A longitudinal study on supportive care needs and quality of life of patients with thyroid cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

CAI Ming ,  GOU Juxiang

Department of Thyroid Surgery, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;

Corresponding?author：

GOU Juxiang, Email: goujuxiang11@163.com

Keywords：

thyroid cancer; supportive care needs; quality of life; longitudinal study

DOI：

10.7507/1007-9424.202109023

Video：

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Objective To investigate the supportive care needs (SCNs) and quality of life (QOL) of patients with thyroid cancer at different time points, and explore the trends and relation between the two. Methods From April 2020 to July 2020, the convenience sampling method was used to select the patients with thyroid cancer that met the criteria, and the general data were collected before discharge. The 34-item Supportive Care Needs Survey and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 were used to investigate the SCNs and QOL of patients at preoperative 1 d and postoperative 2 d, 1 month and 6 months. Results A total of 102 patients met the criteria were included. Total score of SCNs (F=13.407, P<0.001) and the points of psychological (F=38.525, P<0.001), health information (F=7.935, P=0.006), physical and daily living (F=56.413, P<0.001), patient care and support (F=40.530, P<0.001) needs were statistically different at each time point. The highest need was the psychological need at preoperative 1 d, which was the health information need at each time point after operation, and total score of SCNs was the highest at postoperative 2 d. The points of physical function (F=18.490, P<0.001), cognitive function (F=86.943, P<0.001), emotional function (F=9.121, P=0.003), social function (F=7.117, P=0.009), and overall health status (F=3.156, P=0.039) were statistically different at each time point, which of the physical function, role function, emotional function, social function, and overall health status decreased to the lowest on day 2 after operation. The total score of SCNs at each time point was negatively correlated with the functional factors of the QOL and the overall health status score (P<0.05). Conclusions The SCNs and QOL of patients with thyroid cancer show different trends at different time points, and there is a correlation between the two. Medical staff needs to develop personalized interventions according to the different stages of the patients’ disease, and actively provide targeted support and care so as to improve their QOL.

Citation： CAI Ming, GOU Juxiang. A longitudinal study on supportive care needs and quality of life of patients with thyroid cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2022, 29(7): 927-932. doi: 10.7507/1007-9424.202109023 Copy

