갑상선 절제술을 받은 환자의 질병증상, 질병인식, 암 대처와 삶의 질

Abstract

The aim of this study was primarily to examine the relationships among Illness Symptoms, Illness Perception, Cancer Coping, and Quality of Life in thyroid cancer patients after Thyroidectomy and secondly to identify the factors affecting their Quality of Life. The data were collected after the approval of the Institutional Review Board (IRB) of the institution. Descriptive cross-sectional study was conducted from July, 2018 to November, 2018. A total of 111 thyroid cancer patients who had taken thyroidectomy were recruited from the outpatient clinic of J University Hospital in Jeju. The data were collected including General Characteristics, Illness Symptoms, Illness Perceptions, Cancer Coping, and Quality of Life. The data were analyzed with t-test, One-way ANOVA, Post-hoc Comparison(Duncan), Pearson's correlation coefficient, and stepwise multiple regression, using SAS WIN 9.2 program. The results of the study were as follows: 1) The mean score of illness symptoms was 41.86 (±11.34). Illness symptoms was significantly different by age (F=11.66, p<.001), presence of spouse (t=2.33, p=.026), and monthly household income(t=2.30, p=.007). 2) The mean score of illness perception was 42.70 (±15.84). Illness perception was significantly different by sex (t=-3.39, p=.002) and age (F=5.81, p=.004). 3) The mean score of intrapersonal coping and interpersonal coping was 30.87 (±8.72) and 18.87 (±8.35) respectively. Intrapersonal coping was significantly different by education (t=1.78, p=.045), presence of job (t=2.10, p=.038), monthly household income (t=2.23, p=.008), and presence of religion (t=-2.75, p=.007). Interpersonal coping was significantly different by sex (t=-2.00, p=.048) and education (t=1.96, p=.024). 4) The mean score of quality of life was 94.63 (±16.64). Quality of life was significantly different by education (t=2.89, p<.001), presence of spouse (t=-2.57, p=.011), presence of job (t=2.51, p=.013), and monthly household income (t=3.70, p<.001). 5) Illness symptoms (r=-29, p=.002), illness perception (r=-25, p=.008), intrapersonal coping (r=.24, p=.010), and interpersonal coping (r=.31, p=.001) were all correlated to the quality of life. 6) Significant predictors of quality of life were interpersonal coping (β=.31, p<.001), monthly household income (β=.30, p<.001), illness symptoms (β=-.22, p=.017), illness perception (β=-.20, p=.031), and education (β=.18, p=.037), which explained 33.1% of the total variance of quality of life. The result showed that interpersonal coping, monthly household income,illness symptoms, illness perception, and education affected thyroid cancer patients' quality of life. Therefore, nursing care interventions related to interpersonal coping, monthly household income, illness symptoms, illness perception, and education are required to be developed to promote quality of life of thyroid cancer patients after Thyroidectomy.