加速康复外科模式下结直肠癌患者出院准备度与短期生活质量的相关性  

Correlation between readiness for hospital discharge and short-term quality of life in colorectal cancer patients following enhanced recovery after surgery mode

作　　者：杨婕[1] 贺育华 蒋理立[1] 李卡[2] YANG Jie;HE Yuhua;JIANG Lili;LI Ka(Department of Gastrointestinal Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;West China School of Nursing,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院胃肠外科,成都610041 [2]四川大学华西护理学院,成都610041

出　　处：《中国普外基础与临床杂志》2019年第2期157-161,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省卫生和计划生育委员会科研课题(项目编号:18PJ247)

摘　　要：目的探讨加速康复外科模式下结直肠癌患者出院准备度与出院后短期生活质量的相关性。方法采用便利抽样法,以加速康复外科模式下127例结直肠癌患者为研究对象,分别采用出院准备度量表及癌症患者生活质量量表对患者的出院准备度及术后1个月时的生活质量进行调查,并进行相关分析。结果患者出院准备度总分为(149.43±33.25)分,生活质量总体健康状况领域得分为(66.80±18.84)分。相关分析结果表明:出院准备度总分与总体健康状况领域得分呈正相关(r=0.220,P=0.013);与疲倦、恶心呕吐、疼痛及食欲丧失领域得分呈负相关(r=–0.304,P=0.001;r=–0.189,P=0.033;r=–0.257,P=0.004;r=–0.254,P=0.004)。自身状况维度得分与总体健康状况和情绪功能领域得分呈正相关(r=0.213,P=0.016;r=0.197,P=0.027);与疲倦、疼痛及失眠领域得分呈负相关(r=–0.311,P=0.000;r=–0.264,P=0.003;r=–0.257,P=0.004)。疾病知识维度得分与恶心呕吐、疼痛和食欲丧失领域呈负相关(r=–0.212,P=0.017;r=–0.182,P=0.040;r=–0.239,P=0.007)。出院后应对能力维度得分与总体健康状况及躯体功能领域得分呈正相关(r=0.204,P=0.021;r=0.204,P=0.021);与疲倦、疼痛、失眠和食欲丧失领域得分呈负相关(r=–0.349,P=0.000;r=–0.240,P=0.007;r=–0.202,P=0.022;r=–0.201,P=0.024)。可获得的社会支持维度得分与总体健康状况领域得分呈正相关(r=0.220,P=0.013);与疲倦和食欲丧失领域得分呈负相关(r=–0.249,P=0.005;r=–0.227,P=0.010)。结论加速康复外科模式下结直肠癌患者出院后短期生活质量处于中等偏上水平,且与出院准备度相关,由此提示开展出院准备服务对于提升患者生活质量水平具有重要意义。Objective To explore the correlation between readiness for hospital discharge and short-term quality of life among colorectal cancer(CRC)patients following enhanced recovery after surgery(ERAS)mode.Methods Surveys of 127 CRC patients following ERAS mode were conducted in the West China Hospital of Sichuan University.The Readiness for Hospital Discharge Scale and EORTC QLQ-C30 Scale were issued at the discharge and 1 month after the operation,respectively.Results The total score of RHDS was 149.43±33.25.The score of global quality of life was66.80±18.84.Correlation analysis showed that the total score of RHDS was positively correlated with the score of global quality of life(r=0.220,P=0.013),and negatively correlated with the scores of fatigue,nausea and vomiting,pain,loss of appetite(r=-0.304,P=0.001;r=-0.189,P=0.033;r=-0.257,P=0.004;r=-0.254,P=0.004).The score of personal status dimension were positively correlated with the score of global quality of life and emotional function(r=0.213,P=0.016;r=0.197,P=0.027),and negatively correlated with scores of fatigue,pain and insomnia(r=-0.311,P=0.000;r=-0.264,P=0.003;r=-0.257,P=0.004).The score of knowledge dimension was negatively correlated with nausea and vomiting,pain and loss of appetite(r=-0.212,P=0.017;r=-0.182,P=0.040;r=-0.239,P=0.007).The score of coping ability dimension was positively correlated with the score of global quality of life and physical function(r=0.204,P=0.021;r=0.204,P=0.021),while negatively correlated with scores of fatigue,pain,insomnia and loss of appetite(r=-0.349,P=0.000;r=-0.240,P=0.007;r=-0.202,P=0.022;r=-0.201,P=0.024).The score of expected support was positively correlated with the score of global quality of life(r=0.220,P=0.013),and negatively correlated with scores of fatigue and loss of appetite(r=-0.249,P=0.005;r=-0.227,P=0.010).Conclusions The short term quality of life among CRC patients following ERAS keeps at upper middle level,and positively correlated with the readiness for hospital discharge.It is suggested that discharge

关 键 词：加速康复外科 结直肠癌 出院准备度 生活质量 相关分析 

分 类 号：R735.34[医药卫生—肿瘤]