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. 分化型甲状腺癌RAI治疗患者自我管理效能的现状及影响因素分析. 临床耳鼻咽喉头颈外科杂志, 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.	操帅, 谢莉玲. 癌症患者支持性照顾需求的研究进展. 中国实用护理杂志, 2014, 30(33): 4-7.
10.	李艳黄永霞陆晴李雅梅. 我国癌症患者支持性照顾需求研究现状的文献计量学分析. 中华现代护理杂志, 2018, 24(26): 3172-3178.
11.	穆蕾, 潘立茹. 甲状腺癌术后患者的生活质量及其影响因素分析. 海南医学, 2013, 24(24): 3701-3703.
12.	于欢, 黄杰, 仇珺, 等. 甲状腺癌患者术后癌因性疲乏的发生情况及其与生活质量的相关性分析. 新疆医科大学学报, 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, 史铁英, 李艳娇, 等. 乳腺癌患者支持性照顾需求与生活质量的纵向研究. 中国护理管理, 2018, 18(1): 134-139.
15.	于方方, 杨引娣, 白燕妮, 等. 初次确诊急性白血病患者支持性照顾需求的纵向研究. 护理管理杂志, 2016, 16(5): 331-333.
16.	刘莹莹, 李惠艳, 苑冬鹤. 老年前列腺癌病人支持性照顾需求与生活质量的纵向研究. 安徽医药, 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.	万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
21.	龚钰, 田婧汝, 陈盼, 等. 脑瘤患者生活质量测定量表EORTC QLQ-C30、QLQ-BN20的中文版评价. 护士进修杂志 2020, 35(6): 490-494.
22.	倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计. 中华护理杂志, 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.	方春华, 张红, 严谨, 等. 基于新媒体的肾移植患者健康教育方案的构建. 护理学杂志, 2019, 34(12): 87-90.
25.	周馨, 关琼瑶, 孟玲珍, 等. 前列腺癌病人支持性照顾需求与生活质量的相关分析. 护理研究, 2016, 30(22): 2719-2724.
26.	任金颖, 钟就娣, 袁娟, 等. 食管癌术后康复期患者症状困扰与支持性照顾需求调查分析. 护理学杂志, 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.	赵燕, 林萍珍, 杨蓓, 等. 甲状腺癌患者应激反应类型与围手术期生活质量的关系. 中国心理卫生杂志, 2020, 34(1): 21-26.
32.	黄菲, 陈双琴, 唐双. 确诊后乳腺癌患者死亡态度与生活质量的纵向研究. 现代临床护理, 2020, 19(3): 9-14.
33.	吴先群, 林芯, 陈增娇. 正念减压疗法对甲状腺肿瘤患者不良情绪及生活质量的影响. 广东医学, 2018, 39(23): 3582-3586.
34.	朱俊玲, 周慧敏, 陈成, 等. 甲状腺癌手术患者负性心理状态调查及激励式护理对患者心理及生活质量的改善效果. 国际护理学杂志, 2019, 38(24): 4051-4056.
35.	刘慧宇, 赵秋利, 范硕宁. 癌症幸存者延续性护理的研究现状. 中国全科医学, 2020, 23(12): 1566-1570.
36.	何爽, 山慈明, 徐婉琼, 等. 肺癌患者支持性照顾需求与生活质量的相关性调查. 国际护理学杂志, 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. 分化型甲状腺癌RAI治疗患者自我管理效能的现状及影响因素分析. 临床耳鼻咽喉头颈外科杂志, 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. 操帅, 谢莉玲. 癌症患者支持性照顾需求的研究进展. 中国实用护理杂志, 2014, 30(33): 4-7.
10. 李艳黄永霞陆晴李雅梅. 我国癌症患者支持性照顾需求研究现状的文献计量学分析. 中华现代护理杂志, 2018, 24(26): 3172-3178.
11. 穆蕾, 潘立茹. 甲状腺癌术后患者的生活质量及其影响因素分析. 海南医学, 2013, 24(24): 3701-3703.
12. 于欢, 黄杰, 仇珺, 等. 甲状腺癌患者术后癌因性疲乏的发生情况及其与生活质量的相关性分析. 新疆医科大学学报, 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, 史铁英, 李艳娇, 等. 乳腺癌患者支持性照顾需求与生活质量的纵向研究. 中国护理管理, 2018, 18(1): 134-139.
15. 于方方, 杨引娣, 白燕妮, 等. 初次确诊急性白血病患者支持性照顾需求的纵向研究. 护理管理杂志, 2016, 16(5): 331-333.
16. 刘莹莹, 李惠艳, 苑冬鹤. 老年前列腺癌病人支持性照顾需求与生活质量的纵向研究. 安徽医药, 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. 万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
21. 龚钰, 田婧汝, 陈盼, 等. 脑瘤患者生活质量测定量表EORTC QLQ-C30、QLQ-BN20的中文版评价. 护士进修杂志 2020, 35(6): 490-494.
22. 倪平, 陈京立, 刘娜. 护理研究中量性研究的样本量估计. 中华护理杂志, 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. 方春华, 张红, 严谨, 等. 基于新媒体的肾移植患者健康教育方案的构建. 护理学杂志, 2019, 34(12): 87-90.
25. 周馨, 关琼瑶, 孟玲珍, 等. 前列腺癌病人支持性照顾需求与生活质量的相关分析. 护理研究, 2016, 30(22): 2719-2724.
26. 任金颖, 钟就娣, 袁娟, 等. 食管癌术后康复期患者症状困扰与支持性照顾需求调查分析. 护理学杂志, 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. 赵燕, 林萍珍, 杨蓓, 等. 甲状腺癌患者应激反应类型与围手术期生活质量的关系. 中国心理卫生杂志, 2020, 34(1): 21-26.
32. 黄菲, 陈双琴, 唐双. 确诊后乳腺癌患者死亡态度与生活质量的纵向研究. 现代临床护理, 2020, 19(3): 9-14.
33. 吴先群, 林芯, 陈增娇. 正念减压疗法对甲状腺肿瘤患者不良情绪及生活质量的影响. 广东医学, 2018, 39(23): 3582-3586.
34. 朱俊玲, 周慧敏, 陈成, 等. 甲状腺癌手术患者负性心理状态调查及激励式护理对患者心理及生活质量的改善效果. 国际护理学杂志, 2019, 38(24): 4051-4056.
35. 刘慧宇, 赵秋利, 范硕宁. 癌症幸存者延续性护理的研究现状. 中国全科医学, 2020, 23(12): 1566-1570.
36. 何爽, 山慈明, 徐婉琼, 等. 肺癌患者支持性照顾需求与生活质量的相关性调查. 国际护理学杂志, 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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