Health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery: a prospective 6-month follow-up study
Health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery: a prospective 6-month follow-up study
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DOI：
10.1111/ecc.12417
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发表时间：
2017-07-01
影响因子：
2.1
通讯作者：
Mibu, R.
中科院分区：
文献类型：
--
作者：
Kinoshita, Y.;Nokes, K. M.;Mibu, R.
这项纵向描述性研究检验了直肠癌患者在接受不同类型的括约肌保留手术 (SSS)：括约肌间切除术 (ISR)、超低位前切除术 (ULAR) 和低位前切除术 (LAR) 后 6 个月内是否报告了健康相关生活质量 (HRQOL) 的变化。它还比较了三组患者之间的 HRQOL。来自日本两家医院的 73 名患者在手术前以及手术后 1 个月和 6 个月完成了 HRQOL 和排便症状调查问卷。结果显示，ISR 患者的 HRQOL 评分显着低于 ULAR 和 LAR 患者，并且在 SSS 后 6 个月内持续存在更多排便症状。因此，接受 ISR 的患者在术后早期需要心理和社会支持，包括良好的自我管理技能。此外，排便问题严重影响HRQOL。 SSS 后的第一个月尤其具有挑战性。 SSS 后 HRQOL 比永久造口生活更好的假设可能并不成立。
This longitudinal descriptive study examined whether rectal cancer patients report changes in health-related quality of life (HRQOL) over a 6-month period after different types of sphincter-saving surgery (SSS): intersphincteric resection (ISR), ultra-low anterior resection (ULAR) and low anterior resection (LAR). It also compares HRQOL among the three groups of patients. Seventy-three patients from two hospitals in Japan completed questionnaires on HRQOL and defecation symptoms immediately before surgery and 1 and 6months afterwards. Results showed that ISR patients had significantly worse HRQOL scores than ULAR and LAR patients and more defecation symptoms that persisted during the 6months post-SSS. Thus, patients undergoing ISR require psychological and social support, including skills in competent self-management, during the early post-operative period. Furthermore, defecation problems substantially influence HRQOL. The first month post-SSS is particularly challenging. The assumption that HRQOL is better after SSS compared to living with a permanent stoma might not be valid.