Treatise
Latent profile analysis of return-to-work self-efficacy of postoperative patients with thyroid cancer
Tang Xiaoxia, Yi Xiaolin, Wang Mei, Chen Rui, Zhou Xumin, Mao Huina
Published 2024-04-11
Cite as Chin J Prac Nurs, 2024, 40(11): 831-839. DOI: 10.3760/cma.j.cn211501-20231023-00812
Abstract
ObjectiveTo explore the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer and analyze the influencing factors, so as to provide theoretical basis for implementing precise interventions of occupational rehabilitation.
MethodsThis was a cross-sectional study. A convenient sampling method was used to select 257 postoperative patients with thyroid cancer in Zhujiang Hospital of Southern Medical University from May 2022 to July 2023. The General Information Questionnaire, Return-To-Work Self-Efficacy Questionnaire and Cancer Fatigue Scale were used for investigation. Latent profile analysis was used to explore the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer. Logistic regression and decision tree were used to analyze the influencing factors of different potential categories.
ResultsFinally, 250 postoperative patients with thyroid cancer were included. There were 76 males and 174 females, aged (37.91 ± 8.04) years old. The return-to-work self-efficacy of postoperative patients with thyroid cancer was divided into 2 potential categories: low return-to-work self-efficacy group (72.0%, 180/250) and high return-to-work self-efficacy group (28.0%, 70/250). Logistic regression showed education, thyrotropin suppressive therapy, cancer-related fatigue and age were factors influencing the potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer (OR values were 0.951 - 19.820, all P<0.05). Decision tree model showed education level and cancer-related fatigue were the most important factors (χ2 = 31.40, 16.95, both P<0.05).
ConclusionsThere were two potential categories of return-to-work self-efficacy of postoperative patients with thyroid cancer. Most of them had low levels of return-to-work self-efficacy. Health care professionals should focus on patients who are less educated and having cancer-related fatigue, meanwhile, should not ignore patients who are substandard thyrotropin suppressive therapy, and older. Implement precise interventions of occupational rehabilitation to improve the return-to-work self-efficacy of postoperative patients with thyroid cancer so as to help them reintegrate into society.
Key words:
Thyroid neoplasms; Decision trees; Return-to-work self-efficacy; Latent profile analysis; Influencing factors
Contributor Information
Tang Xiaoxia
Department of Nursing, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
School of Nursing, Southern Medical University, Guangzhou 510515, China
Yi Xiaolin
Department of Breast and Thyroid Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
Wang Mei
Department of Oncology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
Chen Rui
Department of Nursing, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
School of Nursing, Southern Medical University, Guangzhou 510515, China
Zhou Xumin
Department of Breast and Thyroid Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
Mao Huina
Department of Nursing, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China
