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.
J Endocrinol Invest. 2017 Oct;40(10):1085-1090. doi: 10.1007/s40618-017-0635-9. Epub 2017 Apr 10.
The purpose of this study was to inquire how patients' quality of life is affected after thyroid surgery and the factors involved.
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.
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.
Quality of life increased after total thyroidectomy and statistically significant improvement was observed in late post-operative stage.
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。
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。
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。
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。