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갑상선암 수술 환자들의 삶의 질에 영향을 미치는 요인

Factors Influencing Quality of Life in Thyroid Cancer Patients with Thyroidectomy

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초록

Purpose: The purpose of the study was to examine the relationships among anxiety, depression, self-esteem, and quality of life in thyroid cancer patients with thyroidectomy and to identify factors influencing their quality of life. Methods: A cross-sectional survey was conducted to measure anxiety, depression, self-esteem, and quality of life of 129 thyroid cancer patients between 2011 and 2012. The data were analyzed with t-test, one-way ANOVA, post-hoc comparison (Duncan), Pearson’s correlation coefficients, and multiple regression analysis. Results: The mean age of the participants was 49.8, and most of them were female and married. The mean time since diagnosis of the participants was two years. The mean score for quality of life was 74 out of 108. Quality of life was significantly different by gender, employment and the stage of cancer at diagnosis. Anxiety, depression and self-esteem were all correlated to quality of life. As a result of stepwise multiple regression analysis, depression, self-esteem, and gender were discovered to account for 58.1% of the variance in quality of life. Depression was the most influential factor. Conclusion: The results of the study indicate that depression and self-esteem should be integrated when developing psychosocial intervention to promote quality of life among thyroid cancer patients.

Abstract

Purpose: The purpose of the study was to examine the relationships among anxiety, depression, self-esteem, and quality of life in thyroid cancer patients with thyroidectomy and to identify factors influencing their quality of life. Methods: A cross-sectional survey was conducted to measure anxiety, depression, self-esteem, and quality of life of 129 thyroid cancer patients between 2011 and 2012. The data were analyzed with t-test, one-way ANOVA, post-hoc comparison (Duncan), Pearson’s correlation coefficients, and multiple regression analysis. Results: The mean age of the participants was 49.8, and most of them were female and married. The mean time since diagnosis of the participants was two years. The mean score for quality of life was 74 out of 108. Quality of life was significantly different by gender, employment and the stage of cancer at diagnosis. Anxiety, depression and self-esteem were all correlated to quality of life. As a result of stepwise multiple regression analysis, depression, self-esteem, and gender were discovered to account for 58.1% of the variance in quality of life. Depression was the most influential factor. Conclusion: The results of the study indicate that depression and self-esteem should be integrated when developing psychosocial intervention to promote quality of life among thyroid cancer patients.

참고문헌 (29)

  1. "Cancer information service"[URL]
  2. Youn YK, "Thyroid cancer" (2007), Academia
  3. Giusti M, "A case-controlled study on the quality of life in a cohort of patients with history of differentiated thyroid carcinoma", J Endocrinol Invest, 28(7), pp.599~608 (2005)
  4. Husson O, "Health-related quality of life and disease specific symptoms in long-term thyroid cancer survivors : a study from the population-based PROFILES registry", Acta Oncol, 52(2), pp.249~258 (2013)
  5. 윤형준, "갑상선암 환자에서 삶의 질과 연관된 임상적 요인", International Journal of Thyroidology, 7(1), pp.62~69 (2014), 대한갑상선학회
  6. 유선희, "방사성요오드 치료를 받는 갑상선암 환자의 삶의 질 변화와 영향요인", Journal of Korean Academy of Nursing, 43(6), pp.801~811 (2013), 한국간호과학회
  7. Lee JI, "Decreased health-related quality of life in disease-free survivors of differentiated thyroid cancer in Korea", Health Qual Life Outcomes, 8, pp.101~111 (2010)
  8. Sheldon LK, "Putting evidence into practice : evidence-based interventions for anxiety", Clin J Oncol Nurs, 12(5), pp.789~797 (2008)
  9. Paek Y, "Physical symptom, anxiety, depression and quality of life in colorectal cancer undergoing chemotherapy", Master, pp.2013
  10. 정아랑, "혈액암 환자의 지지적 간호 요구도 예측요인", 성인간호학회지, 23(5), pp.460~471 (2011), 성인간호학회
  11. Greer JA, "Anxiety disorders in long-term survivors of adult cancers", Psychosomatics, 52(5), pp.417~423 (2012)
  12. 김주성, "갑상선 유두암환자의 수술 후 삶의 질", 한국산학기술학회논문지, 12(3), pp.1260~1269 (2011), 한국산학기술학회
  13. Lee SJ, "Depression and suicide ideas of cancer patients and influencing factors in South Korea", Asian Pac J Cancer Prev, 15(7), pp.2945~2950 (2014)
  14. 이명선, "치료 중인 암 환자들의 심리사회적 어려움에 관한 포커스 그룹 연구", 성인간호학회지, 22(1), pp.19~30 (2010), 성인간호학회
  15. Katz MR, "Self-esteem and cancer : theory and research", Can J Psychiatry, 40, pp.608~615 (1995)
  16. Bertero CM, "Affected self-respect and self-value : the impact of breast cancer treatment on self-esteem and QOL", Psychooncology, 11, pp.356~364 (2002)
  17. 최유리, "Impact of Postthyroidectomy Scar on the Quality of Life of Thyroid Cancer Patients", Annals of Dermatology, 26(6), pp.693~699 (2014), 대한피부과학회
  18. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatrica Scandinavica, 67(6), pp.361~370 (1983)
  19. Oh SM, "A study on the standardization of the hospital anxiety and depression scale for Koreans", J Korean Neuropsychiatric Association, 38(2), pp.289~296 (1999)
  20. Snaith RP, "The hospital anxiety and depression scale", Health Qual of Life Outcomes, 1(1), pp.29~32 (2003)
  21. Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
  22. Jon BJ, "Self-Esteem : a test of its measurability", Yonsei Nonchong, 11(1), pp.107~130 (1974)
  23. Cella DF, "The functional assessment of cancer therapy scale : development and validation of the general measure", J Clin Oncol, 11(3), pp.570~579 (1993)
  24. 전미선, "자궁경부암환자의 삶의 질에 영향을 미치는 치료관련 및 심리사회적 요인", Radiation oncology journal, 23(4), pp.201~210 (2005), 대한방사선종양학회
  25. Kobayashi M, "Psychological distress and quality of life in cervical cancer survivors after radiotherapy: do treatment modalities, disease stage, and selfesteem influence outcomes?", International J Gynecol Cancer, 19(7), pp.1264~1268 (2009)
  26. 김윤선, "유방암 생존자의 삶의 질 영향요인", Asian Oncology Nursing, 11(3), pp.221~228 (2011), 대한종양간호학회
  27. 김경혜, "두경부암 환자의 수술 후 삶의 질에 미치는 영향요인", 임상간호연구, 12(2), pp.41~51 (2006), 병원간호사회
  28. 이은옥, "위장암 환자의 삶의 질에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 38(5), pp.649~655 (2008), 한국간호과학회
  29. Shim HY, "Discordance between perceived and actual cancer stage among cancer patients in Korea: a nationwide survey", PLoS One, 9(5), pp.e90483~ (2014)

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