Kim Myoyoun, Hwang Seon Young
Author Affiliations: Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine (Dr Kim); and College of Nursing, Hanyang University (Dr Hwang), Seoul, Republic of Korea.
Cancer Nurs. 2025 Jan 10. doi: 10.1097/NCC.0000000000001459.
Although the survival rate for thyroid cancer is high, a nursing intervention that enhances autonomous motivation is needed for patients with jobs to improve their long-term self-management abilities in the early postoperative period.
This study aims to develop a mobile application (app) based on the Self-Determination Theory for patients returning to work after thyroid cancer surgery and to verify its effectiveness.
We developed an app to promote self-management and verify its effectiveness after 12 weeks in early outpatients who underwent thyroid cancer surgery through a randomized controlled trial design. In addition to a subjective questionnaire, objective data on steps, stress, and sleep quality from a smartwatch are analyzed.
Autonomous motivation (t = -2.11, P = .040), perceived health status (t = -2.05, P = .048), and perceived stress (t = 2.18, P = .039) show significant differences in the experimental group compared to the control group. Objective data collected using a smartwatch show that stress scores (t = 5.43, P = .006) and sleep quality scores (t = 3.83, P = .025) in the experimental group are significantly improved compared to those in the control group.
Among workers in the early stages after thyroid cancer surgery, using the smartphone app strengthens autonomous motivation and improves steps, stress levels, and sleep quality, making it an effective nursing intervention for self-management.
In outpatient nursing practice, self-management should be promoted using a smartphone app among adult patients returning to work soon after thyroid cancer surgery.
尽管甲状腺癌的生存率很高，但对于有工作的患者来说，需要一种增强自主动机的护理干预措施，以提高他们术后早期的长期自我管理能力。
本研究旨在为甲状腺癌手术后重返工作岗位的患者开发一款基于自我决定理论的移动应用程序（应用），并验证其有效性。
我们开发了一款促进自我管理的应用，并通过随机对照试验设计，在接受甲状腺癌手术的早期门诊患者中，验证其在12周后的有效性。除了主观问卷外，还分析了智能手表提供的关于步数、压力和睡眠质量的客观数据。
与对照组相比，实验组的自主动机（t = -2.11，P = .040）、感知健康状况（t = -2.05，P = .048）和感知压力（t = 2.18，P = .039）显示出显著差异。使用智能手表收集的客观数据表明，与对照组相比，实验组的压力得分（t = 5.43，P = .006）和睡眠质量得分（t = 3.83，P = .025）有显著改善。
在甲状腺癌手术后早期的工作人群中，使用智能手机应用可增强自主动机，改善步数、压力水平和睡眠质量，使其成为一种有效的自我管理护理干预措施。
在门诊护理实践中，应使用智能手机应用程序，促进甲状腺癌手术后不久即将重返工作岗位的成年患者进行自我管理。
