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甲状腺手术后的生活质量。

Quality of life after thyroid surgery.

机构信息

Department of General Surgery, Istanbul Medical Faculty, University of Istanbul, Istanbul, Turkey.

Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba, Tevfik Sağlam Cad. No:11, Bakirkoy, Istanbul, Turkey.

出版信息

J Endocrinol Invest. 2017 Oct;40(10):1085-1090. doi: 10.1007/s40618-017-0635-9. Epub 2017 Apr 10.

Abstract

PURPOSE

The purpose of this study was to inquire how patients' quality of life is affected after thyroid surgery and the factors involved.

METHODS

A semi-structured questionnaire and the World Health Organization Quality of Life Scale (WHOQOL-BREF) were applied to 101 patients prior to surgery. Thereafter data was collected in the early and again in the late post-operative period.

RESULTS

Mean general health score for pre-operative quality of life was 6.72 ± 1.53 (3-10), mean physical field score was 22.81 ± 2.77 (17-31), mean psychological field score was 21.69 ± 2.78 (15-28), mean social field score was 11.10 ± 1.94 (5-15) and mean environmental field score was 27.86 ± 4.30 (18-39). In the early post-operative period, mean general health score was 7.05 ± 1.45 (4-10), mean physical field score was 22.84 ± 2.83 (14-29), mean psychological field score was 21.67 ± 2.32 (16-27), mean social field score was 10.89 ± 1.96 (5-15) and mean environmental field score was 28.56 ± 4.18 (18-40). In the late post-operative period, the general health score for quality of life was 7.43 ± 1.34 (4-10), mean physical field score was 23.59 ± 2.70 (17-35), mean psychological field score was 21.75 ± 2.34 (14-29), mean social field score was 11.23 ± 1.94 (6-15) and mean on-field environment score was 29.30 ± 3.96 (16-40). The pre-operative levels of symptoms were found to be higher than early and late post-operative periods.

CONCLUSIONS

Quality of life increased after total thyroidectomy and statistically significant improvement was observed in late post-operative stage.

摘要

目的

本研究旨在探讨甲状腺手术后患者生活质量的变化及其相关因素。

方法

采用半结构式问卷和世界卫生组织生活质量量表(WHOQOL-BREF)对 101 例患者进行术前评估,随后在术后早期和晚期分别采集数据。

结果

术前生活质量综合健康评分均值为 6.72±1.53(3-10),生理领域评分为 22.81±2.77(17-31),心理领域评分为 21.69±2.78(15-28),社会领域评分为 11.10±1.94(5-15),环境领域评分为 27.86±4.30(18-39)。术后早期,综合健康评分均值为 7.05±1.45(4-10),生理领域评分为 22.84±2.83(14-29),心理领域评分为 21.67±2.32(16-27),社会领域评分为 10.89±1.96(5-15),环境领域评分为 28.56±4.18(18-40)。术后晚期,生活质量综合健康评分均值为 7.43±1.34(4-10),生理领域评分为 23.59±2.70(17-35),心理领域评分为 21.75±2.34(14-29),社会领域评分为 11.23±1.94(6-15),环境领域评分为 29.30±3.96(16-40)。术后各时间点的症状评分均低于术前。

结论

甲状腺全切除术后生活质量提高,且在术后晚期有显著改善。

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