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http://dx.doi.org/10.5762/KAIS.2018.19.11.370

Changes in Quality of Life and Related Factors of Surgical Patients with Thyroid Cancer  

Choi, Hyang-Suk (Public Health Administration, Chungbuk Health&Science University)
Kang, Young-Mi (Research Center for Endocrine and Metabolic Diseases, Chungnam National University Hospital)
Lee, Tae-Yong (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.11, 2018 , pp. 370-379 More about this Journal
Abstract
This study was conducted 1) to investigate the effects of treatment and other factors on the quality of life of thyroid cancer surgical patients and 2) to provide fundamental data for development of an intervention and symptom management program to improve the quality of life of those patients. A total of 76 patients who were diagnosed with thyroid cancer and underwent thyroidectomy from July 2013 to December 2014 participated in this study. To investigate the factors affecting quality of life, a t-test and ANOVA analyses were conducted, after which multiple regression analysis was performed. The results were statistically significant between preoperative and one month after surgery of sex, cancer history, fatigue, and quality of life until 3 months after surgery of stage, cancer history, anxiety, and pain. Multiple regression analysis showed that the most influential factors affecting the quality of life were depression and fatigue at one month prior to and after surgery and anxiety at three months after surgery, while no factors were found to be influential at six months after surgery. Overall, the results of this study suggested that it is imperative to manage depression and fatigue one month prior to and after surgery to reduce the physical and psychological pain experienced by thyroid cancer patients. Moreover, three months after the surgery, anxiety should be closely monitored and controlled to improve the quality of life of the patients. This approach is expected to reduce the burden on the health care system and social costs, which will positively affect public health.
Keywords
Anxiety; depression; fatigue; pain; quality of life; surgical patients; thyroid cancer;
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