Comparative analysis of the quality of life and anxiety in low-risk papillary thyroid microcarcinoma patients with different managements_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

JIANG Yixue , LEI Jianyong , LI Peifang ,  NING Ning ,  ZHU Jingqiang , SU Anping , GONG Yanping , ZOU Xiuhe , LIU Feng

Department of Thyroid Surgery, West China Hospital of Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

NING Ning, Email: gkningning@126.com; ZHU Jingqiang, Email: zjq-wkys@163.com

Keywords：

thyroid papillary microcarcinoma; quality of life; state of mind

DOI：

10.7507/1007-9424.201803022

Video：

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Objective The present study is to compare the quality of life and anxiety of patients with low-risk papillary thyroid microcarcinoma who received different managements to guide clinical therapy and nursing. Methods Thiswas a cohort study. Patients with low-risk papillary thyroid microcarcinoma were divided into observation group (puncture confirmed only) and surgery group (confirmed and surgery) according to their wishes, and patients’ survival quality and state of anxiety were compared by using Short-Form 36 Health Survey Scale (SF-36) and Hamilton Anxiety Scale (HAMA) between the 2 groups during the follow up period. Results There was no significant difference in physical component summary (PCS) score between the 2 groups and different observation time points (P>0.05). The mental component summary (MCS) scores and SF-36 scores of the observation group and the surgery group were different (P<0.05), and the MCS scores and SF-36 scores were different at different time points (P<0.05). The HAMA scores of patients in the observation group and the surgery group were different (P<0.001), and the change of HAMA scores in the observation group and the surgery group were different (P=0.004), but the HAMA scores at different time points were similar (P=0.152). Conclusion Surgery can effectively reduce the anxiety and improve the MCS score and quality of life.

Citation： JIANG Yixue, LEI Jianyong, LI Peifang, NING Ning, ZHU Jingqiang, SU Anping, GONG Yanping, ZOU Xiuhe, LIU Feng. Comparative analysis of the quality of life and anxiety in low-risk papillary thyroid microcarcinoma patients with different managements. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(8): 941-946. doi: 10.7507/1007-9424.201803022 Copy

