CAJ | 학술논문

目的：探讨影响Ⅱ、Ⅲ期直肠癌长期无瘤生存患者生存质量的相关因素。方法回顾性分析86例无瘤生存时间超过5年的Ⅱ、Ⅲ期直肠癌患者的临床资料，对可能影响其生活质量的相关因素进行调查分析。结果手术方式、治疗手段种类以及是否接受过系统的健康教育与患者生存质量具有相关关系，其中采取保肛手术的患者在躯体、情绪、社会功能等方面要优于采用造口手术患者，P＜0．05；而治疗手段种类与健康教育是直肠癌患者生存质量的2个独立因素，治疗手段种类为负相关因素，健康教育为正相关因素。结论患者的手术方式是影响Ⅱ、Ⅲ期直肠癌长期无瘤生存患者生存质量的重要因素，改善临床治疗方案，选择合理的手术方式可以帮助患者提高治疗后的生活质量。同时临床选用治疗手段种类越少，并积极采取系统的健康教育都可以进一步提高患者的长期无瘤生存质量。
목적：탐토영향Ⅱ、Ⅲ기직장암장기무류생존환자생존질량적상관인소。방법회고성분석86례무류생존시간초과5년적Ⅱ、Ⅲ기직장암환자적림상자료，대가능영향기생활질량적상관인소진행조사분석。결과수술방식、치료수단충류이급시부접수과계통적건강교육여환자생존질량구유상관관계，기중채취보항수술적환자재구체、정서、사회공능등방면요우우채용조구수술환자，P＜0．05；이치료수단충류여건강교육시직장암환자생존질량적2개독립인소，치료수단충류위부상관인소，건강교육위정상관인소。결론환자적수술방식시영향Ⅱ、Ⅲ기직장암장기무류생존환자생존질량적중요인소，개선림상치료방안，선택합리적수술방식가이방조환자제고치료후적생활질량。동시림상선용치료수단충류월소，병적겁채취계통적건강교육도가이진일보제고환자적장기무류생존질량。
Objective To analyze related factors affecting quality of life in stage Ⅱ,Ⅲ colorectal cancer patients with long-term tumor-free survival.Methods A retrospective analysis of clinical data of 86 cases of stage Ⅱ,Ⅲcolorectal cancer pa-tients with long-term tumor-free survival were conducted .Related factors affecting quality of life were analyzed .Results Surgical way,type of treatment,and whether to take the systematic health education were related to life quality of patients ,the physical,e-motional ,social function of patients received sphincter preservation surgery were superior to patients received ostomy surgery ,P<0.05;type of treatment and systematic health education were 2 independent factors influencing quality of life ,treatment type was a negative correlation factor ,health education was a positive correlation factor .Conclusion Surgical way is an important factor af-fecting the life quality of stage Ⅱ,Ⅲcolorectal cancer patients with long-term tumor-free survival,improving clinical treatment , choosing a reasonable surgical approach can help patients improve their quality of life after treatment .The less the treatment types used and actively taking systematic health education can further improve the life quality of patients with long -term disease-free survival.