Analysis of the Status Quo and Influencing Factors of Discrimination and Quality Of Life in Patients with Thyroid Cancer
Objective To investigate the status quo and influencing factors of discrimination and quality of life in patients with thyroid cancer,and to analyze the correlation between the two.Methods A total of 155 patients with thyroid cancer who were admitted to the First Department of Head and Neck Surgery,Yunnan Cancer Hospital from May to August 2022 were investigated by using the Shame and Stigma Scale in Head and Neck Cancer(SSS-HNC)and the European Organization for Reasearch and Treatment of Cancer(EORTC QLQ-C30).Multiple stepwise regression analysis was used to analyze the influencing factors of patients'sense of discrimination and quality of life,and the correlation between them was analyzed.Results The discrimination score of 155 patients with thyroid cancer was 12-46 scores,with a median score of 28 scores.The quality of life score was 101-573 scores,with a median score of 294 scores.The scores of overall health status and functional areas were lower than the norm(P＜0.05),and the scores of fatigue,shortness of breath,insomnia and economic difficulties were higher than the norm(P＜0.05).The results of multiple stepwise regression analysis showed that economic burden and course of disease were common risk factors for perceived discrimination and quality of life(P＜0.05),while perceived discrimination was an independent risk factor for quality of life(P＜0.05).The score of discrimination was positively correlated with the score of quality of life(P＜0.05),and was positively correlated with the scores of general health status,5 functional areas and 6 symptom areas(except nausea and vomiting,constipation and diarrhea)(P＜0.05).Conclusion Patients with thyroid cancer generally have a strong sense of discrimination,which has a negative impact on their quality of life.Medical staff should pay attention to and actively prevent and alleviate the sense of discrimination in patients,reduce the occurrence of mental illness,and improve the quality of life of patients.
Thyroid cancerSense of discriminationQuality of lifePsychological problems
万方数据
维普
