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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer.
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Assessment of peri-operative quality of life in patients undergoing surgery for gastrointestinal cancer.

机译:胃肠道癌手术患者围手术期生活质量评估。

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The purpose of this study was to assess the pre- and postoperative quality of life (QOL) of patients with gastrointestinal cancer and to investigate the relationship between QOL and various psychological and clinical factors. Eighty-five patients who underwent surgery for gastrointestinal cancer and 26 control patients undergoing surgery for digestive diseases other than cancer were interviewed. Two tests were administered to assess QOL and psychological status respectively: the Japanese-language version of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the Japanese-language version of the Hospital Anxiety and Depression Scale (HADS). Each test was administered before surgery, before discharge, and 6 months after discharge. Gastrointestinal tumors were localized to the stomach, colon, or rectum in 88% of cases and classified as advanced stage or early stage according to staging protocols. Changes in EORTC QLQ-C30 subscale scores over time were compared among advanced stage, early stage, and control patients. All groups showed significant changes in subscale scores of QOL; the scores of the advanced-stage group indicated worse QOL than the early-stage and control groups in a lot of areas. The physical function (PF2) QOL subscore was influenced by diagnosis, postoperative complications, medical equipment at discharge, and the length of admission and negatively correlated with depression and anxiety. These results suggest that QOL in gastrointestinal cancer patients is variable over time and is influenced by various clinical factors. Therefore, consideration of these clinical factors is paramount to the optimal care of gastrointestinal cancer patients.
机译:这项研究的目的是评估胃肠道癌患者的术前和术后生活质量(QOL),并研究QOL与各种心理和临床因素之间的关系。采访了接受胃肠道手术的八十五例患者和接受癌症以外的消化系统疾病的二十六例对照患者。分别进行了两项测试以评估QOL和心理状态:欧洲癌症研究与治疗组织(EORTC)QLQ-C30的日语版和医院焦虑与抑郁量表(HADS)的日语版。每次测试均在手术前,出院前和出院后6个月进行。胃肠道肿瘤在88%的病例中位于胃,结肠或直肠,并根据分期方案分为晚期或早期。比较了晚期,早期和对照患者的EORTC QLQ-C30分量表分数随时间的变化。所有组的生活质量量表分数均显示出显着变化。晚期组的得分表明,在许多领域中,生活质量较早期组和对照组差。身体功能(PF2)QOL评分受诊断,术后并发症,出院医疗设备以及入院时间的影响,并且与抑郁和焦虑呈负相关。这些结果表明,胃肠道癌症患者的QOL随时间变化,并受各种临床因素影响。因此,考虑这些临床因素对于胃肠道癌患者的最佳护理至关重要。

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