CAJ | 학술논문

目的：了解直肠癌结肠造口患者的生活质量( QOL)及影响因素,为提高患者QOL提供理论依据。方法采用欧洲癌症患者QOL核心量表(EORTC-QLQ-C30)对我院普外科97例直肠癌结肠造口患者通过电话回访进行问卷调查,将所得资料进行统计和分析。结果将直肠癌患者的数据与常规模型人员进行比较后发现,直肠癌术后的患者在生理功能以及社会功能方面的得分明显低于常模(P<0.01),腹泻症状得分则明显高于常模(P<0.01)。各个影响因素进行相关性分析显示：心理健康状态、术后自理能力、排便规律情况与患者的QOL呈现正相关,术后并发症造成的影响与患者的QOL呈负相关。逐步回归分析显示患者的心理状态、排便情况和造口并发症是患者总体QOL的主要影响因素。结论医务人员不仅要保证患者治疗的生存率,同时要考虑提高患者术后的QOL,尤其是要给予患者精神和心理上的支持,防止并发症的发生。
목적：료해직장암결장조구환자적생활질량( QOL)급영향인소,위제고환자QOL제공이론의거。방법채용구주암증환자QOL핵심량표(EORTC-QLQ-C30)대아원보외과97례직장암결장조구환자통과전화회방진행문권조사,장소득자료진행통계화분석。결과장직장암환자적수거여상규모형인원진행비교후발현,직장암술후적환자재생리공능이급사회공능방면적득분명현저우상모(P<0.01),복사증상득분칙명현고우상모(P<0.01)。각개영향인소진행상관성분석현시：심리건강상태、술후자리능력、배편규률정황여환자적QOL정현정상관,술후병발증조성적영향여환자적QOL정부상관。축보회귀분석현시환자적심리상태、배편정황화조구병발증시환자총체QOL적주요영향인소。결론의무인원불부요보증환자치료적생존솔,동시요고필제고환자술후적QOL,우기시요급여환자정신화심리상적지지,방지병발증적발생。
Objective To understand the quality of life ( QOL) of colostomy patients with rectal cancer and to explore its influen-cing factors,providing theoretical basis for health care workers to improve the QOL of colostomy patients. Methods Survey 97 colostomy patients with EORTC-QLQ-C30 by telephone visit and collect the data for statistical analysis. Results The data of patients with rec-tal cancer compared with conventional model researchers then we found, the scores of physiological function and the social function were significantly lower than those of the norm (P<0. 01). Besides,the scores of diarrhea were significantly higher than those of the norm (P<0. 01). Correlation analysis showed that psychological health status,postoperative self-care ability,defecation and the QOL of colorectal cancer colon stoma patients overall positive correlation. The effects of postoperative complications and the QOL of the pa-tients showed a negative correlation. Stepwise regression analysis showed that the patient′s mental state,defecation and stoma complica-tions affecting the overall QOL in patients. Conclusion Health care workers not only to ensure the survival of patients treated,but also to consider improving the QOL of patients. Especially to give spiritual and psychological support for patients.