CAJ | 학술논문

目的：通过调查了解昆明地区大肠癌造口患者目前的生存质量，为这类患者的治疗和护理提供可靠依据．方法采用世界卫生组织生存质量测定量表简表（WHOQOL-BREF）调查云南省肿瘤医院103例结大肠癌造口术后的患者目前的生存质量．结果103例患者WHOQOL-BREF生活质量平均评分为23.45±9.92分；最高29分，最低13分；生存质量中的生理领域与心理领域方面，自我效能感高分组与低分组比较差异有统计学意义（＜0.05）；生存质量中的社会领域与环境领域方面，自我效能感高分组与低分组比较差异无统计学意义（＞0.05）．结论结大肠癌患者行造瘘手术后生命质量十分不理想．术后生命质量受多种因素影响，为患者提供各方面的护理干预是提高其生活质量的有效措施．
목적：통과조사료해곤명지구대장암조구환자목전적생존질량，위저류환자적치료화호리제공가고의거．방법채용세계위생조직생존질량측정량표간표（WHOQOL-BREF）조사운남성종류의원103례결대장암조구술후적환자목전적생존질량．결과103례환자WHOQOL-BREF생활질량평균평분위23.45±9.92분；최고29분，최저13분；생존질량중적생리영역여심리영역방면，자아효능감고분조여저분조비교차이유통계학의의（＜0.05）；생존질량중적사회영역여배경영역방면，자아효능감고분조여저분조비교차이무통계학의의（＞0.05）．결론결대장암환자행조루수술후생명질량십분불이상．술후생명질량수다충인소영향，위환자제공각방면적호리간예시제고기생활질량적유효조시．
Objective The purpose of this study was to provide efficient evidence to the treatment and nursing for patients with colorectal cancer after colostomy surgery by conducting a quality of life survey on the patients. Methods The WHOQOL-BREF scale was distributed to 103 patients after colostomy surgery in the Tumor Hospital of Yunnan Province. Results The average score of these patients was 23.45±9.92,with the highest score of 29, the lowest score of 13. In terms of quality of life in the physiological field and psychological field, there was a significant difference between the high self-efficacy ability and low self-efficacy ability ( <0.05) .In terms of quality of life in the social field and environment field, there was no significant difference between the high self-efficacy ability and low self-efficacy ability (>0.05). Conclusion The patients’familiarity with stomas was closely related to the quality of life, which indicated that the quality of life could be improved by improving the patient's familiarity with stoma care.It is necessary to know the condition of colostomy care in different postoperative stages and provide efficient support and help for the patients.