Factors influencing early postoperative health-related quality of life in patients with alimentary system cancer
Factors influencing early postoperative health-related quality of life in patients with alimentary system cancer
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影响消化系统癌症患者术后早期健康相关生活质量的因素
DOI：
10.1007/s00520-021-06187-9
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发表时间：
2021
影响因子：
3.1
通讯作者：
Kubo Akira
中科院分区：
文献类型：
--
作者：
Hara Tsuyoshi;Kogure Eisuke;Kubo Akira
目的本研究的目的是调查胃肠道癌患者术后早期健康相关生活质量（HRQOL）的变化，并探讨影响这种变化的因素。方法参与者为106例胃肠道癌择期手术患者（61例男性和45例女性;年龄62.6 ± 12.0岁）。在两个时间点：术前1-2天（基线）和术后4周，使用简表36项健康调查第2版（SF-36）评价HRQOL。临床和社会特征的基础上，以前的研究进行了调查，作为潜在的影响因素，在术后早期HRQOL.ResultsPhysical功能，身体的角色功能，身体疼痛，活力，社会角色功能，情感角色功能显着下降，手术后4周相比，基线。与基线相比，术后4周的心理健康状况显著改善。术后4周SF-36各分量表评分与性别、肿瘤临床分期、新辅助治疗、手术部位、术后并发症、基线HRQOL、术后4周6分钟步行试验均显著相关。不仅需要改善术后管理，还需要增加术后运动能力和术前HRQOL。
PurposeThe purpose of this study was to investigate changes in early postoperative health-related quality of life (HRQOL) in patients with gastrointestinal cancer and to examine the factors influencing such changes.MethodsParticipants were 106 patients scheduled for elective surgery for gastrointestinal cancer (61 male and 45 females; aged 62.6 ± 12.0 years). HRQOL was evaluated using the Short-Form 36-Item Health Survey version 2 (SF-36) at two time points: 1–2 days prior to surgery (baseline) and 4 weeks after surgery. Clinical and social characteristics based on previous studies were investigated as potential factors influencing changes in early postoperative HRQOL.ResultsPhysical functioning, physical role functioning, bodily pain, vitality, social role functioning, and emotional role functioning significantly decreased at 4 weeks after surgery compared with baseline. Mental health at 4 weeks after surgery significantly improved compared with baseline. The scores on each SF-36 subscale at 4 weeks after surgery were significantly associated with gender, clinical stage of cancer, neoadjuvant therapy, surgical site, postoperative complications, HRQOL at baseline, and 6-min walk test at 4 weeks after surgery.ConclusionTo increase early postoperative HRQOL in surgical patients with gastrointestinal cancer, it may be necessary to not only improve postoperative management but also increase exercise capacity after surgery and HRQOL before surgery.
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