CHẤT LƯỢNG CUỘC SỐNG CỦA NGƯỜI BỆNH SAU PHẪU THUẬT UNG THƯ TUYẾN GIÁP ĐIỀU TRỊ NGOẠI TRÚ TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG NĂM 2026

Abstract

Objective: To assess the quality of life (QoL) among post-thyroidectomy patients receiving outpatient care at the National Hospital of Endocrinology in 2026. Subjects and Methods: A cross-sectional descriptive study was conducted on 181 post-thyroidectomy outpatients at the National Hospital of Endocrinology from January to June 2026, utilizing the validated EORTC QLQ-C30 and EORTC QLQ-THY34 instruments. Results: The cohort was predominantly female (86.2%) with a mean age of 45.1 ± 10.9 years; the majority had stage I papillary thyroid carcinoma (97.8%). On the EORTC QLQ-C30, functional domains remained relatively high (scores ranging from 75.9 to 85.2), and the global health status/QoL score was 69.1 ± 14.1. The most prominent general symptoms were fatigue (24.3 ± 18.3), insomnia/sleep disturbances (22.7 ± 25.0), and pain (18.1 ± 16.9). Regarding the EORTC QLQ-THY34, the highest scores were reported for social support (80.9 ± 23.7) and social impact (56.0 ± 29.2). The most prevalent disease-specific symptoms included neck discomfort (26.3 ± 17.4), voice impairment (21.2 ± 18.6), and dysphagia (18.3 ± 19.0). Conclusion: Outpatients post-thyroidectomy generally maintain a favorable overall QoL; however, persistent physical, psychological, and social burdens warrant comprehensive nursing care and multidisciplinary interventions.