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2.	劉玉琴, 張書全, 陳莉莉, 等. 中國 2003–2007 年甲狀腺癌發病死亡現狀及流行趨勢分析. 中華流行病學雜志, 2012, 33(10): 1044-1048.
3.	Edge SB, Compton CC. The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM. Ann Surg Oncol, 2010, 17(6): 1471-1474.
4.	Slijepcevic N, Zivaljevic V, Marinkovic J, et al. Retrospective evaluation of the incidental finding of 403 papillary thyroid microcarcinomas in 2466 patients undergoing thyroid surgery for presumed benign thyroid disease. BMC Cancer, 2015, 15: 330.
5.	Hay ID, Hutchinson ME, Gonzalez-Losada T, et al. Papillary thyroid microcarcinoma: a study of 900 cases observed in a 60-year period. Surgery, 2008, 144(6): 980-987.
6.	Zhang L, Wei WJ, Ji QH, et al. Risk factors for neck nodal metastasis in papillary thyroid microcarcinoma: a study of 1066 patients. J Clin Endocrinol Metab, 2012, 97(4): 1250-1257.
7.	中國抗癌協會甲狀腺癌專委會(CATO). 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016 版). 中國腫瘤臨床, 2016, 43(10): 405-411.
8.	李魯, 王紅妹, 沈毅. SF-36 健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2): 109-113.
9.	張明園. 精神科評定量表手冊. 長沙: 湖南科學技術出版社, 1993: 133.
10.	孫小亮, 魯瑤, 楊猛, 等. 甲狀腺微小乳頭狀癌的處理. 國際腫瘤學雜志, 2016, 43(1): 39-41.
11.	Ito Y, Miyauchi A, Inoue H, et al. An observational trial for papillary thyroid microcarcinoma in Japanese patients. World J Surg, 2010, 34(1): 28-35.
12.	朱精強, 蘇安平. 辯性思維: 甲狀腺微小乳頭狀癌診治策略. 中國普外科雜志, 2017, 5(26): 547-550.
13.	詹維偉, 江珊. 甲狀腺微小乳頭狀癌的診治現狀. 中華醫學超聲雜志: 電子版, 2014, (5): 361-365.
14.	關海霞, 滕衛平. 關于甲狀腺微小癌的現代觀點. 中華內科雜志, 2016, 55(1): 1-3.
15.	Ito Y, Uruno T, Nakano K, et al. An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid. Thyroid, 2003, 13(4): 381-387.
16.	崔海琳, 肖曉嵐. 甲狀腺乳頭狀癌患者疾病應對方式與生活質量的相關性研究. 中國護理管理, 2015, 15(9): 1111-1113.
17.	王欣. 甲狀腺癌患者心理彈性及影響因素的研究. 天津護理, 2017, 25(2): 105-107.
18.	趙雯雯, 張愛華. 癌癥患者心理彈性水平及其影響因素研究. 護理學雜志, 2015, 30(3): 22-25.
19.	施英. 甲狀腺手術并發癥的預防和護理. 現代中西醫結合雜志, 2007, 16(11): 1552-1553.
20.	Tuinman MA, Hoekstra HJ, Sleijfer DT, et al. Testicular cancer: a longitudinal pilot study on stress response symptoms and quality of life in couples before and after chemotherapy. Support Care Cancer, 2007, 15(3): 279-286.
21.	陜海麗, 羅社文, 支楠, 等. 惡性腫瘤病人與親屬心理健康和生存質量的調查及心理干預對病人的影響. 護理研究, 2011, 25(2): 411-414.
22.	Ohara-Hirano Y, Kaku T, Hirakawa T, et al. Uterine cervical cancer: a holistic approach to mental health and it’s socio-psychological implications. Fukuoka Igaku Zasshi, 2004, 95(8): 183-194.
23.	王瑞昌, 胡國慶. 甲狀腺外科治療護理進展與患者行為學調查.中國實用護理雜志, 2010, 23(3): 174-180.
24.	李麗華. 心理干預對甲狀腺癌患者生命質量的作用. 內蒙古醫學雜志, 2013, 45(10): 1259-1261.
25.	Lubitz CC, De Gregorio L, Fingeret AL, et al. Measurement and variation in estimation of quality of life effects of patients undergoing treatment for papillary thyroid carcinoma. Thyroid, 2017, 27(2): 197-206.
26.	林信斌, 王平. 完全腔鏡與開放手術后甲狀腺微小乳頭狀癌患者生活質量的對比研究. 腹腔鏡外科雜志, 2016, 21(4): 255-258.
27.	唐佳倩, 劉玉舟. 790例甲狀腺癌期患者心理分析及護理對策. 中華腫瘤雜志, 2009, 15(5): 87.

