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目的探讨初诊甲状腺结节受检者疾病不确定感与焦虑发生的相关性。方法对2016年1—12月共121例初诊甲状腺结节受检者进行焦虑自评量表(self-rating anxiety scale,SAS)和疾病不确定感量表评测,依据SAS总分将本组受检者分别纳入焦虑组和非焦虑组,分别采用t检验、c~2检验和Pearson相关性分析对比两组病例一般资料和疾病不确定感得分之间的差异,P<0.05为差异有统计学意义。结果受检者SAS得分为(41.13±11.22)分,高于常模(29.78±0.46)分,对比差异有统计学意义(P<0.05)。焦虑发生率为64.5%,焦虑组学历高于非焦虑组,焦虑评分与年龄呈负相关性、与超声分级正相关,对比差异有统计学意义(P<0.05)。受检者不确定感总分为(75.40±29.87)分,处于中等水平,将受检者焦虑评分与疾病不确定感总及四个维度均呈正相关性,对比差异均有统计学意义(均P<0.05)。结论初诊甲状腺结节受检者焦虑发生率较高,并且与年龄、学历、超声分级和疾病不确定相关,临床应予以重视。
Objective To explore the relationship between the uncertainty of disease and anxiety in newly diagnosed thyroid nodules. Methods A total of 121 newly diagnosed thyroid nodules from January to December in 2016 were evaluated by self-rating anxiety scale (SAS) and uncertainty of illness scale. According to SAS score, The subjects were included in the anxiety group and the non-anxiety group, t test, c ~ 2 test and Pearson correlation analysis were used to compare the difference between the two groups of general information and disease uncertainty score, P <0.05 for the difference was statistically significant significance. Results SAS score of the subjects was (41.13 ± 11.22) points higher than that of the normal (29.78 ± 0.46) points, the difference was statistically significant (P <0.05). The prevalence of anxiety was 64.5%, anxiety group was higher than non-anxiety group, and anxiety score was negatively correlated with age, which was positively correlated with ultrasound grade (P <0.05). (75.40 ± 29.87) points, with a moderate level. There was a positive correlation between the subjects’ anxiety score and the total and four dimensions of the uncertainty of the disease, both of which were statistically significant (both P <0.05). Conclusions The incidence of anxiety in the newly diagnosed thyroid nodules is high, and is related to the age, academic qualifications, ultrasonic grading and the uncertainty of the disease, so clinical should pay attention to it.