1.	Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2.	Banerjee M, Muenz DG, Chang JT, et al. Tree-based model for thyroid cancer prognostication. J Clin Endocrinol Metab, 2014, 99(10): 3737-3745.
3.	Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Allen C, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol, 2017, 3(4): 524-548.
4.	Haugen BR, Alexander EK, Bible KC, et al. 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid, 2016, 26(1): 1-133.
5.	Morley S, Goldfarb M. Support needs and survivorship concerns of thyroid cancer patients. Thyroid, 2015, 25(6): 649-656.
6.	Beekers N, Husson O, Mols F, et al. Symptoms of anxiety and depression are associated with satisfaction with information provision and internet use among 3 080 cancer survivors: results of the PROFILES registry. Cancer Nurs, 2015, 38(5): 335-342.
7.	杭家伊, 王兆霞. 分化型甲狀腺癌RAI治療患者自我管理效能的現狀及影響因素分析. 臨床耳鼻咽喉頭頸外科雜志, 2017, 31(5): 333-337.
8.	Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Can Oncol Nurs J, 2012, 22(2): 84-100.
9.	操帥, 謝莉玲. 癌癥患者支持性照顧需求的研究進展. 中國實用護理雜志, 2014, 30(33): 4-7.
10.	李艷黃永霞陸晴李雅梅. 我國癌癥患者支持性照顧需求研究現狀的文獻計量學分析. 中華現代護理雜志, 2018, 24(26): 3172-3178.
11.	穆蕾, 潘立茹. 甲狀腺癌術后患者的生活質量及其影響因素分析. 海南醫學, 2013, 24(24): 3701-3703.
12.	于歡, 黃杰, 仇珺, 等. 甲狀腺癌患者術后癌因性疲乏的發生情況及其與生活質量的相關性分析. 新疆醫科大學學報, 2019, 42(3): 397-401.
13.	Gou J, Cheng W, Lei J, et al. Health-related quality-of-life assessment in surgical patients with papillary thyroid carcinoma: a single-center analysis from Mainland China. Medicine (Baltimore), 2017, 96(38): e8070. doi: 10.1097/MD.0000000000008070.
14.	蔡英杰, 史鐵英, 李艷嬌, 等. 乳腺癌患者支持性照顧需求與生活質量的縱向研究. 中國護理管理, 2018, 18(1): 134-139.
15.	于方方, 楊引娣, 白燕妮, 等. 初次確診急性白血病患者支持性照顧需求的縱向研究. 護理管理雜志, 2016, 16(5): 331-333.
16.	劉瑩瑩, 李惠艷, 苑冬鶴. 老年前列腺癌病人支持性照顧需求與生活質量的縱向研究. 安徽醫藥, 2019, 23(10): 1987-1990.
17.	Bonevski B, Sanson-Fisher R, Girgis A, et al. Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer, 2000, 88(1): 217-225.
18.	Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). J Eval Clin Pract, 2009, 15(4): 602-606.
19.	Au A, Lam WW, Kwong A, et al. Validation of the Chinese version of the short-form Supportive Care Needs Survey Questionnaire (SCNS-SF34-C). Psychooncology, 2011, 20(12): 1292-1300.
20.	萬崇華, 陳明清, 張燦珍, 等. 癌癥患者生命質量測定量表EORTC QLQ-C30中文版評介. 實用腫瘤雜志, 2005, 20(4): 353-355.
21.	龔鈺, 田婧汝, 陳盼, 等. 腦瘤患者生活質量測定量表EORTC QLQ-C30、QLQ-BN20的中文版評價. 護士進修雜志 2020, 35(6): 490-494.
22.	倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估計. 中華護理雜志, 2010, 45(4): 378-380.
23.	Sanson-Fisher R, Girgis A, Boyes A, et al. The unmet supportive care needs of patients with cancer. Supportive Care Review Group. Cancer, 2000, 88(1): 226-237.
24.	方春華, 張紅, 嚴謹, 等. 基于新媒體的腎移植患者健康教育方案的構建. 護理學雜志, 2019, 34(12): 87-90.
25.	周馨, 關瓊瑤, 孟玲珍, 等. 前列腺癌病人支持性照顧需求與生活質量的相關分析. 護理研究, 2016, 30(22): 2719-2724.
26.	任金穎, 鐘就娣, 袁娟, 等. 食管癌術后康復期患者癥狀困擾與支持性照顧需求調查分析. 護理學雜志, 2020, 35(11): 87-90.
27.	Harrison JD, Young JM, Price MA, et al. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer, 2009, 17(8): 1117-1128.
28.	Lee HS, Lee BJ, Kim SW, et al. Patterns of post-thyroidectomy hemorrhage. Clin Exp Otorhinolaryngol, 2009, 2(2): 72-77.
29.	Sanders SL, Bantum EO, Owen JE, et al. Supportive care needs in patients with lung cancer. Psychooncology, 2010, 19(5): 480-489.
30.	Pedro LW. Quality of life for long-term survivors of cancer: influencing variables. Cancer Nurs, 2001, 24(1): 1-11.
31.	趙燕, 林萍珍, 楊蓓, 等. 甲狀腺癌患者應激反應類型與圍手術期生活質量的關系. 中國心理衛生雜志, 2020, 34(1): 21-26.
32.	黃菲, 陳雙琴, 唐雙. 確診后乳腺癌患者死亡態度與生活質量的縱向研究. 現代臨床護理, 2020, 19(3): 9-14.
33.	吳先群, 林芯, 陳增嬌. 正念減壓療法對甲狀腺腫瘤患者不良情緒及生活質量的影響. 廣東醫學, 2018, 39(23): 3582-3586.
34.	朱俊玲, 周慧敏, 陳成, 等. 甲狀腺癌手術患者負性心理狀態調查及激勵式護理對患者心理及生活質量的改善效果. 國際護理學雜志, 2019, 38(24): 4051-4056.
35.	劉慧宇, 趙秋利, 范碩寧. 癌癥幸存者延續性護理的研究現狀. 中國全科醫學, 2020, 23(12): 1566-1570.
36.	何爽, 山慈明, 徐婉瓊, 等. 肺癌患者支持性照顧需求與生活質量的相關性調查. 國際護理學雜志, 2019, 38(17): 2715-2718.

1. Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2018, 68(6): 394-424.
2. Banerjee M, Muenz DG, Chang JT, et al. Tree-based model for thyroid cancer prognostication. J Clin Endocrinol Metab, 2014, 99(10): 3737-3745.
3. Global Burden of Disease Cancer Collaboration, Fitzmaurice C, Allen C, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol, 2017, 3(4): 524-548.
4. Haugen BR, Alexander EK, Bible KC, et al. 2015 American thyroid association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer: the American thyroid association guidelines task force on thyroid nodules and differentiated thyroid cancer. Thyroid, 2016, 26(1): 1-133.
5. Morley S, Goldfarb M. Support needs and survivorship concerns of thyroid cancer patients. Thyroid, 2015, 25(6): 649-656.
6. Beekers N, Husson O, Mols F, et al. Symptoms of anxiety and depression are associated with satisfaction with information provision and internet use among 3 080 cancer survivors: results of the PROFILES registry. Cancer Nurs, 2015, 38(5): 335-342.
7. 杭家伊, 王兆霞. 分化型甲狀腺癌RAI治療患者自我管理效能的現狀及影響因素分析. 臨床耳鼻咽喉頭頸外科雜志, 2017, 31(5): 333-337.
8. Fitch MI. Supportive care needs of patients with advanced disease undergoing radiotherapy for symptom control. Can Oncol Nurs J, 2012, 22(2): 84-100.
9. 操帥, 謝莉玲. 癌癥患者支持性照顧需求的研究進展. 中國實用護理雜志, 2014, 30(33): 4-7.
10. 李艷黃永霞陸晴李雅梅. 我國癌癥患者支持性照顧需求研究現狀的文獻計量學分析. 中華現代護理雜志, 2018, 24(26): 3172-3178.
11. 穆蕾, 潘立茹. 甲狀腺癌術后患者的生活質量及其影響因素分析. 海南醫學, 2013, 24(24): 3701-3703.
12. 于歡, 黃杰, 仇珺, 等. 甲狀腺癌患者術后癌因性疲乏的發生情況及其與生活質量的相關性分析. 新疆醫科大學學報, 2019, 42(3): 397-401.
13. Gou J, Cheng W, Lei J, et al. Health-related quality-of-life assessment in surgical patients with papillary thyroid carcinoma: a single-center analysis from Mainland China. Medicine (Baltimore), 2017, 96(38): e8070. doi: 10.1097/MD.0000000000008070.
14. 蔡英杰, 史鐵英, 李艷嬌, 等. 乳腺癌患者支持性照顧需求與生活質量的縱向研究. 中國護理管理, 2018, 18(1): 134-139.
15. 于方方, 楊引娣, 白燕妮, 等. 初次確診急性白血病患者支持性照顧需求的縱向研究. 護理管理雜志, 2016, 16(5): 331-333.
16. 劉瑩瑩, 李惠艷, 苑冬鶴. 老年前列腺癌病人支持性照顧需求與生活質量的縱向研究. 安徽醫藥, 2019, 23(10): 1987-1990.
17. Bonevski B, Sanson-Fisher R, Girgis A, et al. Evaluation of an instrument to assess the needs of patients with cancer. Supportive Care Review Group. Cancer, 2000, 88(1): 217-225.
