ĐÁNH GIÁ CHẤT LƯỢNG CUỘC SỐNG CỦA NGƯỜI BỆNH SAU PHẪU THUẬT ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ NHÚ TẠI BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH – CƠ SỞ 2

Abstract

Background: Papillary thyroid carcinoma (PTC) constitutes 80–85% of thyroid malignancies. Surgery is the primary treatment but often impacts postoperative quality of life (QoL) due to physical and psychological effects. Objective: This study evaluates the impact of PTC surgery on patients’ QoL and identifies factors influencing outcomes to inform targeted rehabilitative strategies. Methods: A cross-sectional study of 100 PTC patients treated at University Medical Center Ho Chi Minh City – Branch 2 was conducted. QoL was assessed using the Hospital Anxiety and Depression Scale (HADS), Voice Handicap Index (VHI), and EORTC QLQ-H&N35. Data were analyzed using SPSS v20. Results: Among the participants, 60% reported significant fatigue (mean score: 6.5/10), and 40% experienced neck pain (mean score: 4.3/10). Psychological assessment revealed anxiety symptoms in 40% of patients (mean HADS score: 8/21) and depressive symptoms in 35% (mean HADS score: 6.5/21). VHI scores ranged from 31 to 60, reflecting moderate impairment in voice quality. Additionally, 75% of patients returned to work within three months post-surgery, although 25% reported a marked decline in work productivity. Conclusion: PTC surgery enhances survival but significantly affects QoL. Postoperative care should integrate physical, psychological, and functional rehabilitation. Employing standardized tools like HADS, VHI, and EORTC QLQ-H&N35 facilitates tailored interventions to optimize patient recovery and overall well-being.