■甲状腺乳头状癌(PTC)在年轻人群中普遍存在,并且具有良好的生存率。然而,相当数量的患者在手术治疗后经历心理社会压力和生活质量(QoL)下降.因此,对患者进行全面评估对于改善他们的康复至关重要。
本研究招募了512名诊断为PTC的中青年患者,他们在2020年9月至2021年8月期间在我们机构接受了手术。每位参与者完成了一系列问卷:广泛性焦虑症7(GAD-7),欧洲癌症研究和治疗组织生活质量问卷(EORTCQLQ-C30)甲状腺癌特异性生活质量问卷(THYCA-QoL),和准备返回工作规模(RRTW)。
■GAD-7数据显示,几乎一半的研究对象正在经历焦虑。关于健康相关生活质量(HRQoL),参与者报告的疲劳程度最高,失眠,声音问题,和疤痕,处于焦虑状态的患者报告症状更严重。基于RRTW,与其他评估可能重返工作岗位的受试者相比,超过一半的受试者已经重返工作岗位,并且HRQoL更好。年龄,性别,BMI,教育,饮食,residence,健康保险,手术几个月后,月收入,和照顾者状态与重返工作岗位显着相关。此外,有一个照顾者,月收入较高,手术后有更多的时间,生活在城市或村庄与重返工作岗位呈正相关。
年轻和中年PTC患者在手术后通常会遇到一系列与健康相关的问题和疾病特异性症状,伴随着较差的心理健康,HRQoL,和工作准备。重要的是优先考虑以术后心理支持为目标的及时干预措施,HRQoL改进,以及PTC患者工作能力的恢复。
UNASSIGNED: Papillary thyroid cancer (PTC) is prevalent among younger populations and has a favorable survival rate. However, a significant number of patients experience psychosocial stress and a reduced quality of life (QoL) after surgical treatment. Therefore, comprehensive evaluations of the patients are essential to improve their recovery.
UNASSIGNED: The present study enrolled 512 young and middle-aged patients diagnosed with PTC who underwent surgery at our institution between September 2020 and August 2021. Each participant completed a series of questionnaires: Generalized Anxiety Disorder 7 (GAD-7), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30), Thyroid Cancer-Specific Quality of Life Questionnaire (THYCA-QoL), and Readiness to Return-to-Work Scale (RRTW).
UNASSIGNED: GAD-7 data showed that almost half of the study subjects were experiencing anxiety. Regarding health-related quality of life (HRQoL), participants reported the highest levels of fatigue, insomnia, voice problems, and scarring, with patients in anxious states reporting worse symptoms. Based on RRTW, more than half of the subjects had returned to work and had better HRQoL compared to the others who were evaluating a possible return to work. Age, gender, BMI, education, diet, residence, health insurance, months since surgery, monthly income, and caregiver status were significantly correlated with return to work. Additionally, having a caregiver, higher monthly income, more time since surgery, and living in a city or village were positively associated with return to work.
UNASSIGNED: Young and middle-aged patients with PTC commonly experience a range of health-related issues and disease-specific symptoms following surgery, accompanied by inferior psychological well-being, HRQoL, and work readiness. It is crucial to prioritize timely interventions targeting postoperative psychological support, HRQoL improvement, and the restoration of working ability in PTC patients.