Research Article
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Radyoiyot ablasyon tedavisi alan iyi diferansiye tiroid kanseri hastalarında hastalık algısı ve yaşam kalitesi arasındaki ilişki

Year 2019, Volume: 6 Issue: 3, 54 - 58, 30.03.2019
https://doi.org/10.17546/msd.536251

Abstract

Amaç: Diferansiyetiroid karsinomu hastalarının çoğu
birincil tedaviden sonar tamamen iyileşir. Diğer kanser türlerinin çoğundan farklı
olarak, hastalar tiroid kanserlerinde uzun, zorlayıcı ve yorucu bir tedavi sürecinden
geçmemektedir. Hastalık algısının kanser hastalarında yaşam kalitesi üzerinde önemli
bir etkisi olduğu ileri sürülmüştür. Bu çalışmada total tiroidektomi sonrası radyoaktif
iyot tedavisi alan tiroid kanseri hastalarında bu ilişkiyi değerlendirmeyi amaçladık.

Yöntemler: Bu kesitsel çalışmada toplam 100 hasta
çalışmaya alındı. Tanıdan itibaren hastaların yaşı, eğitim düzeyi, medeni durum
ve evre, tedavi ve takip süresi dahil hastalık özellikleri kaydedildi. Kısa
Form 36 Sağlık Anketi, yaşam kalitesi ve hastalık algısını değerlendirmek için
Hastalık Algısı Ölçeği kullanılmıştır.

Bulgular: Çalışmamızda hastalık algısı alt ölçekleri
ve yaşam kalitesi boyutları arasında korelasyona bakıldığında, hastalık alt boyutunun
bağışıklık boyutu ile yaşam kalitesi alt boyutları arasında en belirgin
negative korelasyon gözlenmiştir. Hastalığı anlama ile genel sağlığı anlama becerisi
arasında negatif ve anlamlı (p <0.05) bir korelasyon vardı.







Sonuç: Hastaların hastalığı anlama kabiliyetinin düşük
olması hastalık algısının yaşam kalitesi üzerindeki negative etkisi belirgin bir
şekilde etkilemektedir. Remisyon döneminde izlenen hastaların ihtiyaçları belirlenmeli
ve gerektiğinde multidisipliner bir yaklaşım tercih edilmelidir.

