Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada.
Laryngoscope. 2013 Feb;123(2):541-7. doi: 10.1002/lary.23503. Epub 2012 Aug 2.
Patients with thyroid pathology tend have longer surgical wait times. Uncertainty during this wait can have negative psychologically impact. This study aims to determine the degree of psychological morbidity in patients waiting for thyroid surgery.
Prospectively assessing patients pre- and postoperative psychological morbidity (level 2c).
Patients waiting for thyroidectomy were mailed a sociodemographic and four psychological morbidity questionnaires: Impact of Events Scale-Revised (IES-R), Illness Intrusiveness Ratings Scale (IIRS), Perceived Stress Scale (PSS) and Hospital Anxiety and Depression Scale (HADS). We assessed whether anxiety was related to length of wait and a number of clinical/sociodemographic factors.
We achieved a 53% response rate over a 3-year period, with 176 patients providing complete preoperative data; and 74 (42%) completed postoperative data. The average age was 53 (± 12) years; 82% were female. Respondents with a suspicious or known malignancy waited an average of 107 days while those with benign neoplastic biopsies waited an average of 218 days for thyroidectomy. Respondents reported substantial psychological morbidity with high IES-R, IIRS, PSS, and HADS scores. There was no significant association between psychological morbidity and wait times, clinical or sociodemographic factors. Postoperative anxiety decreased significantly in all psychological morbidity measures except for the IIRS.
Patients waiting for thyroid surgery have mild to moderate psychological morbidity and long wait times for surgery. These appear not to be related. Psychological morbidity decreases after surgery. Reducing wait time can potentially reduce the time that patients have to live with unnecessary stress and anxiety.
患有甲状腺疾病的患者往往需要更长的手术等待时间。在此等待期间的不确定性可能会对他们的心理产生负面影响。本研究旨在确定等待甲状腺手术的患者的心理发病程度。
前瞻性评估患者手术前后的心理发病情况（2c 级）。
我们向即将接受甲状腺切除术的患者邮寄了一份社会人口统计学和四份心理发病问卷：修订后的事件影响量表（IES-R）、疾病侵入性评分量表（IIRS）、感知压力量表（PSS）和医院焦虑抑郁量表（HADS）。我们评估了焦虑是否与等待时间和一些临床/社会人口统计学因素有关。
在 3 年的时间里，我们的响应率达到了 53%，有 176 名患者提供了完整的术前数据；74 名（42%）患者完成了术后数据。患者的平均年龄为 53（±12）岁；82%为女性。有可疑或已知恶性肿瘤的患者平均等待 107 天，而良性肿瘤活检的患者平均等待 218 天进行甲状腺切除术。受访者报告了相当大的心理发病情况，IES-R、IIRS、PSS 和 HADS 评分均较高。心理发病与等待时间、临床或社会人口统计学因素之间没有显著关联。除了 IIRS，所有心理发病测量指标的术后焦虑均显著降低。
等待甲状腺手术的患者存在轻度至中度的心理发病情况，并且手术等待时间较长。这些似乎没有关联。手术后心理发病情况会减轻。缩短等待时间可能会减少患者在不必要的压力和焦虑中生活的时间。
