[1]刘智金,冯林森,汪文星,等.甲状腺癌患者歧视感与生活质量现状及其影响因素分析[J].医学信息,2024,37(06):96-101.[doi:10.3969/j.issn.1006-1959.2024.06.016]
　LIU Zhi-jin,FENG Lin-sen,WANG Wen-xing,et al.Analysis of the Status Quo and Influencing Factors of Discrimination and Quality Of Life in Patients with Thyroid Cancer[J].Journal of Medical Information,2024,37(06):96-101.[doi:10.3969/j.issn.1006-1959.2024.06.016]
点击复制

甲状腺癌患者歧视感与生活质量现状及其影响因素分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年06期
页码:
96-101
栏目:
论著
出版日期:
2024-03-15

文章信息/Info

Title:
Analysis of the Status Quo and Influencing Factors of Discrimination and Quality Of Life in Patients with Thyroid Cancer
文章编号:
1006-1959（2024）06-0096-06
作者:
刘智金; 冯林森; 汪文星; 等
（1.昆明医科大学第三附属医院暨云南省肿瘤医院干部医疗科，云南 昆明 650118；2.南昌大学第三附属医院暨南昌市第一医院肿瘤科，江西 南昌 3300083.昆明医科大学第六附属医院暨玉溪市人民医院血液科，云南 玉溪 653100；4.江西中医药大学中医学院，江西 南昌 330100）
Author(s):
LIU Zhi-jin; FENG Lin-sen; WANG Wen-xing; et al.
(1.Department of Cadre Medical,the Third Affiliated Hospital of Kunming Medical University,Yunnan Cancer Hospital,Kunming 650118,Yunnan,China;2.Department of Oncology,the Third Affiliated Hospital of Nanchang University,Nanchang First Hospital,Nanchang 330008,Jiangxi,China;3.Department of Hematology,the Sixth Affiliated Hospital of Kunming Medical University,People’s Hospital of Yuxi City,Yuxi 653100,Yunnan,China;4.College of Traditional Chinese Medicine,Jiangxi University of Chinese Medicine,Nanchang 330100,Jiangxi,China)
关键词:
甲状腺癌; 歧视感; 生活质量; 心理问题
Keywords:
Thyroid cancer; Sense of discrimination; Quality of life; Psychological problems
分类号:
R736.1
DOI:
10.3969/j.issn.1006-1959.2024.06.016
文献标志码:
A
摘要:
目的 探讨甲状腺癌患者歧视感和生活质量现状及其影响因素，并分析两者之间的相关性。方法 采用头颈癌羞耻与耻辱量表（SSS-HNC）和欧洲癌症研究与治疗组织生存质量量表（EORTC QLQ-C30）对2022年5月-8月在云南省肿瘤医院头颈外一科就诊的155例甲状腺癌患者进行调查，采用多元逐步回归分析患者歧视感与生活质量的影响因素，并分析两者之间的相关性。结果 155例甲状腺癌患者歧视感得分12~46分，中位得分28分，生活质量得分101~573分，中位得分294分，总体健康状况和功能领域得分低于常模（P＜0.05），疲劳、气促、失眠和经济困难症状领域得分高于常模（P＜0.05）；多元逐步回归分析结果显示，经济负担和病程是歧视感与生活质量的共同危险因素（P＜0.05），而歧视感又是生活质量的独立危险因素（P＜0.05）；歧视感得分与生活质量得分呈正相关（P＜0.05），与总体健康状况、5个功能领域及6个症状领域（除外恶心呕吐、便秘、腹泻）得分呈正相关（P＜0.05）。结论 甲状腺癌患者普遍存在强烈的歧视感，对其生活质量产生不利影响，医护人员应重视并积极预防和缓解患者内心的歧视感，减少心理疾病的发生，提高患者的生活质量。
Abstract:
Objective To investigate the status quo and influencing factors of discrimination and quality of life in patients with thyroid cancer, and to analyze the correlation between the two.Methods A total of 155 patients with thyroid cancer who were admitted to the First Department of Head and Neck Surgery, Yunnan Cancer Hospital from May to August 2022 were investigated by using the Shame and Stigma Scale in Head and Neck Cancer (SSS-HNC) and the European Organization for Reasearch and Treatment of Cancer (EORTC QLQ-C30). Multiple stepwise regression analysis was used to analyze the influencing factors of patients’ sense of discrimination and quality of life, and the correlation between them was analyzed.Results The discrimination score of 155 patients with thyroid cancer was 12-46 scores, with a median score of 28 scores. The quality of life score was 101-573 scores, with a median score of 294 scores. The scores of overall health status and functional areas were lower than the norm (P<0.05), and the scores of fatigue, shortness of breath, insomnia and economic difficulties were higher than the norm (P<0.05). The results of multiple stepwise regression analysis showed that economic burden and course of disease were common risk factors for perceived discrimination and quality of life (P<0.05), while perceived discrimination was an independent risk factor for quality of life (P<0.05). The score of discrimination was positively correlated with the score of quality of life (P<0.05), and was positively correlated with the scores of general health status, 5 functional areas and 6 symptom areas (except nausea and vomiting, constipation and diarrhea) (P<0.05).Conclusion Patients with thyroid cancer generally have a strong sense of discrimination, which has a negative impact on their quality of life. Medical staff should pay attention to and actively prevent and alleviate the sense of discrimination in patients, reduce the occurrence of mental illness, and improve the quality of life of patients.