1. Davies L, Welch HG. Increasing incidence of thyroid cancer in the United States, 1973-2002. JAMA, 2006, 295(18): 2164-2167.
2. 劉玉琴, 張書全, 陳莉莉, 等. 中國 2003–2007 年甲狀腺癌發病死亡現狀及流行趨勢分析. 中華流行病學雜志, 2012, 33(10): 1044-1048.
3. Edge SB, Compton CC. The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM. Ann Surg Oncol, 2010, 17(6): 1471-1474.
4. Slijepcevic N, Zivaljevic V, Marinkovic J, et al. Retrospective evaluation of the incidental finding of 403 papillary thyroid microcarcinomas in 2466 patients undergoing thyroid surgery for presumed benign thyroid disease. BMC Cancer, 2015, 15: 330.
5. Hay ID, Hutchinson ME, Gonzalez-Losada T, et al. Papillary thyroid microcarcinoma: a study of 900 cases observed in a 60-year period. Surgery, 2008, 144(6): 980-987.
6. Zhang L, Wei WJ, Ji QH, et al. Risk factors for neck nodal metastasis in papillary thyroid microcarcinoma: a study of 1066 patients. J Clin Endocrinol Metab, 2012, 97(4): 1250-1257.
7. 中國抗癌協會甲狀腺癌專委會(CATO). 甲狀腺微小乳頭狀癌診斷與治療中國專家共識(2016 版). 中國腫瘤臨床, 2016, 43(10): 405-411.
8. 李魯, 王紅妹, 沈毅. SF-36 健康調查量表中文版的研制及其性能測試. 中華預防醫學雜志, 2002, 36(2): 109-113.
9. 張明園. 精神科評定量表手冊. 長沙: 湖南科學技術出版社, 1993: 133.
10. 孫小亮, 魯瑤, 楊猛, 等. 甲狀腺微小乳頭狀癌的處理. 國際腫瘤學雜志, 2016, 43(1): 39-41.
11. Ito Y, Miyauchi A, Inoue H, et al. An observational trial for papillary thyroid microcarcinoma in Japanese patients. World J Surg, 2010, 34(1): 28-35.
12. 朱精強, 蘇安平. 辯性思維: 甲狀腺微小乳頭狀癌診治策略. 中國普外科雜志, 2017, 5(26): 547-550.
13. 詹維偉, 江珊. 甲狀腺微小乳頭狀癌的診治現狀. 中華醫學超聲雜志: 電子版, 2014, (5): 361-365.
14. 關海霞, 滕衛平. 關于甲狀腺微小癌的現代觀點. 中華內科雜志, 2016, 55(1): 1-3.
15. Ito Y, Uruno T, Nakano K, et al. An observation trial without surgical treatment in patients with papillary microcarcinoma of the thyroid. Thyroid, 2003, 13(4): 381-387.
16. 崔海琳, 肖曉嵐. 甲狀腺乳頭狀癌患者疾病應對方式與生活質量的相關性研究. 中國護理管理, 2015, 15(9): 1111-1113.
17. 王欣. 甲狀腺癌患者心理彈性及影響因素的研究. 天津護理, 2017, 25(2): 105-107.
18. 趙雯雯, 張愛華. 癌癥患者心理彈性水平及其影響因素研究. 護理學雜志, 2015, 30(3): 22-25.
19. 施英. 甲狀腺手術并發癥的預防和護理. 現代中西醫結合雜志, 2007, 16(11): 1552-1553.
20. Tuinman MA, Hoekstra HJ, Sleijfer DT, et al. Testicular cancer: a longitudinal pilot study on stress response symptoms and quality of life in couples before and after chemotherapy. Support Care Cancer, 2007, 15(3): 279-286.
21. 陜海麗, 羅社文, 支楠, 等. 惡性腫瘤病人與親屬心理健康和生存質量的調查及心理干預對病人的影響. 護理研究, 2011, 25(2): 411-414.
22. Ohara-Hirano Y, Kaku T, Hirakawa T, et al. Uterine cervical cancer: a holistic approach to mental health and it’s socio-psychological implications. Fukuoka Igaku Zasshi, 2004, 95(8): 183-194.
23. 王瑞昌, 胡國慶. 甲狀腺外科治療護理進展與患者行為學調查.中國實用護理雜志, 2010, 23(3): 174-180.
24. 李麗華. 心理干預對甲狀腺癌患者生命質量的作用. 內蒙古醫學雜志, 2013, 45(10): 1259-1261.
25. Lubitz CC, De Gregorio L, Fingeret AL, et al. Measurement and variation in estimation of quality of life effects of patients undergoing treatment for papillary thyroid carcinoma. Thyroid, 2017, 27(2): 197-206.
26. 林信斌, 王平. 完全腔鏡與開放手術后甲狀腺微小乳頭狀癌患者生活質量的對比研究. 腹腔鏡外科雜志, 2016, 21(4): 255-258.
27. 唐佳倩, 劉玉舟. 790例甲狀腺癌期患者心理分析及護理對策. 中華腫瘤雜志, 2009, 15(5): 87.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparative analysis of the quality of life and anxiety in low-risk papillary thyroid microcarcinoma patients with different managements

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