International Journal of Research Studies in Psychology
CollabWritive Special Issue
2024 Volume 10 Issue 4
Available Online: 10 December 2024
Author/s:
Han, Meijuan
Graduate School, Lyceum of the Philippines University – Batangas, Philippines
Abstract:
With the continuous increase of the number of thyroid cancer patients, the traditional postoperative rehabilitation training methods cannot fully meet the diverse needs of patients for rehabilitation. Especially considering that patients are often accompanied by postoperative neck dysfunction and psychological stress problems, this study proposed an innovative program integrating neck functional exercise and collaborative intervention mode, aiming to improve the postoperative rehabilitation effect, psychological stress status and self-efficacy of thyroid cancer patients. Based on the biopsychosocial model, this study constructed a set of interventional system, including individualized neck functional exercise and targeted psychological support intervention, aims to provide a comprehensive postoperative rehabilitation program, at the same time to improve patient self-efficacy as the intermediary goal, in order to achieve the comprehensive improvement of psychological and physiological state of disease. The research hypothesis is that the collaborative intervention mode can significantly optimize patients ‘postoperative motor function, reduce psychological stress, enhance patients’ self-efficacy to the rehabilitation process, and thus improve the overall quality of life. The rigorous design of a randomized controlled trial (RCT) included 210 patients diagnosed with thyroid cancer. The exercise protocol was designed according to the specific circumstances of each patient, considering the frequency, intensity and duration of neck functional exercises, and was guided by a professional physiotherapist. Psychological intervention is based on the principle of cognitive behavioral therapy, combined with the construction of relaxation training and social support network. A specific self-efficacy scale for patients with thyroid cancer rehabilitation was used during the intervention, combined with quantitative psychological stress assessment tools, such as SCL-90 and PSS scales for multi-point follow-up investigation. Data processing and analysis used advanced multivariate statistical methods to evaluate the effects of the intervention, such as mixed effects models and time series analysis, while rigorous data management and quality control procedures were implemented in order to address possible non-normative conditions in the data. The experimental results of this study showed that the neck functional exercise introduced before surgery can significantly improve the effect of postoperative rehabilitation, and can effectively prevent and reduce the stress-related adverse psychological conditions, and enhance the patients’ self-efficacy in the rehabilitation process. Psychological stress management was effectively improved in the patients in the intervention group, with significant relief of anxiety and depression symptoms, and better quality of life indicators in the intervention group than in the control group. Among them, the psychological stress intervention in improving the patient self efficacy mediation effect confirmed, and neck function exercise and the combination of cognitive psychological intervention, brings the additional synergy effect, not only in the functional recovery, positive psychological adaptation and improve the quality of life effect is remarkable, in promoting postoperative self management ability promotion also formed a positive feedback. The combined intervention model proposed in this study is not only statistically significant with promising clinical application, but also provides a new empirical basis for further research of rehabilitation and biopsysocial models in thyroid cancer patients.
Keywords: thyroid cancer rehabilitation, neck functional exercise, psychological stress management, self-efficacy, collaborative intervention model
DOI: https://doi.org/10.5861/ijrsp.2024.046
Cite this article:
Han, M. (2024). Effect of preoperative neck functional exercise combined with collaborative intervention model in postoperative rehabilitation, psychological stress and self-efficacy of thyroid cancer patients. International Journal of Research Studies in Psychology, 10(4), 57-79. https://doi.org/10.5861/ijrsp.2024.046