摘要
目的探讨接受不同干预方式的低危型甲状腺微小乳头状癌患者的生存质量和焦虑情况,以便为临床治疗和护理提供参考依据。方法采用队列研究的方式,根据低危型甲状腺微小乳头状癌患者的意愿将不同干预方式的患者分为观察组(仅穿刺确诊)和手术组(确诊后行手术治疗),使用健康调查简表(SF-36)及汉密尔顿焦虑量表(HAMA量表)调查2组患者的生存质量和焦虑状态,并进行比较。结果不同组别和不同观察时点的躯体健康总分(PCS)差距不大(P>0.05)。观察组和手术组患者的心理健康总分(MCS)和SF-36总分不同(P<0.05),不同时点的MCS得分和SF-36总分也不同(P<0.05)。观察组和手术组患者的HAMA得分不同(P<0.001),且观察组和手术组的HAMA得分变化趋势也不同(P=0.004),但不同时点的HAMA得分相似(P=0.152)。结论手术有利于减轻患者的焦虑,以及提高患者的MCS得分和生活质量。
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 This was 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（P0.05）.The mental component summary（MCS） scores and SF-36 scores of the observation group and the surgery group were different（P0.05）,and the MCS scores and SF-36 scores were different at different time points（P0.05）.The HAMA scores of patients in the observation group and the surgery group were different（P0.001）,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.
作者
蒋义雪
雷建勇
李佩芳
宁宁
朱精强
苏安平
龚艳萍
邹秀和
刘枫
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. Chin)
出处
《中国普外基础与临床杂志》
CAS
2018年第8期941-946,共6页
Chinese Journal of Bases and Clinics In General Surgery
关键词
甲状腺微小乳头状癌
生存质量
心理状态
thyroid papillary microcarcinoma
quality of life
state of mind
