甲状腺癌患者的生活质量：文献综述
Quality of life in thyroid cancer patients: a literature review.
作者信息
Bãrbuş Elena, Peştean Claudiu, Larg Maria Iulia, Piciu Doina
机构信息
Nuclear Medicine Department, "Prof. Dr. Ion Chiricuta" Institute of Oncology, Cluj-Napoca, Romania. Nuclear Medicine Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
出版信息
Clujul Med. 2017;90(2):147-153. doi: 10.15386/cjmed-703. Epub 2017 Apr 25.
Abstract
INTRODUCTION
Quality of life (QoL) has received increasing interest in the last years, especially in patients with cancer. This article aims to analyze a selection of medical research papers regarding the quality of life in patients with thyroid carcinoma. We overviewed the main QoL aspects derived from several studies and highlighted those less researched issues, which could represent a solid base for future clinical studies.
METHOD
We used an integrative selection method of medical literature, choosing mostly "free access" studies, as it was considered that they could be easily viewed, searched and researched including by patients.
RESULTS
After an integrative literature review, we selected 16 relevant studies. Patients with thyroid cancer have several factors influencing their QoL, with both physical and psychological impact. The decisive factors are the quality of the surgical act, radioiodine therapy, follow-up using rh-TSH vs. hormonal withdrawal, access to behavioral help and the relationship with their physician.
CONCLUSION
We must understand the emotional impact of the cancer diagnosis on the patient and we must collaborate in order to help the patient restore the psychosomatic balance and to recover the quality of life.
摘要
引言
近年来，生活质量（QoL）越来越受到关注，尤其是在癌症患者中。本文旨在分析一系列关于甲状腺癌患者生活质量的医学研究论文。我们概述了多项研究中得出的生活质量主要方面，并强调了那些研究较少的问题，这些问题可为未来的临床研究奠定坚实基础。
方法
我们采用了医学文献的综合筛选方法，主要选择“免费获取”的研究，因为认为患者也能够轻松查阅、搜索和研究这些文献。
结果
经过综合文献综述，我们选择了16项相关研究。甲状腺癌患者的生活质量受到多种因素影响，包括生理和心理方面。决定性因素包括手术质量、放射性碘治疗、使用重组人促甲状腺素（rh-TSH）与激素撤减进行随访、获得行为帮助以及与医生的关系。
结论
我们必须了解癌症诊断对患者的情感影响，并且必须共同努力帮助患者恢复身心平衡，提高生活质量。
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