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

Yoo, Seon Hee; Choi-Kwon, Smi

doi:10.4040/jkan.2013.43.6.801

Cited by 15 publications

(9 citation statements)

References 24 publications

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“…The second posttest was conducted 1 week after the radiotherapy since patients had the highest level of fatigue as side effects of radioactive iodine therapy [29], which resulted in high levels of stress at this time [31]. Kolcaba and Fox suggested that there may be a decrease in the effective size of guided imagery on certain symptoms at 18 weeks as participants lost interest [15].…”

Section: Discussionmentioning

confidence: 99%

“…We evaluated the first posttest on the day participants were admitted to the hospital immediately before they began radioactive iodine therapy because patients undergoing the therapy experienced the highest level of stress due to the therapy and remaining in isolation [ 30 ], as well as a high level of fatigue due to the need to stop taking thyroid hormone for the therapy [ 29 ]. The second posttest was conducted 1 week after the radiotherapy since patients had the highest level of fatigue as side effects of radioactive iodine therapy [ 29 ], which resulted in high levels of stress at this time [ 31 ]. Kolcaba and Fox suggested that there may be a decrease in the effective size of guided imagery on certain symptoms at 18 weeks as participants lost interest [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Heart rate variability consisted of the Standard Deviation of all NN interval (SDNN), Total Power (TP), Low Frequency (LF), and High Frequency (HF) data. T2 and T3 were set based on patients undergoing radioactive iodine therapy experiencing high levels of stress and fatigue during these periods [ 29 – 31 ].…”

Section: Methodsmentioning

confidence: 99%

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The Effect of Guided Imagery on Stress and Fatigue in Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Lee

Kim

2013

Evidence-Based Complementary and Alternative Medicine

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This study was conducted to evaluate the effects of guided imagery on stress and fatigue in patients undergoing radioactive iodine therapy after thyroidectomy in Korea. Participants were 84 individuals (44 for experimental group and 40 for control group) with thyroid cancer. The experimental group listened to a guided imagery CD once a day for 4 weeks. Global Assessment of Recent Stress and Revised Piper Fatigue Scale were self-administered, and heart rate variability was measured at three time points; prior to intervention (T1), just before intervention (T2) and 1 week later after intervention (T3). Heart rate variability was consisted of Standard Deviation of all NN interval (SDNN), Total Power (TP), Low Frequency (LF), and High Frequency (HF). There were significant decreases in stress (F = 28.45, P < 0.001) and fatigue (F = 26.17, P < 0.001) over time in the experimental group compared to the control group. Heart rate variability changed over time in the experimental group relative to the control group; SDNN (F = 6.68, P = 0.002), TP (F = 5.29, P = 0.006), LF (F = 4.58, P = 0.012), and HF (F = 3.71, P = 0.026). From the results of this study guided imagery can be recommended as an effective intervention to thyroid cancer patients with stress and fatigue.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Effect of Guided Imagery on Stress and Fatigue in Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Lee

Kim

2013

Evidence-Based Complementary and Alternative Medicine

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“…제를 복용해야 한다 [3]. 이러한 치료 및 검사 과정을 겪으면서 갑상선암 환자들은 진단 후 1년 이내에 가장 많은 신체 ․ 심리 ․ 사회적 어려움을 경험할 수 있는데 [4], 스트레스에 취약해지고 정서적인 문제가 발생하며 일상생활의 복귀와 적응을 방해하 여 삶의 질에 부정적인 영향을 주기도 한다 [5].…”

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“…갑상선암 환자는 수술이나 방사성요오드 치료 과정에서 삶 의 질을 위협 받게 되는데 [6,7], 방사성요오드 치료 후 특히 삶 의 질이 낮고 [8], 갑상선 특이증상이 심할수록 삶의 질이 낮으 며 [4], 치료가 완료된 이후에도 환자들이 느끼는 삶의 질은 낮 다고 보고된 바 있다 [4]. 갑상선암 생존자들은 암 치료와 관련 하여 단순히 사망률이 낮다는 사실보다 시간이 지날수록 자신 의 건강상태에 더 관심이 많고 [9], 치료 후에는 질병으로부터 완전히 벗어나길 원한다 [10].…”