References

  • 1. Kus T, Aktas G, Ekici H, Elboga G, Djamgoz S. Illness Perception is a strong parameter on anxiety and depression scores in early-stage breast cancer survivors: a single-center cross-sectional study of Turkish patients. Support Care Cancer. 2017 Nov; 25(11): 3347-3355.
  • 2. Kus T, Aktas G, Ekici H, Elboga G. Comparison of distress in breast cancer survivors treated with different adjuvant endocrine therapies: a single-centre cross-sectional study. Psychiatry and Clinical Psychopharmacology. 2017; 27(3): 277-283.
  • 3. Elboga U, Elboga G, Can C, Sahin E, Karaoglan H, Kalender H. Assessment of Procedure Related Anxiety and Depression in Oncologic Patients before F-18 FDG PET-CT Imaging. J Psychiatry. 2015 Dec; 23(18): 215.
  • 4. Elboga U, Elboga G, Kalender E, Demir HD, Sahin E, Basıbuyuk M, Aydogan F, Celen ZY, Ozkaya M. Effect of Short Term Thyroxin Withdrawal on Health Related Quality of Life in Differentiated Thyroid Carcinoma Patients. J Psychiatry. 2015; 18: 254.
  • 5. American Cancer Society Cancer Facts and Figures. 2007 Annual Report. California Division and Public Health Ins. www.cancer.org/docroot/CRI
  • 6. Sahin S, Elboga G. Functioning, quality of life, treatment adherence and insight among patients who received community mental health center services. Cukurova Medical Journal. 2019; 44: 2.
  • 7. Coffey L, Mooney O, Dunne S, Sharp L, Timmons A, Desmond D, O’Sullivan E, Timon C, Gooberman-Hill R, Gallagher P. Cancer survivors' perspectives on adjustment-focused self-management interventions: a qualitative meta-synthesis. J Cancer Surviv. 2016 Dec; 10(6): 1012-1034.
  • 8. Sullivan M, Karlsson J ve Ware JE Jr. The Swedish SF-36 Health Survey I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995; 41(10): 1349-1358.
  • 9. Kocyigit H, Aydemir O ve Fisek G. (1999). Kısa form-36 (KF-36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi. 1999; 12(4): 102-106.
  • 10. Weinman J, Petrie KJ, Moss-Morris R, Horne R. The Illness Perception Questionnaire: A new method for ases sing the cognitive representtation of illness. Psychol Health. 1996; 11(3): 431-445.
  • 11. Moss-Morris R ve Chalder T. Illness perceptions and levels of disability in patients with chronic fatigue syndrome and rheumatoid arthritis. J. Psychosom Res. 2003; 55(4): 305-308.
  • 12. Husson O, Haak H, Oranje W, Mols F, Reemst P, Van de Poll Franse L. Sağlıkla ilişkili yaşam kalitesi tiroid kanserinden kurtulanlar arasında: sistematik bir gözden geçirme. Klinik Endokrinoloji. 2011; 75 : 544-554.
  • 13. Armay Z, Ozkan M, Kocaman N, Ozkan S. Hastalık algısı ölçeğinin kanser hastalarında türkçe geçerlik ve güvenirlik çalışması. Klinik Psikiyatri. 2017; 10(4): 192-200.
  • 14. Hoftijzer HC, Heemstra KA, Corssmit EP, van der Klaauw AA, Romijn JA, Smit JW. Quality of life in cured patients with differentiated thyroid carcinoma. J Clin Endocrinol Metab. 2008; 93(1): 200–203.
  • 15. Giusti M, Sibilla F, Cappi C, Dellepiane M, Tombesi F, Ceresola E, Augeri C, Rasore E, Minuto F. A case-controlled study on the quality of life in a cohort of patients with history of differentiated thyroid carcinoma. J Endocrinol Invest. 2005; 28(9): 599–608.
  • 16. Hirsch D, Ginat M, Levy S, Benbassat C, Weinstein R, Tsvetov G, Singer J, Shgara-Slutzky I, Grozinski-Glasberg S, Mansiterski Y, Shimon I, Reicher-Atir R. Illness perception in patiens with diffrentiated epithelial cell thyroid cancer. Thyroid. 2009 May; 19(5): 459-65.
  • 17. Zordan R, Manitta V, Nandurkar H, Cole-Sinclair M, Philip J. Prevalence and predictors of fatigue in haemo-oncological patients. Internal Medicine Journal 2014; 44(10): 1013-1017.
  • 18. Fischer MJ, Wiesenhaan ME, Heijer AD, Kleijn WC, Nortier JWR, Kaptein AA. From despair to hope: A longitudinal study of illness perceptions and coping in a psycho-educational group intervention for women with breast cancer. British Journal of Health Psychology. 2013; 18(3): 526–545.
  • 19. Iskandarsyah A, Klerk C, Suardi DR, Sadarjoen SS, Passchier J. Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer. Psycho-Oncology. 2014; 23(10): 1118–1124.
  • 20. Hopman P, Rijken M. İllness perceptions of cancer patients: relationships with illness characteristics and coping. Psycho-Oncology. 2015; 24(19): 11–18.
  • 21. Keeling M, Bambroıgh J, Simpson J. Depression, anxiety and positive affect in people diagnosed with low-grade tumours: the role of illness perceptions. Psycho-Oncology. 2013; 22 (6): 1421–1427.
  • 22. Tan LGL, Thumboo J, Tan LKS. Health-related quality of life in thyroid cancer survivors. Laryngoscope. 2007; 117(3): 507–510.
  • 23. Husson O, Haak H, Oranje W, Mols F, Reemst P, Van de PollFranseL. Sağlıkla ilişkili yaşam kalitesi tiroid kanserinden kurtulanlar arasında: sistematik bir gözden geçirme. Klinik Endokrinoloji. 2011; 75 : 544-554.

The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment

Year 2019, Volume: 6 Issue: 3, 54 - 58, 30.03.2019
https://doi.org/10.17546/msd.536251

Abstract

Objective: Most of the differentiated thyroid
carcinoma (DTC) patients recover totally after the primary treatment. Unlike most
of the other cancer types, the patients do not go through a long, challenging and
weary treatment process in thyroid cancers. Illness perception has been suggested
to have a significant effect on quality of life on
cancer patients. We aimed to evaluate the effect of illness perception on quality
of life in thyroid cancer patients who had
radioactive iodine-131 treatment after total thyroidectomy.

Methods: Totally one hundred patients
were included in this cross-sectional study. Patients' age, educational level, marital
status and disease characteristics including stage, treatment and follow-up period
since diagnosis were reviewed. Short Form 36 Health Survey Questionnaire (SF-36),
the illness Perception Questionnaire were used to assess the quality of life and illness perception, respectively.

