| 吴艳,方曙静,王丽元,王方,华倩雯,王丹.合并慢性病的结直肠癌患者术后生活质量及影响因素研究[J].中国临床保健杂志,2020,23(6):808-811. |
| 合并慢性病的结直肠癌患者术后生活质量及影响因素研究 |
| The postoperative quality of life and influencing factors of colorectal cancer patients with chronic diseases |
| 投稿时间：2020-10-11 |
| DOI：10.3969/J.issn.1672-6790.2020.06.021 |
| 中文关键词: 结直肠肿瘤 手术后并发症 生活质量 影响因素分析 |
| 英文关键词: Colorectal neoplasms Postoperative complications Quality of life Root cause analysis 〖FL |
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| 中文摘要: |
| 目的 探讨合并慢性病的结直肠癌患者术后生活质量及影响因素。方法 对2019年1月至12月在南京医科大学第一附属医院结直肠科接受结直肠癌根治术的163名合并慢性病的结直肠癌患者进行调查,采用世界卫生组织生存质量测定简表(WHOQOL-BREF) (中文版)分析合并慢性病的结直肠癌患者术后生活质量及其影响因素。结果 本研究共计发放163份调查问卷,其中有效作答问卷156份,无效问卷7份,有效回收率95.71%。156名患者术后生活质量总分范围为41～62分,总分(49.69±6.11)分。合并慢性病种数、慢性病病程、术后化疗、疾病认知度和社会支持度是合并慢性病的结直肠癌患者术后生活质量的影响因素(P＜0.05)。结论 加强合并慢性病的结直肠癌患者慢性病健康管理,积极治疗以缓解病情,并加强健康宣教以提高患者对疾病的认知度,鼓励家庭成员给予患者足够的关怀,从而达到改善患者心理健康,提高生活质量的目的。 |
| 英文摘要: |
| Objective To investigate the postoperative quality of life and influencing factors of colorectal cancer patients with chronic diseases. Methods A survey of 163 colorectal cancer patients with chronic diseases who underwent radical resection of colorectal cancer in department of colorectal of the First Affiliated Hospital of Nanjing Medical University from January to December 2019 was conducted. To analyze the postoperative quality of life and its influencing factors in colorectal cancer patients with chronic diseases with the World Health Organization Quality of Life Assay List (WHOQOL-BREF) (Chinese version). Results A total of 163 questionnaires were distributed in this study, of which 156 were valid and 7 were invalid. The effective response rate was 95.71%. The postoperative quality of life of 156 patients was scored from 41 to 62 points, with an average of (49.69±6.11) points. The number of chronic diseases, the course of chronic diseases, postoperative chemotherapy, disease awareness, and social support are the influencing factors of postoperative quality of life for colorectal cancer patients with chronic diseases (P<0.05). Conclusion Colorectal cancer patients with chronic diseases need to strengthen the health management of chronic diseases, actively treat the disease to alleviate the condition, and strengthen health education to improve patients' awareness of the disease, encourage family members to give patients sufficient care,so as to achieve the purpose of improving the mental health of patients and improving the quality of life. |
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