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Structural Equation Modeling on Health-related Quality of Life among Patients with Thyroid Cancer

이¹,

김

2018

Korean J Adult Nurs

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The aim of the study was to create a structural model based on Wilson and Cleary's Conceptual Model of Patient Outcomes. Secondly, the intention was to identify variables influencing the health-related quality of life (HRQoL) as reported by patients with thyroid cancer. Methods: A total of 201 patients with thyroid cancer were recruited from an outpatient clinic. Data were collected from June to November, 2015, using a structured questionnaire. The questionnaire included the Quality of Life-Thyroid Scale, Thyroid Stimulating Hormone (TSH), Medical Outcome Study Social Support Survey, MD Anderson Symptom Inventory-Thyroid, the Brief Illness Perception Questionnaire, and general characteristics of patients. The data were analyzed using the SPSS/WIN 21.0, AMOS 21.0, and SmartPLS 3.2.3 programs. Results: The fitness of the hypothetical model with the Wilson and Cleary model was satisfactory, showing that the coefficients of determination (R 2) were between .101 and .692 and the predictive relevance (Q 2) were between .124 and .320. The model explained 69.2% of the HRQoL. Symptom experience, functional status, disease perception, and social support directly and indirectly affected HRQoL. Age and TSH had an indirect influence on the HRQoL with the mediation effect of reported symptom experience. Conclusion: To improve the quality of life for patients with thyroid cancer, comprehensive nursing interventions need to be developed and applied. Decreasing the reported symptoms, changing the perception of the disease, improving functional status, and increasing social support may contribute to a higher quality of life among patients with thyroid cancer.

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Anxiety and depression status prior to radioactive iodine therapy among differentiated thyroid cancer patients during the COVID‑19 pandemic

Qiao

Gao

Tong

et al. 2022

Support Care Cancer

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Objection The psychological health of thyroid cancer patients cannot be ignored; however, few studies have been conducted on the psychological status and influencing factors of thyroid cancer patients before radioactive iodine (RAI) therapy. The aim of this study was to investigate the incidence and risk factors for anxiety and depression in thyroid cancer patients prior to RAI therapy. Methods Clinical data were collected from patients with differentiated thyroid cancer (DTC) patients preparing for RAI therapy. Anxiety and depression were measured before RAI therapy using the Generalized Anxiety Disorder Questionnaire (GAD-7) and Patient Health Questionnaire (PHQ-9). We used the chi-square test and logistic regression analysis to identify independent risk factors for anxiety and depression. Results A total of 112 patients with thyroid cancer were included. Of these, 72.32% ( n = 81) were female, with a mean age of 41.50 years. Anxiety and depression were reported by 46 (41.08%) and 38 (33.93%) patients, respectively. Based on the chi-square test and univariate logistic regression analysis, being female and having ever-experienced RAI therapy were significant risk factors for anxiety and depression among DTCs prior to RAI therapy. On multivariable analysis, the results of model 2 which included age, sex, education level, and ever suffering radioactive iodine therapy showed that being female was markedly associated with anxiety and depression in these patients, while having ever undergone RAI therapy was significantly related to anxiety but not depression. Conclusions The incidence of anxiety and depression among patients with DTC prior to RAI therapy were 41.08% and 33.93%, respectively. Being female and having ever experienced RAI therapy significantly influenced anxiety and depression. Based on these findings, anxiety and depression assessment should be an important part of pre-RAI therapy in patients with DTC, and appropriate psychological nursing intervention can be carried out for key patients. Supplementary information The online version contains supplementary material available at 10.1007/s00520-022-07422-7.

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

Cited by 15 publications

References 24 publications

The Effect of Guided Imagery on Stress and Fatigue in Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

The Effect of Guided Imagery on Stress and Fatigue in Patients with Thyroid Cancer Undergoing Radioactive Iodine Therapy

Structural Equation Modeling on Health-related Quality of Life among Patients with Thyroid Cancer

Anxiety and depression status prior to radioactive iodine therapy among differentiated thyroid cancer patients during the COVID‑19 pandemic

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