Objective To discuss the influence of self-management on disease-related symptoms and quality of life in perioperative patients with digestive system malignant tumor.Methods With convenience sampling,87 patients with digestive system malignant tumor who met the inclusion criteria were recruited and eventually 74 patients concluded the whole study,which were randomly divided into control group (n=38) and intervention group (n=36).Patients in control group received routine clinical care,while those in intervention group self-management.The two groups were both investigated by MSAS at the day of admission,the seventh day after surgery and before discharge,and also investigated by FACT-G at the day of admission and before discharge to assess the diseaserelated symptoms level,the quality of life level before and after intervention.Results Before and after intervention,disease-related symptoms witnessed downward trend in two groups.After intervention,the total score and scores of all dimensions of the quality of life in intervention group were all higher than those in control group and the difference was statistically significant (P＜0.01).Before and after intervention,the scores of the quality of life in control group had no statistically significance except that of body dimension did,but the total score and scores of all dimensions in intervention group all had statistically significance (P＜0.01).Conclusion The self-management mode is effective for the alleviation of disease-related symptoms in the perioperative patients,and the improvement of their quality of life.%目的 探讨自我管理对消化系统恶性肿瘤患者围术期疾病相关症状及其生命质量的影响.方法 采用方便抽样,将符合纳入标准的87例患者随机分到干预组和对照组中.最终74例患者完成全部研究,其中对照组38例,干预组36例.对照组给予常规护理,干预组在常规护理基础上进行自我管理干预.在患者人院第1天、术后第7天及出院前1d进行记忆症状评估量表(Memorial Symptom Assessment Scale,MSAS)测量,在患者入院第1天和出院前1d进行癌症治疗功能评价量表(Functional Assessment of Cancer Therapy-General,FACT-G)测量,以评定两组患者干预前后疾病相关症状水平及生命质量的变化.结果 干预前后干预组与对照组症状水平在不同时段有随时间变化的趋势,时间效应、分组效应及交互效应均有统计学意义(P＜0.01),干预组症状水平得分下降快于对照组.干预后,干预组患者生命质量总分及各维度得分均高于对照组,差异有统计学意义(P＜0.01);干预前后,对照组患者生命质量除生理维度外,其他得分差异无统计学意义(P＞0.05),干预组患者生命质量总分及各维度得分差异均有统计学意义(P＜0.01).结论 以自我管理为主的症状管理模式,有效地缓解了消化系统恶性肿瘤患者围术期疾病相关症状,提高了患者的生命质量.
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