参考文献/References:

[1]Zheng R,Zhang S,Zeng H,et al.Cancer incidence and mortality in China, 2016[J].Natl Cancer Cent,2022,27(2):1-9.[2]俞国良.社会心理学[M].3版.北京:北京师范大学出版社,2015:130-139.[3]De Lamater J,Collett J.Social Psychology[M].New York:Taylor and Francis Press,2018:197-233.[4]Cohen A,Ianovski LE,Frenkiel S,et al.Barriers to psychosocial oncology service utilization in patients newly diagnosed with head and neck cancer[J].Psychooncology,2018,27(12):2786-2793.[5]Hedman C,Strang P,Dj?覿rv T,et al.Anxiety and Fear of Recurrence Despite a Good Prognosis: An Interview Study with Differentiated Thyroid Cancer Patients[J].Thyroid,2017,27(11):1417-1423.[6]Misra S,Meiyappan S,Heus L,et al.Patients’ experiences following local-regional recurrence of thyroid cancer: a qualitative study[J].J Surg Oncol,2013,108(1):47-51.[7]Tseng WT,Lee Y,Hung CF,et al.Validation of the Chinese Version of the Shame and Stigma Scale in Patients with Head and Neck Cancer[J].Cancer Management And Research,2019,11(3):10297-10305.[8]Wang T,Jiang M,Ren Y,et al.Health-Related Quality of Life of Community Thyroid Cancer Survivors in Hangzhou,China[J].Thyroid,2018,28(8):1013-1023.[9]Nolte S,Liegl G,Petersen MA,et al.General population normative data for the EORTC QLQ-C30 health-related quality of life questionnaire based on 15,386 persons across 13 European countries, Canada and the Unites States[J].Eur J Cancer,2019,107:153-163.[10]吕兰婷,余浏洁,蔡玥,等.2013-2017年我国甲状腺癌的住院次均费用趋势分析[J].中国卫生统计,2020,37(1):76-79.[11]Mongelli MN,Giri S,Peipert BJ,et al.Financial burden and quality of life among thyroid cancer survivors[J].Surgery,2020,167(3):631-637.[12]Kong YC,Rauf N,Subramaniam S,et al.Working after cancer: in-depth perspectives from a setting with limited employment protection policies[J].J Cancer Surviv,2021,15(5):706-712.[13]Shim S,Kang D,Bae KR,et al.Association between cancer stigma and job loss among cancer survivors[J].Psychooncology,2021,30(8):1347-1355.[14]Kurumety SK,Helenowski IB,Goswami S,et al.Post-thyroidectomy neck appearance and impact on quality of life in thyroid cancer survivors[J].Surgery,2019,165(6):1217-1221.[15]Bach K,Prince S,Pitt SC,et al.Time Heals Most Wounds-Perceptions of Thyroidectomy Scars in Patients With Thyroid Cancer[J].J Surg Res,2022,270:437-443.[16]Li C,Lopez B,Fligor S,et al.Long-term voice changes after thyroidectomy: Results from a validated survey[J].Surgery,2021,170(6):1687-1691.[17]Pitt SC,Haymart MR.Breaking Down or Waking Up? Psychological Distress and Sleep Disturbance in Patients With Thyroid Nodules and Cancer[J].J Clin Endocr Metab,2021,106(10):4278-4280.[18]Alhashemi A,Jones JM,Goldstein DP,et al.An Exploratory Study of Fatigue and Physical Activity in Canadian Thyroid Cancer Patients[J].Thyroid,2017,27(9):1156-1163.[19]Cao LZ,Peng XD,Xie JP,et al.The relationship between iodine intake and the risk of thyroid cancer: A meta-analysis[J].Medicine,2017,96(20):1-5.[20]Haraj NE,El Aziz S,Chadli A.Anxiety and depression in patients treated for differentiated thyroid microcarcinoma[J].Pan Afr Med J,2020,35:133-138.