18. Boyes A, Girgis A, Lecathelinais C. Brief assessment of adult cancer patients’ perceived needs: development and validation of the 34-item Supportive Care Needs Survey (SCNS-SF34). J Eval Clin Pract, 2009, 15(4): 602-606.
19. Au A, Lam WW, Kwong A, et al. Validation of the Chinese version of the short-form Supportive Care Needs Survey Questionnaire (SCNS-SF34-C). Psychooncology, 2011, 20(12): 1292-1300.
20. 萬崇華, 陳明清, 張燦珍, 等. 癌癥患者生命質量測定量表EORTC QLQ-C30中文版評介. 實用腫瘤雜志, 2005, 20(4): 353-355.
21. 龔鈺, 田婧汝, 陳盼, 等. 腦瘤患者生活質量測定量表EORTC QLQ-C30、QLQ-BN20的中文版評價. 護士進修雜志 2020, 35(6): 490-494.
22. 倪平, 陳京立, 劉娜. 護理研究中量性研究的樣本量估計. 中華護理雜志, 2010, 45(4): 378-380.
23. Sanson-Fisher R, Girgis A, Boyes A, et al. The unmet supportive care needs of patients with cancer. Supportive Care Review Group. Cancer, 2000, 88(1): 226-237.
24. 方春華, 張紅, 嚴謹, 等. 基于新媒體的腎移植患者健康教育方案的構建. 護理學雜志, 2019, 34(12): 87-90.
25. 周馨, 關瓊瑤, 孟玲珍, 等. 前列腺癌病人支持性照顧需求與生活質量的相關分析. 護理研究, 2016, 30(22): 2719-2724.
26. 任金穎, 鐘就娣, 袁娟, 等. 食管癌術后康復期患者癥狀困擾與支持性照顧需求調查分析. 護理學雜志, 2020, 35(11): 87-90.
27. Harrison JD, Young JM, Price MA, et al. What are the unmet supportive care needs of people with cancer? A systematic review. Support Care Cancer, 2009, 17(8): 1117-1128.
28. Lee HS, Lee BJ, Kim SW, et al. Patterns of post-thyroidectomy hemorrhage. Clin Exp Otorhinolaryngol, 2009, 2(2): 72-77.
29. Sanders SL, Bantum EO, Owen JE, et al. Supportive care needs in patients with lung cancer. Psychooncology, 2010, 19(5): 480-489.
30. Pedro LW. Quality of life for long-term survivors of cancer: influencing variables. Cancer Nurs, 2001, 24(1): 1-11.
31. 趙燕, 林萍珍, 楊蓓, 等. 甲狀腺癌患者應激反應類型與圍手術期生活質量的關系. 中國心理衛生雜志, 2020, 34(1): 21-26.
32. 黃菲, 陳雙琴, 唐雙. 確診后乳腺癌患者死亡態度與生活質量的縱向研究. 現代臨床護理, 2020, 19(3): 9-14.
33. 吳先群, 林芯, 陳增嬌. 正念減壓療法對甲狀腺腫瘤患者不良情緒及生活質量的影響. 廣東醫學, 2018, 39(23): 3582-3586.
34. 朱俊玲, 周慧敏, 陳成, 等. 甲狀腺癌手術患者負性心理狀態調查及激勵式護理對患者心理及生活質量的改善效果. 國際護理學雜志, 2019, 38(24): 4051-4056.
35. 劉慧宇, 趙秋利, 范碩寧. 癌癥幸存者延續性護理的研究現狀. 中國全科醫學, 2020, 23(12): 1566-1570.
36. 何爽, 山慈明, 徐婉瓊, 等. 肺癌患者支持性照顧需求與生活質量的相關性調查. 國際護理學雜志, 2019, 38(17): 2715-2718.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A longitudinal study on supportive care needs and quality of life of patients with thyroid cancer

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