患有低风险甲状腺癌患者的癌症相关恐惧和担忧:一个纵向队列研究
Stephanie Lee1, Alexis G Antunez2, Brandy Sinco1
1University of Michigan, Ann Arbor, MI.
The Journal of clinical endocrinology and metabolism
|October 14, 2024
概括
对甲状腺癌的恐惧和担忧在手术后显著减少,无论患者是否接受了甲状腺切除术或全甲状腺切除术. 情绪状态不会影响这些低风险甲状腺癌治疗方法之间的选择.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 心理医学 心理医学
背景情况:
- 关于患者情绪对低风险甲状腺癌 (LR-TC) 手术决定的影响的理解有限.
- 治疗对患者的情绪状态的影响后的甲状腺切除术与LR-TC的全甲状腺切除术 (TT) 基本上是未知的.
研究的目的:
- 在接受LR-TC治疗的患者中调查甲状腺癌特异性恐惧和担忧的治疗前和治疗后水平.
- 为了比较选择全甲状腺切除术的患者和选择全甲状腺切除术 (TT) 的患者之间的情绪结果.
主要方法:
- 一项前性队列研究,涉及15所机构的已确认或可能出现LR-TC的成年患者.
- 参与者在治疗决定时和手术后9个月完成了与甲状腺癌相关的恐惧和担忧的验证测量.
- 患者被分为低,中,高恐惧/忧虑类别,并分析了手术选择 (血-甲状腺切除术与TT).
主要成果:
- 总的来说,125名患者被录取,其中114人完成了治疗前和后的调查.
- 与甲状腺癌相关的恐惧和担忧在手术后9个月显著下降 (p<0.001).
- 在接受甲状腺切除术的患者和在任何时间点接受全甲状腺切除术 (TT) 的患者之间,没有观察到恐惧或担忧水平的显著差异.
结论:
- 手术后9个月,无论手术的程度如何,LR-TC患者的恐惧和担忧都减少了,这表明这两种手术都有潜在的情感益处.
- 治疗前的恐惧和担忧水平似乎不是在LR-TC中选择 Hemi-thyroidectomy 和全甲状腺切除术 (TT) 之间的决定因素.
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