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出院准备度对甲状腺癌手术后患者创伤后成长的影响:疾病相关耻辱感的中介作用

The impact of discharge readiness on post-traumatic growth in patients after thyroid cancer surgery: the mediating role of sickness-related stigma.

作者信息

Huang Bin, Liu Guangzhi, Huang Jiaqian, He Susu, Li Wen, Xiao Shanshan, Song Xiaohua, Chen Hongtao

机构信息

School of Nursing, Hunan University of Chinese Medicine, Changsha, China.

Xiangya Hospital of Central South University, Central South University, Changsha, Hunan, China.

出版信息

Front Oncol. 2024 Sep 2;14:1361036. doi: 10.3389/fonc.2024.1361036. eCollection 2024.

Abstract

OBJECTIVE

To investigate the relationship between post-traumatic growth, morbidity stigma and readiness for discharge in post-operative thyroid cancer patients.

METHODS

422 post-operative thyroid cancer patients from three tertiary care hospitals in Hunan and Tianjin were surveyed using the General Information Questionnaire, the Post-traumatic Growth Scale, the Readiness for Discharge Scale, and the Social Influence Scale.

RESULTS

Discharge readiness positively predicted the level of post-traumatic growth in thyroid cancer patients (P < 0.01), and morbidity stigma negatively predicted post-traumatic growth (P < 0.01), with morbidity stigma playing a mediated role between discharge readiness and post-traumatic growth.

CONCLUSIONS

Readiness for discharge can positively predict post-traumatic growth, and morbidity stigma plays a mediating role between readiness for discharge and post-traumatic growth. It is suggested that clinical and nursing staff should strengthen patients' discharge readiness guidance and education, help patients and their families establish an effective feedback mechanism for disease condition and psychological cognitive condition, focus on reducing patients' sense of shame, and improve patients' physical and mental health.

摘要

目的

探讨甲状腺癌术后患者创伤后成长、疾病耻辱感与出院准备度之间的关系。

方法

采用一般资料问卷、创伤后成长量表、出院准备度量表和社会影响量表,对来自湖南和天津3家三级甲等医院的422例甲状腺癌术后患者进行调查。

结果

出院准备度正向预测甲状腺癌患者的创伤后成长水平(P<0.01),疾病耻辱感负向预测创伤后成长(P<0.01),疾病耻辱感在出院准备度和创伤后成长之间起中介作用。

结论

出院准备度可正向预测创伤后成长,疾病耻辱感在出院准备度和创伤后成长之间起中介作用。建议临床医护人员加强对患者出院准备的指导与教育,帮助患者及其家属建立有效的病情及心理认知状况反馈机制,注重减轻患者的羞耻感,促进患者身心健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/60fe/11403406/95d80aceac06/fonc-14-1361036-g001.jpg

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