Longitudinal study on the psychological adaptation of primary caregivers of postoperative thyroid cancer patients and its influencing factors
10.3760/cma.j.cn115682-20240827-04787
- VernacularTitle:甲状腺癌术后患者主要照顾者心理适应水平及其影响因素的纵向研究
- Author:
Xiaoping TAO
1
;
Yingying LIN
;
Yu ZHANG
;
Lihua WANG
Author Information
1. 台州市第一人民医院普外科，台州 318020
- Publication Type:Journal Article
- Keywords:
Thyroid cancer;
Primary caregiver;
Psychological adaptation;
Caregiver burden;
Caregiving competence;
Mutuality;
Longitudinal study
- From:
Chinese Journal of Modern Nursing
2025;31(16):2220-2226
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the psychological adaptation level and influencing factors of primary caregivers of postoperative thyroid cancer patients at different time points, providing a basis for developing targeted interventions.Methods:Using convenience sampling, primary caregivers of patients who underwent thyroid cancer surgery at Taizhou First People's Hospital from January 2020 to February 2024 were selected. The study applied a general information questionnaire, Psychological Adaptation Scale, Caregiver Burden Scale for Cancer Patients, Family Caregiver Task Inventory, and Mutuality Scale at four time points: 1 day before discharge, and at 1, 3, and 6 months postoperatively.Results:A total of 335 questionnaires were distributed, and 325 valid responses were obtained after four rounds of follow-up surveys, with an effective recovery rate of 97.01%. Generalized estimating equation analysis showed that caregiver age, education level, caregiving experience, number of co-caregivers, caregiver burden, caregiving competence, and mutuality with the patient were significant influencing factors of psychological adaptation ( P<0.05) . Conclusions:Psychological assessment of primary caregivers should begin before patient discharge and continue with regular follow-up. Intervention measures should be developed based on identified influencing factors of psychological adaptation.