Results: When we correlated the illness
perception sub-scales and quality of life dimensions in our study, the most apparent
negative correlation was seen between the immunity dimension of the disease sub-scale
and quality of life subdimensions. There was also a negative and significant (p<0.05)
correlation between the dimensions of ability to understand the disease and overall
health.









Conclusion: The low ability of patients to
understand the disease significantly affects the negative impact on the quality
of life of the disease perception. The needs of patients monitored during the remission
period should be determined and a multidisciplinary approach should be preferred
when necessary.

References

  • 1. Kus T, Aktas G, Ekici H, Elboga G, Djamgoz S. Illness Perception is a strong parameter on anxiety and depression scores in early-stage breast cancer survivors: a single-center cross-sectional study of Turkish patients. Support Care Cancer. 2017 Nov; 25(11): 3347-3355.
  • 2. Kus T, Aktas G, Ekici H, Elboga G. Comparison of distress in breast cancer survivors treated with different adjuvant endocrine therapies: a single-centre cross-sectional study. Psychiatry and Clinical Psychopharmacology. 2017; 27(3): 277-283.
  • 3. Elboga U, Elboga G, Can C, Sahin E, Karaoglan H, Kalender H. Assessment of Procedure Related Anxiety and Depression in Oncologic Patients before F-18 FDG PET-CT Imaging. J Psychiatry. 2015 Dec; 23(18): 215.
  • 4. Elboga U, Elboga G, Kalender E, Demir HD, Sahin E, Basıbuyuk M, Aydogan F, Celen ZY, Ozkaya M. Effect of Short Term Thyroxin Withdrawal on Health Related Quality of Life in Differentiated Thyroid Carcinoma Patients. J Psychiatry. 2015; 18: 254.
  • 5. American Cancer Society Cancer Facts and Figures. 2007 Annual Report. California Division and Public Health Ins. www.cancer.org/docroot/CRI
  • 6. Sahin S, Elboga G. Functioning, quality of life, treatment adherence and insight among patients who received community mental health center services. Cukurova Medical Journal. 2019; 44: 2.
  • 7. Coffey L, Mooney O, Dunne S, Sharp L, Timmons A, Desmond D, O’Sullivan E, Timon C, Gooberman-Hill R, Gallagher P. Cancer survivors' perspectives on adjustment-focused self-management interventions: a qualitative meta-synthesis. J Cancer Surviv. 2016 Dec; 10(6): 1012-1034.
  • 8. Sullivan M, Karlsson J ve Ware JE Jr. The Swedish SF-36 Health Survey I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Soc Sci Med. 1995; 41(10): 1349-1358.
  • 9. Kocyigit H, Aydemir O ve Fisek G. (1999). Kısa form-36 (KF-36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi. 1999; 12(4): 102-106.
  • 10. Weinman J, Petrie KJ, Moss-Morris R, Horne R. The Illness Perception Questionnaire: A new method for ases sing the cognitive representtation of illness. Psychol Health. 1996; 11(3): 431-445.
  • 11. Moss-Morris R ve Chalder T. Illness perceptions and levels of disability in patients with chronic fatigue syndrome and rheumatoid arthritis. J. Psychosom Res. 2003; 55(4): 305-308.
  • 12. Husson O, Haak H, Oranje W, Mols F, Reemst P, Van de Poll Franse L. Sağlıkla ilişkili yaşam kalitesi tiroid kanserinden kurtulanlar arasında: sistematik bir gözden geçirme. Klinik Endokrinoloji. 2011; 75 : 544-554.
  • 13. Armay Z, Ozkan M, Kocaman N, Ozkan S. Hastalık algısı ölçeğinin kanser hastalarında türkçe geçerlik ve güvenirlik çalışması. Klinik Psikiyatri. 2017; 10(4): 192-200.
  • 14. Hoftijzer HC, Heemstra KA, Corssmit EP, van der Klaauw AA, Romijn JA, Smit JW. Quality of life in cured patients with differentiated thyroid carcinoma. J Clin Endocrinol Metab. 2008; 93(1): 200–203.
  • 15. Giusti M, Sibilla F, Cappi C, Dellepiane M, Tombesi F, Ceresola E, Augeri C, Rasore E, Minuto F. A case-controlled study on the quality of life in a cohort of patients with history of differentiated thyroid carcinoma. J Endocrinol Invest. 2005; 28(9): 599–608.
  • 16. Hirsch D, Ginat M, Levy S, Benbassat C, Weinstein R, Tsvetov G, Singer J, Shgara-Slutzky I, Grozinski-Glasberg S, Mansiterski Y, Shimon I, Reicher-Atir R. Illness perception in patiens with diffrentiated epithelial cell thyroid cancer. Thyroid. 2009 May; 19(5): 459-65.
  • 17. Zordan R, Manitta V, Nandurkar H, Cole-Sinclair M, Philip J. Prevalence and predictors of fatigue in haemo-oncological patients. Internal Medicine Journal 2014; 44(10): 1013-1017.
  • 18. Fischer MJ, Wiesenhaan ME, Heijer AD, Kleijn WC, Nortier JWR, Kaptein AA. From despair to hope: A longitudinal study of illness perceptions and coping in a psycho-educational group intervention for women with breast cancer. British Journal of Health Psychology. 2013; 18(3): 526–545.
  • 19. Iskandarsyah A, Klerk C, Suardi DR, Sadarjoen SS, Passchier J. Consulting a traditional healer and negative illness perceptions are associated with non-adherence to treatment in Indonesian women with breast cancer. Psycho-Oncology. 2014; 23(10): 1118–1124.
  • 20. Hopman P, Rijken M. İllness perceptions of cancer patients: relationships with illness characteristics and coping. Psycho-Oncology. 2015; 24(19): 11–18.
  • 21. Keeling M, Bambroıgh J, Simpson J. Depression, anxiety and positive affect in people diagnosed with low-grade tumours: the role of illness perceptions. Psycho-Oncology. 2013; 22 (6): 1421–1427.
  • 22. Tan LGL, Thumboo J, Tan LKS. Health-related quality of life in thyroid cancer survivors. Laryngoscope. 2007; 117(3): 507–510.
  • 23. Husson O, Haak H, Oranje W, Mols F, Reemst P, Van de PollFranseL. Sağlıkla ilişkili yaşam kalitesi tiroid kanserinden kurtulanlar arasında: sistematik bir gözden geçirme. Klinik Endokrinoloji. 2011; 75 : 544-554.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Güzide Akyıldız This is me

