Assessment of psychological status by a comprehensive approach in thyroid cancer patients undergoing radionuclide therapy: A feasibility study.

IF 2.6 4区 综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES
Alessia Giordano, Ilaria Bochicchio, Rosj Gallicchio, Giovanni Deiana, Rebecca Storto, Anna Nardelli, Michele Di Cosola, Alessandro Lettini, Giovanni Storto
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Abstract

This feasibility study evaluated the psychological status of patients with differentiated thyroid cancer (DTC) before, during, and 40 days after administration of I-131 radionuclide therapy (RAI). We investigated the appropriateness of providing patient a comprehensive psychological assessment in an isolation ward. Thirty consecutive patients (Study Group; SG) who received RAI were enrolled. The tools used were the Hospital Anxiety and Depression Scale (HADS) at three different moments, and the Coping Responses Inventory (CRI) at baseline for each patient. A supportive approach was also implemented. Data were collected at the first specialist visit, at the day of admission, and at 40 days follow-up visit. A matched cohort of patients (Control Group; CG), who did not receive psycho-oncological counseling, was retrospectively studied only about their medical needs and requests. Staff exposure to radiation was also compared during SG and CG hospitalization, to assess a possible reduction of radiological risk for them. A significant difference between the basal, intermediate, and final psychological status was observed (p < 0.0001), which was found to be irrespective of the induced hypothyroidism. Patients showed a significant worsening of their status in terms of anxiety and depression after the consent, but it improved 40 days after treatment. Repeated measures analysis showed a similar trend in patients' psychological status over this period. At hospital discharge, patients showed indirect signs of increased well-being. CG required more nursing and medical interventions. Staff exposure was significantly lower during hospitalization of SG as compared to CG. This study demonstrates that timed psychological evaluation and appropriate support may help to reduce anxiety and depression of patients receiving a diagnosis of cancer and undergoing RAI. Moreover, an improvement of workplace safety was recorded.

通过综合方法评估接受放射性核素治疗的甲状腺癌患者的心理状态:可行性研究。
这项可行性研究评估了分化型甲状腺癌(DTC)患者在接受 I-131 放射性核素治疗(RAI)前、治疗期间和治疗后 40 天的心理状态。我们研究了在隔离病房为患者提供全面心理评估的适宜性。我们连续招募了 30 名接受 RAI 治疗的患者(研究组;SG)。使用的工具包括医院焦虑抑郁量表 (HADS) 和应对反应量表 (CRI)。此外,还采用了支持性方法。在首次专科就诊、入院当天和 40 天随访时收集数据。对未接受肿瘤心理咨询的配对组患者(对照组;CG)仅就其医疗需求和要求进行了回顾性研究。此外,还比较了 SG 和 CG 住院期间工作人员所受的辐射量,以评估是否有可能降低他们的辐射风险。结果显示,基础心理状态、中期心理状态和最终心理状态之间存在明显差异(p
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来源期刊
Science Progress
Science Progress Multidisciplinary-Multidisciplinary
CiteScore
3.80
自引率
0.00%
发文量
119
期刊介绍: Science Progress has for over 100 years been a highly regarded review publication in science, technology and medicine. Its objective is to excite the readers'' interest in areas with which they may not be fully familiar but which could facilitate their interest, or even activity, in a cognate field.
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