital status, educational level, monthly family income and working status between the two groups (P > 0.05). The age and self-management ability of the poor group were lower than those of the good group, and the differences were statistically significant (all P < 0.05). Multivariate logistic regression analysis showed that young age (OR = 1.096, 95%CI: 1.007-1.193) and low self-management ability (OR = 1.343, 95%CI: 1.181-1.527) were the influencing factors for poor self-image of hyperthyroidism patients (P < 0.05). Conclusion More than half of patients with hyperthyroidism have poor self-image, which may be related to patients’ age and self-management ability, especially the influence of self-management ability is more significant. Patients with poor self-management ability have poor self-image. Clinically, intervention in self-management ability of patients with hyperthyroidism can be considered to improve the self-image status.
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[1] 龚湖萍,魏清风,周振萍,等.头颈癌术后患者自我形象现状及其与社会支持应对方式的相关研究[J].重庆医学,2018,47(28):41-44.
[2] Lian Q,Su Q,Li R,et al. The association between chronic bullying victimization with weight status and body self-image:a cross-national study in 39 countries [J]. Peer J,2018,6:e4330.
[3] Moehlecke M,Blume CA,Cureau FV,et al. Self-perceived body image,dissatisfaction with body weight and nutritional status of Brazilian adolescents:a nationwide study [J]. J Pediatr (Rio J),2020,96(1):76-83.
[4] 龚湖萍,魏清风,安冬.头颈癌术后患者自我形象研究进展[J].中国护理管理,2018,18(4):542-545.
[5] 杭家伊,王兆霞.甲状腺癌术后患者自我管理效能水平及影响因素分析[J].中国耳鼻咽喉头颈外科,2017,24(2):67-70.
[6] Man KM,Chen KB,Chen HY,et al. Hyperthyroidism is not a significant risk of benign prostatic hyperplasia: A nationwide population-based study [J]. Medicine (Baltimore),2018,97(39):e12459.
[7] 中华医学会内分泌学分会《中国甲状腺疾病诊治指南》编写组.中国甲状腺疾病诊治指南—甲状腺功能亢进症[J].中华内科杂志,2007,46(10):876-882.
[8] Hopeood P,Fletcher I,Lee A,et al. A body im-agescale for use with cancer patients [J]. Eur J Cancer,2001,37(2):189-197.
[9] 李超群,井坤娟,刘昱莹,等.糖尿病自我管理量表的汉化及信效度评价[J].现代预防医学,2018,45(24):67-71.
[10] 迟玉娥.甲状腺功能亢进症对糖代谢和胰岛素分泌功能的影响[J].中国实验诊断学,2018,22(2):213-215.
[11] 杭家伊,王兆霞.分化型甲状腺癌RAI治疗患者自我管理效能的现状及影响因素分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(5):333-337.
[12] 姚雨杉,王镁.213例甲状腺功能亢进症患者临床主症特点分析[J].长春中医药大学学报,2018,34(2):363-366.
[13] 范廷婷,钟梦诗,罗彩凤,等.乳腺癌术后患者心理弹性和积极应对方式对自我形象的影响研究[J].护士进修杂志,2019,34(2):122-125.
[14] 刘萍,姜慧,郭明,等.全子宫切除术对女性自我形象认知的影响研究[J].中国社会医学杂志,2017,34(6):51-53.
[15] 朱一杰,金盛华,万薇洁,等.道德自我形象对亲社会行为的影响:调节定向的调节作用[J].心理科学,2017,42(2):421-428.
[16] Sasaki H,Ohnishi O,Okudera T,et al. Simultaneous occurrence of transient resolving thyrotoxicosis due to painless thyroiditis, hypopituitarism and diabetes insipidus following pituitary apoplexy [J]. Postgrad Med J,1991,67(783):75-77.
[17] Rajan S,Roberts KJ,Guerra L,et al. Integrating Health Education in Core Curriculum Classrooms:Successes,Challenges,and Implications for Urban Middle Schools [J]. J Sch Health,2017,87(12):949-957.
[18] 黄杰,于鹏飞,姜楠.甲状腺功能亢进症对糖代谢和胰岛素分泌功能的影响[J].中国地方病防治杂志,2018, 33(4):435-436.
[19] 肖杨.糖代谢异常对甲状腺功能亢进患者血糖及胰岛功能相关指标的影响[J].中国当代医药,2019,26(29):40-43.
[20] 王海燕.2型糖尿病患者甲状腺功能异常的相关因素分析[J].中国医药导报,2017,14(3):80-83.
[21] 黄春梅,赖冬琴,李锋进,等.2型糖尿病合并甲亢患者的临床表现与治疗预后分析[J].中国医药科学,2019,9(24):261-263.
[22] 梁惠珠,张文茹,杨永红.感恩情绪、社会支持和觉知压力对慢性乙型肝炎肝纤维化患者疾病自我管理的影响[J].中华现代护理杂志,2018,24(23):2746-2751.
[23] Jonkman NH,Groenwold RHH,Trappenburg JCA,et al. Complex self-management interventions in chronic disease unravelled: a review of lessons learned from an individual patient data meta-analysis [J]. J Clin Epidemiol,2017(83):48-56.
[24] Brady TJ,Sacks JJ,Terrillion AJ,et al. Operationalizing Surveillance of Chronic Disease Self-Management and Self-Management Support [J]. Prev Chronic Dis,2018,5(15):E39.
[25] O’Connell S, Mc Carthy VJC, Savage E. Frameworks for self-management support for chronic disease:a cross-country comparative document analysis [J]. BMC Health Serv Res,2018,18(1):583.
[26] Huang YC,Garcia AA. Culturally-tailored interventions for chronic disease self-management among Chinese Americans:a systematic review [J]. Ethn Health,2018, 25(3):465-484.
[27] 刘冰莹,纪含思,文婷婷,等.心理护理在甲状腺癌患者放射性药物治疗中的应用价值[J].中国药物与临床,2019, 19(14):143-144. |
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