Gülçin Elboğa 0000-0003-3903-1835

Umut Elboğa 0000-0002-3650-8258

Ertan Şahin This is me

Publication Date March 30, 2019
Published in Issue Year 2019 Volume: 6 Issue: 3

Cite

APA Akyıldız, G., Elboğa, G., Elboğa, U., Şahin, E. (2019). The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment. Medical Science and Discovery, 6(3), 54-58. https://doi.org/10.17546/msd.536251
AMA Akyıldız G, Elboğa G, Elboğa U, Şahin E. The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment. Med Sci Discov. March 2019;6(3):54-58. doi:10.17546/msd.536251
Chicago Akyıldız, Güzide, Gülçin Elboğa, Umut Elboğa, and Ertan Şahin. “The Relationship Between Illness Perception and Quality of Life in Thyroid Patients Who Received Radioactive Iodine-131 Ablation Treatment”. Medical Science and Discovery 6, no. 3 (March 2019): 54-58. https://doi.org/10.17546/msd.536251.
EndNote Akyıldız G, Elboğa G, Elboğa U, Şahin E (March 1, 2019) The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment. Medical Science and Discovery 6 3 54–58.
IEEE G. Akyıldız, G. Elboğa, U. Elboğa, and E. Şahin, “The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment”, Med Sci Discov, vol. 6, no. 3, pp. 54–58, 2019, doi: 10.17546/msd.536251.
ISNAD Akyıldız, Güzide et al. “The Relationship Between Illness Perception and Quality of Life in Thyroid Patients Who Received Radioactive Iodine-131 Ablation Treatment”. Medical Science and Discovery 6/3 (March 2019), 54-58. https://doi.org/10.17546/msd.536251.
JAMA Akyıldız G, Elboğa G, Elboğa U, Şahin E. The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment. Med Sci Discov. 2019;6:54–58.
MLA Akyıldız, Güzide et al. “The Relationship Between Illness Perception and Quality of Life in Thyroid Patients Who Received Radioactive Iodine-131 Ablation Treatment”. Medical Science and Discovery, vol. 6, no. 3, 2019, pp. 54-58, doi:10.17546/msd.536251.
Vancouver Akyıldız G, Elboğa G, Elboğa U, Şahin E. The relationship between illness perception and quality of life in thyroid patients who received radioactive iodine-131 ablation treatment. Med Sci Discov. 2019;6(3):54-8.