中西医结合护理 (Feb 2021)

Illness perceptions and the influencing factors of quality of life in thyroid cancer patients (甲状腺癌患者疾病感知及对生活质量的影响研究)

  • HUANG Yinghui (黄颖慧),
  • BAO Long (包龙),
  • HUANG Ruoling (黄若琳),
  • WANG Yingxin (王莹鑫),
  • WANG Yizhuo (王一卓),
  • ZENG Ying (曾颖)

DOI
https://doi.org/10.55111/j.issn2709-1961.202101017
Journal volume & issue
Vol. 7, no. 2
pp. 50 – 56

Abstract

Read online

Objective To investigate the status quo of illness perception and quality of life in thyroid cancer patients, analyze the factors affecting the quality of life. Methods A total of 210 cases of thyroid cancer patients were selected by convenience sampling. The Chinese version of the Brief Illness Perceptions Questionnaire (BIPQ), the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core30 (EORTC QLQ-C30) and Thyroid Cancer–Specific Quality of Life Questionnaire (THYCA-QoL) were used to collect data. Results The patients’ illness perception score was (40. 27±8. 46), and the overall health status score was (55. 91±22. 67). Illness perception was negatively correlated with global health status (r=-0. 15, P＜0. 05). Multiple stepwise regression analysis showed that there are totally 9 independent factors affecting the quality of life, including age, gender, educational level, average monthly income, treatment methods, emotions representation and thyroid cancer–specific symptom such as felt chilly, tingling hands, sympathetic (P＜0. 05). Conclusion Thyroid cancer patients have moderate illness perception, the higher the level of illness perception, the worse the quality of life. Age, gender, level of education, average monthly income, treatment methods, emotions representation and thyroid cancer–specific symptom such as felt chilly, tingling hands, sympathetic are influential factors towards quality of life. (目的 调查甲状腺癌患者疾病感知与生活质量水平, 分析影响生活质量的因素。方法 采用便利抽样法, 运用简易版疾病感知问卷(BIPQ)、欧洲癌症研究与治疗组织生活质量核心问卷(EORTC QLQ-C30)、甲状腺癌特异性生活质量问卷(THYCA-QoL)对210例甲状腺癌患者进行调查。结果 甲状腺癌患者疾病感知得分为(40. 27±8. 46)分, 整体生活质量得分为(55. 91±22. 67)分。Spearman相关分析显示患者的疾病感知与整体生活质量呈负相关(r=-0. 15, P＜0. 05)。多元逐步回归分析显示年龄、性别、学历、收入、情绪反应、治疗方式及甲状腺癌特异性症状如感到寒冷、手脚刺痛、交感神经症状9个因素为生活质量的独立影响因素(P＜0. 05)。结论 甲状腺癌患者疾病感知处于中等水平, 疾病感知水平越高, 患者生活质量越差, 其中情绪反应对甲状腺癌患者生活质量有显著影响。此外, 年龄、性别、学历水平、人均月收入、治疗方式、特异性症状等因素对甲状腺癌患者生活质量产生影响。)

Keywords