대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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방사성요오드 치료를 받는 갑상선암 환자의 삶의 질 변화와 영향요인

Changes in Quality of Life and Related Factors in Thyroid Cancer Patients with Radioactive Iodine Remnant Ablation

  • 유선희 (서울아산병원 핵의학팀) ;
  • 최스미 (서울대학교 간호대학.간호과학연구소)
  • Yoo, Seon Hee (Nuclear Medicine Department, Asan Medical Center) ;
  • Choi-Kwon, Smi (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2013.05.11
  • 심사 : 2013.11.22
  • 발행 : 2013.12.31
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초록

Purpose: To investigate changes in Quality of life (QOL) and related factors in patients with thyroid cancer undergoing Radioactive Iodine remnant ablation (RAI). Methods: Data were collected longitudinally 3 times for 6 months (2 weeks post-surgery, post RAI, 3 months post RAI) in a hospital located in Seoul. Questionnaires were used to measure levels of physical symptoms, anxiety, depression, and QOL. Ninety-eight patients with thyroid cancer who had RAI were included in the analysis. Data were analyzed using SPSS (18.0). Results: Findings for the three data collection times respectfully were: mean scores for physical symptoms, 0.53, 1.21 and 0.62, patients with depression, 47%, 36.7% and 37.7%, patients with anxiety, 18.4 %, 19.4% and 20.4%, mean scores for QOL, 7.06, 7.01 and 7.28. QOL score was highest 3 months post RAI (p=.031). In the stepwise multiple regression analysis, depression and fatigue were predicting factors for low QOL at all data collection times. Dysponia was a predicting factor for low QOL post RAI and 3 months post RAI. Conclusion: To increase QOL, it is necessary to provide information in advance regarding physical & psychological symptoms and to develop nursing intervention programs to decrease depression and fatigue.

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참고문헌

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  3. 갑상선암 수술환자의 삶의 질에 영향을 미치는 요인 vol.16, pp.8, 2013, https://doi.org/10.5762/kais.2015.16.8.5442
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  5. A Systematic Review of Unmet Information and Psychosocial Support Needs of Adults Diagnosed with Thyroid Cancer vol.26, pp.9, 2013, https://doi.org/10.1089/thy.2016.0039
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