Changes in Quality of Life and Related Factors in Thyroid Cancer Patients with Radioactive Iodine Remnant Ablation.
10.4040/jkan.2013.43.6.801
- Author:
Seon Hee YOO
1
;
Smi CHOI-KWON
Author Information
1. Nuclear Medicine Department, Asan Medical Center, Seoul, Korea.
- Publication Type:Original Article ; English Abstract
- Keywords:
Thyroid cancer;
Radioactive iodine remnant ablation;
Quality of life
- MeSH:
Adult;
Anxiety;
Depression;
Fatigue;
Female;
Humans;
Iodine Radioisotopes/therapeutic use;
Male;
Middle Aged;
*Quality of Life;
Questionnaires;
Radiopharmaceuticals/*therapeutic use;
Regression Analysis;
Thyroid Neoplasms/drug therapy/*radiotherapy/surgery;
Time Factors
- From:Journal of Korean Academy of Nursing
2013;43(6):801-811
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To investigate changes in Quality of life (QOL) and related factors in patients with thyroid cancer undergoing Radioactive Iodine remnant ablation (RAI). METHODS: Data were collected longitudinally 3 times for 6 months (2 weeks post-surgery, post RAI, 3 months post RAI) in a hospital located in Seoul. Questionnaires were used to measure levels of physical symptoms, anxiety, depression, and QOL. Ninety-eight patients with thyroid cancer who had RAI were included in the analysis. Data were analyzed using SPSS (18.0). RESULTS: Findings for the three data collection times respectfully were: mean scores for physical symptoms, 0.53, 1.21 and 0.62, patients with depression, 47%, 36.7% and 37.7%, patients with anxiety, 18.4%, 19.4% and 20.4%, mean scores for QOL, 7.06, 7.01 and 7.28. QOL score was highest 3 months post RAI (p=.031). In the stepwise multiple regression analysis, depression and fatigue were predicting factors for low QOL at all data collection times. Dysponia was a predicting factor for low QOL post RAI and 3 months post RAI. CONCLUSION: To increase QOL, it is necessary to provide information in advance regarding physical & psychological symptoms and to develop nursing intervention programs to decrease depression and fatigue.
