关键词: 甲状腺癌, ¹³¹ I, 隔离治疗, 孤独感, 影响因素

Abstract: Objective: To investigate the status of loneliness in patients with thyroid cancer after ¹³¹ I isolation treatment, and to analyze its influencing factors. Methods: The convenience sampling method was used and 228 patients with thyroid cancer after ¹³¹ I isolation treatment from March to December 2021 were included. The general information questionnaire, Cancer Loneliness Scale (CLS) and General Alienation Scale (GSA) and Security Scale (SQ) were used for investigation, and multiple linear regression was used to analyze the influencing factors of loneliness in patients. Results: The total score of loneliness in patients undergoing ¹³¹ I isolation treatment after thyroid surgery was 18.86±4.03, the total score of alienation was 32.07±4.87, the total score of security was 59.73±12.39. Age, negative social expectation, sense of alienation, sense of security, educational background, and living status were the influencing factors of loneliness (P<0.05), which could explain 56% of the total variance. Conclusion: The loneliness of patients undergoing 131 I isolation treatment after thyroid cancer surgery is at a moderate level, and patients with older age, lower education, living alone, alienation and lack of security need more attention. Medical staffs should identify the loneliness of patients undergoing 131 I isolation treatment at an early stage, take positive attitudes and scientific methods to improve or solve the problem of loneliness in patients, improve the treatment effect, so as to help patients return to society as soon as possible.

Key words: Thyroid cancer, ¹³¹ I , Isolation therapy, Loneliness, Influencing factors