摘要

【摘要】
目的 探讨虚拟现实（VR）放松训练对甲状腺癌患者心理调适能力及健康信念的影响。

方法 选取2023年1月～2025年5月我院就诊的甲状腺癌患者103例，随机数字表法分为两组，对照组51例采取常规心理干预，在对照组基础上，观察组52例采取VR放松训练。统计两组遵医行为，并比较干预前后心理健康调查表（MHI-38）、Champion健康信念量表（CHBMS）、生活质量综合评定问卷（GQOL-74）评分。

结果 观察组遵医率较对照组高（P＜0.05）；与对照组比较，干预后观察组抑郁、焦虑、行为/情绪失控评分较低，总正性情感、生活满意度、情感纽带评分较高（P＜0.05）；与对照组比较，干预后观察组CHBMS、GQOL-74评分较高（P＜0.05）。

结论 VR放松训练可增强甲状腺癌患者健康信念，提高心理调适能力，改善生活质量。

关键词：【关键词】甲状腺癌；常规心理干预；虚拟现实放松训练；心理调适；健康信念

ABSTRACT

[Abstract]
Objective To explore the effect of virtual reality (VR) relaxation training on the psychological adjustment ability and health beliefs of patients with thyroid cancer. 

Methods A total of 103 patients with thyroid cancer treated in our hospital from January 2023 to May 2025 were selected and divided into two groups using a random number table method. The control group (n=51) received conventional psychological intervention. Based on the control group's treatment, the observation group (n=52) additionally received VR relaxation training. Compliance behavior was recorded, and scores from the Mental Health Inventory (MHI-38), the Champion Health Belief Model Scale (CHBMS), and the Generic Quality of Life Inventory-74 (GQOL-74) were compared between the two groups before and after the intervention. 

Results The compliance rate in the observation group was higher than that in the control group (P < 0.05). Compared with the control group, after the intervention, the observation group had lower scores for depression, anxiety, and loss of behavioral/emotional control, and higher scores for total positive affect, life satisfaction, and emotional ties (P < 0.05). Furthermore, compared with the control group, the observation group showed higher CHBMS and GQOL-74 scores after the intervention (P < 0.05). 

Conclusion   VR relaxation training can enhance health beliefs, improve psychological adjustment ability, and enhance the quality of life in patients with thyroid cancer.

Key words: [Keywords] thyroid cancer;conventional psychological intervention;virtual reality relaxation training;psychological adjustment;health beliefs