OBJECTIVE To analyze the influencing factors of postoperative anxiety in patients with thyroid cancer(TC),and to establish a risk prediction nomogram model.METHODS From January 2019 to June 2023,457 TC patients who underwent surgical treatment at our hospital were randomly separated into a modeling group(320 cases)and a validation group(137 cases)using a random number table method,with a ratio of approximately 7∶3.TC patients were grouped into anxiety group and non anxiety group based on whether they experience anxiety after surgery.Clinical follow-up data of patients were collected,multivariate Logistic regression was applied to analyze the influencing factors of postoperative anxiety in TC patients,R software and RMS package were applied to establish a nomogram model of postoperative anxiety in TC patients.The calibration curve and Hosmer-Leme show(H-L)test were applied to evaluate the fitting degree of the nomogram model.ROC curve was applied to evaluate and validate the effectiveness of predictive models.RESULTS Multivariate Logistic regression analysis showed that family monthly income≤4 000 yuan,marital status as no spouse,on-the-job work,no health education,moderate to high risk of disease recurrence,and surgical method as total thyroidectomy were risk factors for postoperative anxiety in TC patients(P<0.05).In the modeling group,the AUC predicted by the nomogram for postoperative anxiety in TC patients was 0.842(95%CI:0.797-0.880),and the calibration curve was close to the ideal curve,the H-L test was χ2=8.323,P=0.403,and the calibration was good,the risk of postoperative anxiety in TC patients predicted by the nomogram model was basically consistent with the actual risk.In the validation group,the AUC in predicting postoperative anxiety in TC patients was 0.865(95%CI:0.796-0.917);the calibration curve was relatively close to the ideal curve,H-L test showed χ2=5.618 and P=0.585,the nomogram model has good consistency with predicting postoperative anxiety risk in TC patients with actual results.CONCLUSION Family monthly income≤4 000 yuan,no spouse,on-the-job work,no health education,moderate to high risk of disease recurrence,and total thyroidectomy are risk factors for postoperative anxiety in TC patients.The nomogramt model established based on this has good predictive differentiation and can provide reference for early screening and prevention of postoperative anxiety in TC patients.

Objective To analysis the influence of health management intervention on blood glucose control for 2 diabetic, discusses in view of the diabetic not good life style practice the effective health management measure. Methods Reviewed the diagnosised 2 diabetic examples (1152) from March,2003 to July,2007 by healthy physical examination and the physical examination materials, including the biochemistry items like fasting blood glucose (GLU), Glucosylated hemoglobin (HbAlc) and the questionnaires about each patient's formerly body activity, the diet and the medical compliance etc. Established the standard,carried on the appraisal. According to the above, the life style relative good 283 examples (A group) and the bad 869 examples (B group) the patient will integrate the cohort, carried on the cohort study, analysised the relations between life style and diabetes controll effectiveness; At the same time, compared the biochemistry results between the non-managed (C group) and the managed (D group) after by meanse of a year strengthened health management intervention (diet, movement, medical compliance, health education etc.) on the 241 example patients. Results The GLU and HbAlc control satisfaction rate of the life style relative good group's (A group) respectively is 60. 1% and 56. 5%, obviously surpasses the life style bad group's (B group) 49.0% and 45. 5% (X2 = 10.44 and 11.05, P<1.01) ; The unscientific life style is diabetes GLU and the HbAlc control not satisfactory the dangerous fact (RR = 1.28 and 1.25) ; After carries on the life style strengthening intervention for a year (D group), the nutrition and the movement knowledge awareness rate (63.5%) is obviously higher than the before management (C group) (25.7%), the difference has statistics significance (X2=4.51, P<0.05), after and before the strengthening life style management intervention, GLU and HbAic control satisfaction rate is respectively 61.8% ,64. 3% and 58.5%, 47.8%, the difference has statistics significance (X2=7.94 and 4.18, P<0.01 and 0.05) Conclusions The life style has a close correlation with the effectiveness of 2 diabetes blood glucose control, the health management intervention can raise the patient's good life style, helps the patient to obtain satisfaction the blood glucose control effectiveness.