CAJ | 학술논문

目的探讨对直肠癌术后患者生活质量研究随访中如何有效提高随访率和随访质量.方法对2002年8月至2011年2月期间在中山大学附属第一医院胃肠外科行直肠癌根治术的患者,采用欧洲癌症研究治疗组织QLQ-C30与CR38量表对患者进行术后生活质量回顾性调查,对随访情况以及性相关条目缺项情况进行分析.结果调查问卷发出438份,回收285份,随访应答率65.1％.285份回收量表中,262份(91.9％)通过信函完成,19份(6.7％)通过门诊访谈完成,通过电话和电子邮件完成的各有2份(1.4％).排除16份(5.6％)无效量表,有效量表269份.应答与不应答病例一般临床资料的比较差异均无统计学意义(均P＞0.05).性功能条目中第47和48项缺填者分别占24.9％(67/269)和26.0％(70/269)；性乐趣条目中第49项缺填者占30.5％(82/269).不同性别(P＜0.01)、年龄(P＜0.01)、受教育程度(P＜0.05)和工作与否(P＜0.01)的患者对于性相关条目完成情况的差异有统计学意义.结论信函随访辅以当面访谈是适合当前我国国情的随访方式.提高直肠癌根治术后患者的生活质量研究及性问题调查的随访率应针对不同患者群体采取相应的处理方式.
목적 탐토대직장암술후환자생활질량연구수방중여하유효제고수방솔화수방질량.방법 대2002년8월지2011년2월기간재중산대학부속제일의원위장외과행직장암근치술적환자,채용구주암증연구치료조직QLQ-C30여CR38량표대환자진행술후생활질량회고성조사,대수방정황이급성상관조목결항정황진행분석.결과 조사문권발출438빈,회수285빈,수방응답솔65.1％.285빈회수량표중,262빈(91.9％)통과신함완성,19빈(6.7％)통과문진방담완성,통과전화화전자유건완성적각유2빈(1.4％).배제16빈(5.6％)무효량표,유효량표269빈.응답여불응답병례일반림상자료적비교차이균무통계학의의(균P＞0.05).성공능조목중제47화48항결전자분별점24.9％(67/269)화26.0％(70/269)；성악취조목중제49항결전자점30.5％(82/269).불동성별(P＜0.01)、년령(P＜0.01)、수교육정도(P＜0.05)화공작여부(P＜0.01)적환자대우성상관조목완성정황적차이유통계학의의.결론 신함수방보이당면방담시괄합당전아국국정적수방방식.제고직장암근치술후환자적생활질량연구급성문제조사적수방솔응침대불동환자군체채취상응적처리방식.
Objective To explore how to improve follow-up rate and follow-up quality in studies related to quality of life.Methods A retrospective cross-sectional study was performed in patients with rectal cancer who underwent primary surgery at the Gastrointestinal Surgery Department,The First Affiliated Hospital,Sun Yat-sen University from August 2002 to February 2011 using the European Organization for Research and Treatment of Cancer QLQ-C30 and CR-38 questionnaires.The influence factors of follow-up rate and reasons for missing sex-related items were analyzed.Results A total of 438 questionnaires were issued.Two hundred and eighty-five responses were received and the follow-up rate was 65.1％.Two hundred and sixty-two patients returned the questionnaires by mail.Responders and non-responders did not differ by sociodemographic and clinical characteristics including sex,age,postoperative time,complication,clinical stage and stoma.Significant differences were found when comparing the missing sex-related items grouped by sex,age,education and working status.Conclusions Follow-up mode of mail supplemented by interview is suitable for current reality in China in studies on quality of life.Targeted methods should be adopted when investigating the different patient groups to improve follow-up rate of studies on quality of life and sexual function survey.