Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients

YAN Xiao-na; WANG Yin-huan; LI Dan; XIONG Dan; YANG Ying; SONG Shuang

doi:10.11659/jjssx.09E024095

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Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients

Clinical Research | 更新时间：2025-07-23

- Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 7, Pages: 626-629(2025)
- 作者机构：
  
  陆军军医大学第一附属医院乳腺甲状腺外科，重庆 400038
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.09E024095
  CLC： R473.5
- Received：17 September 2024，
  
  Published：25 July 2025
- 稿件说明：
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严晓娜,王寅欢,李丹等.甲状腺癌患者手术方式决策辅助方案的构建及应用效果研究[J].局解手术学杂志,2025,34(07):626-629.

YAN Xiao-na,WANG Yin-huan,LI Dan,et al.Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):626-629.
严晓娜,王寅欢,李丹等.甲状腺癌患者手术方式决策辅助方案的构建及应用效果研究[J].局解手术学杂志,2025,34(07):626-629. DOI： 10.11659/jjssx.09E024095.

YAN Xiao-na,WANG Yin-huan,LI Dan,et al.Construction and application effect of decision aid scheme for surgical methods of thyroid cancer patients[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(07):626-629. DOI： 10.11659/jjssx.09E024095.

摘要

目的

构建甲状腺癌患者手术方式的决策辅助方案，并探讨其应用效果。

方法

回顾性选取2022年1月1日至12月31日就诊于陆军军医大学第一附属医院乳腺甲状腺外科的692例甲状腺癌患者为研究对象，手术时间在2022年1月1日至6月30日的患者为对照组（

=346），手术时间在2022年7月1日至12月31日的患者为观察组（

=346）。对照组患者在常规宣教后选择手术方式，观察组患者通过决策辅助方案选择手术方式。在入院时、术前1 d对2组患者的决策冲突、决策准备进行评估；在入院时、术前1 d及术后1个月对2组患者的心理状态进行评估；在术后1、3、6个月对2组患者的决策满意度进行评估。

结果

2组患者入院时决策冲突评分、决策准备评分、焦虑抑郁评分比较差异均无统计学意义（

0.05）；观察组患者术前1 d决策冲突评分显著低于对照组（

=21.099，

0.001），决策准备评分显著高于对照组（

=8.806，

0.001）。随着时间延长，2组患者焦虑抑郁评分均有所下降，其中观察组患者术前1 d及术后1个月焦虑抑郁评分均低于对照组（

0.05）；观察组患者术后1、3、6个月决策满意度评分均高于对照组（

0.05）。

结论

决策辅助方案的实施可以有效减少甲状腺癌患者对手术方式选择的决策冲突，缓解负面情绪，提升决策满意度。

Abstract

Objective

To construct a decision aid scheme for surgical methods of thyroid cancer patients and explore its application effect.

Methods

A retrospe

ctive analysis was conducted on 692 patients with thyroid cancer who were treated in the department of breast and thyroid surgery in the First Affiliated Hospital of Army Medical University from January 1 to December 31， 2022， patients who underwent surgery from January 1 to June 30， 2022 were selected as the control group （

=346）， while patients who underwent surgery from July 1 to December 31， 2022 were selected as the observation group （

=346）. Patients in the control group chose surgical methods after conventional education， while patients in the observation group chose the surgical methods through the decision aid scheme. The decision conflict and decision-making at admission and 1 day before surgery of patients in the two groups were assessed. The psychological state at admission， 1 day before surgery， and 1 month after surgery of patients in the two groups were evaluated. The decision satisfaction of patients in the two groups were assessed 1， 3， and 6 months after surgery.

Results

There was no significant difference in the decision conflict score， decision making score or anxiety and depression scores at admission of patients between the two groups （

0.05）. One day before surgery， the decision conflict score of patients in the observation group was significantly lower than that in the control group （

=21.099，

0.001）， and the decision-making score was significantly higher than that in the control group （

=8.806，

0.001）. The anxiety and depression scores of patients in the two groups decreased over time， among which the anxiety and depression scores 1 day before surgery and 1 month after surgery of patients in the observation group were lower than those in the control group （

0.05）.The decision satisfaction scores 1， 3 and 6 months after surgery of patients in the observation group were higher than those in the control group

（

0.05）.

Conclusion

The implementation of decision aid scheme can effectively reduce decision conflicts of patients with thyroid cancer regarding the choice of surgical methods， relieve negative emotions， and enhance decision satisfaction.

关键词

Keywords

references

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