相似文献/References:

[1]李 焰,蒲玉平,郑 轲,等.甲状腺癌术后不同时间拔除引流条的效果分析[J].医学信息,2019,32(04):116.[doi:10.3969/j.issn.1006-1959.2019.04.037]
　LI Yan,PU Yu-ping,ZHENG Ke,et al.Analysis of the Effect of Removing Drainage Strips at Different Times after Thyroid Cancer Operation[J].Journal of Medical Information,2019,32(06):116.[doi:10.3969/j.issn.1006-1959.2019.04.037]
[2]孙 阳.甲状腺结节钙化在超声诊断甲状腺癌中的价值[J].医学信息,2019,32(24):173.[doi:10.3969/j.issn.1006-1959.2019.24.064]
　SUN Yang.The Value of Thyroid Nodule Calcification in Ultrasound Diagnosis of Thyroid Cancer[J].Journal of Medical Information,2019,32(06):173.[doi:10.3969/j.issn.1006-1959.2019.24.064]
[3]黄琪峰,郑琳琳,张 菁.甲状腺癌中miR-222关键靶基因预测及其信号通路分析[J].医学信息,2020,33(01):85.[doi:10.3969/j.issn.1006-1959.2020.01.026]
　HUANG Qi-feng,ZHENG Lin-lin,ZHANG Jing.Prediction of Key Target Genes of miR-222 in Thyroid Cancer and Analysis of Its Signal Pathway[J].Journal of Medical Information,2020,33(06):85.[doi:10.3969/j.issn.1006-1959.2020.01.026]
[4]冯 鸾,高晓洁.分化型甲状腺癌术后行131Ⅰ治疗患者自我管理效能与生命质量的相关性分析[J].医学信息,2020,33(04):184.[doi:10.3969/j.issn.1006-1959.2020.04.063]
　FENG Luan,GAO Xiao-jie.Correlation Between Self-management Efficacy and Quality of Life in Patients with Differentiated Thyroid Cancer Undergoing 131Ⅰ[J].Journal of Medical Information,2020,33(06):184.[doi:10.3969/j.issn.1006-1959.2020.04.063]
[5]李婷婷,李素梅,许琳琳.甲状腺癌流行病学分析及超声诊断价值[J].医学信息,2020,33(05):85.[doi:10.3969/j.issn.1006-1959.2020.05.025]
　LI Ting-ting,LI Su-mei,XU Lin-lin.Epidemiological Analysis and Diagnostic Value of Thyroid Cancer[J].Journal of Medical Information,2020,33(06):85.[doi:10.3969/j.issn.1006-1959.2020.05.025]
[6]唐嘉晨,郝玲玲,秦晓茹,等.全腔镜下甲状腺乳头状癌并发症Meta分析[J].医学信息,2021,34(04):78.[doi:10.3969/j.issn.1006-1959.2021.04.021]
　TANG Jia-chen,HAO Ling-ling,QIN Xiao-ru,et al.Meta-analysis of Complications of Papillary Thyroid Carcinoma Under Full Laparoscopic Surgery[J].Journal of Medical Information,2021,34(06):78.[doi:10.3969/j.issn.1006-1959.2021.04.021]
[7]赵长海,张辰铭,孙春阳,等.TP53与Wnt-5a在甲状腺癌中表达分析及临床分期的指导意义[J].医学信息,2021,34(09):1.[doi:10.3969/j.issn.1006-1959.2021.09.001]
　ZHAO Chang-hai,ZHANG Chen-ming,SUN Chun-yang,et al.Analysis of the Expression of TP53 and Wnt-5a in Thyroid Carcinoma and Its Clinical Stage[J].Journal of Medical Information,2021,34(06):1.[doi:10.3969/j.issn.1006-1959.2021.09.001]
[8]许德华,陈晓琳,廖苑君,等.基于知识学习挖掘乳腺癌与甲状腺癌的共享功能模块和核心基因[J].医学信息,2021,34(21):1.[doi:10.3969/j.issn.1006-1959.2021.21.001]
　XU De-hua,CHEN Xiao-lin,LIAO Yuan-jun,et al.Identifying Breast Cancer and Thyroid Cancer Shared Functional Modules and Core Genes Based on Knowledge Learning Methods[J].Journal of Medical Information,2021,34(06):1.[doi:10.3969/j.issn.1006-1959.2021.21.001]
[9]吴建华,马小宏.Tg、TSH水平变化对分化型甲状腺癌患者诊断的价值分析[J].医学信息,2021,34(23):111.[doi:10.3969/j.issn.1006-1959.2021.23.032]
　WU Jian-hua,MA Xiao-hong.Diagnostic Value of Tg and TSH in Differentiated Thyroid Carcinoma[J].Journal of Medical Information,2021,34(06):111.[doi:10.3969/j.issn.1006-1959.2021.23.032]
[10]李清霞.超声淋巴结穿刺联合血清TSH、PAI-1水平对甲状腺癌患者颈部淋巴结转移的诊断效果[J].医学信息,2021,34(23):175.[doi:10.3969/j.issn.1006-1959.2021.23.053]
　LI Qing-xia.Diagnostic Effect of Ultrasound Lymph Node Puncture Combined with Serum TSH and PAI-1 Levels on Cervical Lymph Node Metastasis in Patients with Thyroid Cancer[J].Journal of Medical Information,2021,34(06):175.[doi:10.3969/j.issn.1006-1959.2021.23.053]

更新日期/Last Update: 1900-01-01