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.	刘玉琴, 张书全, 陈莉莉, 等. 中国 2003–2007 年甲状腺癌发病死亡现状及流行趋势分析. 中华流行病学杂志, 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.	中国抗癌协会甲状腺癌专委会(CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016 版). 中国肿瘤临床, 2016, 43(10): 405-411.
8.	李鲁, 王红妹, 沈毅. SF-36 健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.
9.	张明园. 精神科评定量表手册. 长沙: 湖南科学技术出版社, 1993: 133.
10.	孙小亮, 鲁瑶, 杨猛, 等. 甲状腺微小乳头状癌的处理. 国际肿瘤学杂志, 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.	朱精强, 苏安平. 辩性思维: 甲状腺微小乳头状癌诊治策略. 中国普外科杂志, 2017, 5(26): 547-550.
13.	詹维伟, 江珊. 甲状腺微小乳头状癌的诊治现状. 中华医学超声杂志: 电子版, 2014, (5): 361-365.
14.	关海霞, 滕卫平. 关于甲状腺微小癌的现代观点. 中华内科杂志, 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, 肖晓岚. 甲状腺乳头状癌患者疾病应对方式与生活质量的相关性研究. 中国护理管理, 2015, 15(9): 1111-1113.
17.	王欣. 甲状腺癌患者心理弹性及影响因素的研究. 天津护理, 2017, 25(2): 105-107.
18.	赵雯雯, 张爱华. 癌症患者心理弹性水平及其影响因素研究. 护理学杂志, 2015, 30(3): 22-25.
19.	施英. 甲状腺手术并发症的预防和护理. 现代中西医结合杂志, 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.	陕海丽, 罗社文, 支楠, 等. 恶性肿瘤病人与亲属心理健康和生存质量的调查及心理干预对病人的影响. 护理研究, 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, 胡国庆. 甲状腺外科治疗护理进展与患者行为学调查.中国实用护理杂志, 2010, 23(3): 174-180.
24.	李丽华. 心理干预对甲状腺癌患者生命质量的作用. 内蒙古医学杂志, 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. 完全腔镜与开放手术后甲状腺微小乳头状癌患者生活质量的对比研究. 腹腔镜外科杂志, 2016, 21(4): 255-258.
27.	唐佳倩, 刘玉舟. 790例甲状腺癌期患者心理分析及护理对策. 中华肿瘤杂志, 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. 刘玉琴, 张书全, 陈莉莉, 等. 中国 2003–2007 年甲状腺癌发病死亡现状及流行趋势分析. 中华流行病学杂志, 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. 中国抗癌协会甲状腺癌专委会(CATO). 甲状腺微小乳头状癌诊断与治疗中国专家共识(2016 版). 中国肿瘤临床, 2016, 43(10): 405-411.
8. 李鲁, 王红妹, 沈毅. SF-36 健康调查量表中文版的研制及其性能测试. 中华预防医学杂志, 2002, 36(2): 109-113.
9. 张明园. 精神科评定量表手册. 长沙: 湖南科学技术出版社, 1993: 133.
10. 孙小亮, 鲁瑶, 杨猛, 等. 甲状腺微小乳头状癌的处理. 国际肿瘤学杂志, 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. 朱精强, 苏安平. 辩性思维: 甲状腺微小乳头状癌诊治策略. 中国普外科杂志, 2017, 5(26): 547-550.
13. 詹维伟, 江珊. 甲状腺微小乳头状癌的诊治现状. 中华医学超声杂志: 电子版, 2014, (5): 361-365.
14. 关海霞, 滕卫平. 关于甲状腺微小癌的现代观点. 中华内科杂志, 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, 肖晓岚. 甲状腺乳头状癌患者疾病应对方式与生活质量的相关性研究. 中国护理管理, 2015, 15(9): 1111-1113.
17. 王欣. 甲状腺癌患者心理弹性及影响因素的研究. 天津护理, 2017, 25(2): 105-107.
18. 赵雯雯, 张爱华. 癌症患者心理弹性水平及其影响因素研究. 护理学杂志, 2015, 30(3): 22-25.
19. 施英. 甲状腺手术并发症的预防和护理. 现代中西医结合杂志, 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. 陕海丽, 罗社文, 支楠, 等. 恶性肿瘤病人与亲属心理健康和生存质量的调查及心理干预对病人的影响. 护理研究, 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, 胡国庆. 甲状腺外科治疗护理进展与患者行为学调查.中国实用护理杂志, 2010, 23(3): 174-180.
24. 李丽华. 心理干预对甲状腺癌患者生命质量的作用. 内蒙古医学杂志, 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. 完全腔镜与开放手术后甲状腺微小乳头状癌患者生活质量的对比研究. 腹腔镜外科杂志, 2016, 21(4): 255-258.
27. 唐佳倩, 刘玉舟. 790例甲状腺癌期患者心理分析及护理对策. 中华肿瘤杂志, 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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