Özet:

Target: Thyroid nodes are very common in society and cancer is detected in about 5-10% of all thyroid nodes. Therefore, all thyroid nodes need to be investigated in order to determine the presence of cancer. There are studies in the literature on the relationship between the surgical methods, post-operative complications and long-term tracking results and the quality of life of the patient. However, there is no study that investigates the effects of biopsy from a suspected cancer nodule on the levels of anxiety and depression of patients. The aim of this study is to investigate the levels of anxiety and depression in patients followed by repeated thyroid ultrasound and thyroid biopsy. Tools and Methods: Between 1 January 2016 and 31 December 2016 the Multinodular Guatr (MNG) diagnosis and ultrasound (USG) and biopsy/biopsy were performed with a semi-configured interview form for 66 patients, along with the Beck depression scale and State-Trait Anxiety Inventory (STAI) anxiety assessment survey. The evaluation of the patient's psychological state was carried out by consultation of the Psychiatric Consultation (KLP) Department of Science. The SPSS 21.0 program was used for statistical analysis while evaluating the findings obtained in the study. The number and percentage of the data were distributed. The group differences were assessed by using the Mann-Whitney U test for category variables, ki-quare for continuous variables. Spearman correlation was applied in the comparison of anxiety and depression points. Differences between more than two groups were found using one-way ANOVA. The results were assessed in a 95% confidence range, while the meaning was accepted at the level p < 0.05. Results: The average age of sixteen patients was 44,59±13,56 (18-72), 5 of the patients (7.6%) were male, 61 (92.4) female. Seven patients (25.8%) had swelling in length, 7 patients (10.6%) had pain in length, 5 patients (7.6%) had swelling, 4 patients (6.1%) had breathing difficulties, 1 patients (1.5%) had difficulty sweating. Fourteen patients (60.6 percent) were followed by general surgery, 26 patients (39.4 percent) were followed by other branches (internal or family doctor). The patient's average nodular diameter was 17.6 ± 7.6 mm (6-37), the average tracking time was 46.8 months (3-240), the average tracking frequency was 7.2 months (3-12), and the average biopsy number was 1.8 (1-4). As the patient’s tracking time increases and the frequency of biopsy increases, Beck’s depression points increased (p=0,001 and p=0,021). A statistically meaningful relationship between the patient’s drug use and Beck’s depression points was found (p=0,009). Being a woman, not having an additional disease is associated with STAI state anxiety score, while being an additional disease and STAI constant anxiety score have a meaningful relationship in the limit (p=0,035, p=0,039 and p=0,059). The logistical regression analysis identified the independent relationship between the use of the drug and the Beck depression score, while the independent relationship between the absence of additional disease and the STAI status anxiety score was identified. Result: This study shows us that the continuous use of medications increases depressive findings, and that the depression points increase as the patient’s tracking time and the frequency of biopsy increase. The study shows that none of the patients who need psychiatric consultation are men, and that being a woman, compared to the studies in literature, increases depressive symptoms, and that anxiety is greater in women. In addition, it is seen that patients with no additional illness are more concerned about the condition as a result of their appearance to the hospital with a complaint than those with any additional illness. With the current cause of the additional disease, patients who have been under the tracking for years have a lower state anxiety score, while the constant anxiety score is seen to be higher. All these findings show us that the levels of depression and anxiety of the patients followed by the multinodular guatric diagnosis do not differ from other diseases seen in society and that these patients do not require a special psychiatric follow-up with the cause of the disease.

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