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甲状腺切除术和甲状腺叶切除术对沙特阿拉伯东部地区患者健康相关生活质量的影响

The Impact of Thyroidectomy and Lobectomy on Patients' Health-Related Quality of Life, Eastern Region, Saudi Arabia.

作者信息

AlOsaif Zainab Ali, Al Bisher Hassan Mohammed, Elshnawie Hend Abdelmonem, Al-Hariri Mohammed Taha

机构信息

Dammam Medical Complex, Ministry of Health, Dammam 32617, Saudi Arabia.

Department of Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34211, Saudi Arabia.

出版信息

Clin Pract. 2024 Jun 29;14(4):1251-1263. doi: 10.3390/clinpract14040101.

Abstract

INTRODUCTION

The thyroid gland is a crucial endocrine organ that can be susceptible to various pathological conditions, often necessitating total thyroidectomy or lobectomy. It is a common surgical procedure in Saudi Arabia. Thus, it is essential to recognize the impact of thyroid surgery on patients' health-related quality of life (HRQoL).

AIM

The aim of this study was to evaluate HRQoL among patients with benign and malignant thyroid diseases who underwent thyroidectomy in the eastern region of Saudi Arabia.

METHODS

This cross-sectional study was conducted at King Fahad Hospital of University in Khobar, Kingdom of Saudi Arabia from January 2018 to May 2018. The data collection method used was divided into two parts. Part I included the patients' socio-demographic characteristics and the clinical characteristics of their thyroid surgery. Part II was a HRQoL questionnaire (SF-36, version 1.0).

RESULTS

The sample included 100 thyroidectomy patients ≥18 years. The study findings revealed that the overall scores for post-thyroidectomy patients showed a significant improvement in HRQoL, and HRQoL was not significantly associated with benign or malignant thyroid diseases.

CONCLUSION

Especially when the surgery is performed by a high-volume endocrine surgeon, thyroidectomy may lead to significant improvements in HRQoL among patients, including the elderly and younger adults, with benign and malignant thyroid disorders. There was no difference in HRQoL between patients who underwent total thyroidectomy or thyroid lobectomy. Also, HRQol among thyroidectomy patients is associated with their educational and occupational statuses.

摘要

引言

甲状腺是一个重要的内分泌器官,易受多种病理状况影响,常需进行甲状腺全切术或甲状腺叶切除术。这在沙特阿拉伯是一种常见的外科手术。因此,认识甲状腺手术对患者健康相关生活质量(HRQoL)的影响至关重要。

目的

本研究旨在评估沙特阿拉伯东部地区接受甲状腺切除术的良性和恶性甲状腺疾病患者的健康相关生活质量。

方法

本横断面研究于2018年1月至2018年5月在沙特阿拉伯王国胡拜尔的法赫德国王大学医院进行。所采用的数据收集方法分为两部分。第一部分包括患者的社会人口统计学特征及其甲状腺手术的临床特征。第二部分是一份健康相关生活质量问卷(SF - 36,第1.0版)。

结果

样本包括100名年龄≥18岁的甲状腺切除术患者。研究结果显示,甲状腺切除术后患者的总体得分表明其健康相关生活质量有显著改善,且健康相关生活质量与良性或恶性甲状腺疾病无显著关联。

结论

尤其是当手术由经验丰富的内分泌外科医生进行时,甲状腺切除术可能会使包括老年人和年轻人在内的患有良性和恶性甲状腺疾病的患者的健康相关生活质量得到显著改善。接受甲状腺全切术或甲状腺叶切除术的患者在健康相关生活质量方面没有差异。此外,甲状腺切除术患者的健康相关生活质量与他们的教育和职业状况有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/364a/11270376/dd21ee0fa9e6/clinpract-14-00101-g001.jpg

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