【摘要】 目的 探讨喉癌术后患者情绪抑制现状，并分析其影响因素，为术后康复干预提供理论依据。方法 采用便利抽样法，选取2023年12月—2025年3月福建省肿瘤医院收治的182例喉癌术后患者为研究对象，采用一般资料调查表、情绪抑制量表、嗓音疲劳指数量表、感知社会支持量表和癌症患者恐惧疾病进展简化量表对其进行调查。结果 喉癌术后患者情绪抑制总分为(29.12±5.77)分。情绪抑制水平与嗓音疲劳中的嗓音回避、躯体症状维度均呈正相关(r=0.487,P<0.001;r=0.403,P<0.001),与休息后症状改善维度呈负相关(r=-0.448,P<0.001)。多元线性回归分析显示，年龄、社交活动频率、复发恐惧、社会支持水平、嗓音回避、躯体症状及休息后症状改善是喉癌术后患者情绪抑制的独立影响因素(R~2=0.564,调整后R~2=0.542,F=24.753,P<0.001)。结论喉癌术后患者情绪抑制处于中等偏高水平，喉癌术后患者情绪抑制受多种因素影响，建议术后康复中加强声音训练与心理支持，以减轻其情绪抑制，提升患者的生活质量。更多还原

【Abstract】 Objective To explore the current status of emotional suppression in postoperative patients with laryngeal cancer and analyze its influencing factors, so as to provide a theoretical basis for postoperative rehabilitation. Methods By using the convenience sampling method, 182 patients undergoing laryngeal cancer surgery in Fujian Cancer Hospital between December 2023 and March 2025 were selected as the research subjects, and surveyed using a general information questionnaire, the emotional inhibition scale, the voice fatigue index, the perceived social support scale, and the fear of progression questionnaire-short form. Results The total score of emotional suppression in patients after laryngeal cancer surgery was(29.12±5.77) points, positively correlated with the scores of voice avoidance and physical symptoms in voice fatigue(r=0.487, P<0.001; r=0.403, P<0.001), but negatively correlated with that of symptom improvement after rest(r= 0.448, P<0.001). Moreover, multiple linear regression analysis showed that age, frequency of social activities, fear of recurrence, level of social support, voice avoidance, physical symptoms and improvement after rest were the independent influencing factors(R~2=0.564, adjusted R~2=0.542,F=24.753, P<0.001). Conclusion The emotional suppression of patients after laryngeal cancer surgery is at a moderately high level and affected by multiple factors. It is recommended to strengthen voice training and psychological support during postoperative rehabilitation to improve the quality of life of patients.更多还原