Radyoiyot ablasyon tedavisi alan iyi diferansiye tiroid kanseri hastalarında hastalık algısı ve yaşam kalitesi arasındaki ilişki

Öz

Amaç: Diferansiyetiroid karsinomu hastalarının çoğu birincil tedaviden sonar tamamen iyileşir. Diğer kanser türlerinin çoğundan farklı olarak, hastalar tiroid kanserlerinde uzun, zorlayıcı ve yorucu bir tedavi sürecinden geçmemektedir. Hastalık algısının kanser hastalarında yaşam kalitesi üzerinde önemli bir etkisi olduğu ileri sürülmüştür. Bu çalışmada total tiroidektomi sonrası radyoaktif iyot tedavisi alan tiroid kanseri hastalarında bu ilişkiyi değerlendirmeyi amaçladık.

Yöntemler: Bu kesitsel çalışmada toplam 100 hasta çalışmaya alındı. Tanıdan itibaren hastaların yaşı, eğitim düzeyi, medeni durum ve evre, tedavi ve takip süresi dahil hastalık özellikleri kaydedildi. Kısa Form 36 Sağlık Anketi, yaşam kalitesi ve hastalık algısını değerlendirmek için Hastalık Algısı Ölçeği kullanılmıştır.

Bulgular: Çalışmamızda hastalık algısı alt ölçekleri ve yaşam kalitesi boyutları arasında korelasyona bakıldığında, hastalık alt boyutunun bağışıklık boyutu ile yaşam kalitesi alt boyutları arasında en belirgin negative korelasyon gözlenmiştir. Hastalığı anlama ile genel sağlığı anlama becerisi arasında negatif ve anlamlı (p <0.05) bir korelasyon vardı.

Sonuç: Hastaların hastalığı anlama kabiliyetinin düşük olması hastalık algısının yaşam kalitesi üzerindeki negative etkisi belirgin bir şekilde etkilemektedir. Remisyon döneminde izlenen hastaların ihtiyaçları belirlenmeli ve gerektiğinde multidisipliner bir yaklaşım tercih edilmelidir.

Anahtar Kelimeler

• TİROİD,ABLASYON,YAŞAM KALİTESİ,HASTALIK ALGISI

The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment

Abstract

Objective: Most of the differentiated thyroid carcinoma (DTC) patients recover totally after the primary treatment. Unlike most of the other cancer types, the patients do not go through a long, challenging and weary treatment process in thyroid cancers. Illness perception has been suggested to have a significant effect on quality of life on cancer patients. We aimed to evaluate the effect of illness perception on quality of life in thyroid cancer patients who had radioactive iodine-131 treatment after total thyroidectomy.

Methods: Totally one hundred patients were included in this cross-sectional study. Patients' age, educational level, marital status and disease characteristics including stage, treatment and follow-up period since diagnosis were reviewed. Short Form 36 Health Survey Questionnaire (SF-36), the illness Perception Questionnaire were used to assess the quality of life and illness perception, respectively.

Results: When we correlated the illness perception sub-scales and quality of life dimensions in our study, the most apparent negative correlation was seen between the immunity dimension of the disease sub-scale and quality of life subdimensions. There was also a negative and significant (p<0.05) correlation between the dimensions of ability to understand the disease and overall health.

Conclusion: The low ability of patients to understand the disease significantly affects the negative impact on the quality of life of the disease perception. The needs of patients monitored during the remission period should be determined and a multidisciplinary approach should be preferred when necessary.

Keywords

• ilness perception,life quality,thyroid,radioiodine

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