目的:分析直肠癌结肠造口患者围手术期生存质量状况及其影响因素,寻找改善患者生存质量的策略。方法:采用生存质量评定量表QLICP-CR对73例深圳市第二人民医院胃肠外科2008年7月至2011年2月收治的直肠癌患者进行问卷调查,分析患者围手术期的生存质量状况。结果:在围手术期全部患者术前生存质量状况好于术后(P〈0.05);有结肠造口与无结肠造口两组患者生存质量状况比较在术前无明显差异(P〉0.05);而术后2组患者的生存质量状况差异明显(P〈0.05)。结论:结肠造口严重影响了直肠癌患者围手术期的生存质量。减少术后并发症可以改善直肠癌患者的生存质量状况
Objective To investigate and analyze the Quality of Life(QOL) in patients with rectal cancer undergone colostomy and its influential factor.Methods The measuring scale QLICP-CR was used to evaluate the patients’ life quality and proceed statistical analysis.73 patients with rectal cancer who were cured in the Second People’s Hospital of Shenzhen from July 2008 to February 2011 were selected for questionnaire surveys to analyze their life quality in perioperative period.Results In perioperative period,the preoperative QOL of patient was better than the postoperative(P 〈 0.05).In postoperative period,the QOL of patient undergone colostomy was inferior compared with patient haven’ t been undergone colostomy(P 〈 0.05).In preoperative period,the QOL of patients in both groups have no obvious difference(P 〉 0.05).Conclusion The colostomy has severe influence on the QOL of patients in perioperative period.Avoiding the postoperative complication is helpful for improvement of the QOL of patients with rectal cancer.