Hardt J, Filipas D, Hohenfellner R, Egle U T
Clinic for Psychosomatic Medicine and Psychotherapy, University of Mainz, Germany.
Qual Life Res. 2000 Feb;9(1):1-12. doi: 10.1023/a:1008927809013.
This study reports the changes in the quality of life (QoL) of 44 patients observed prospectively from pre-surgery to one year post-surgery. Two kinds of surgeries were compared: continent and incontinent urinary diversion. In most areas the QoL returned to the prior level within one year after surgery. However, patients were restricted in their physical activity, sexual activity, and emotional well-being. Using individual weights for different aspects of life (Fragen zur Lebenszufriedenheit--Module FLZM), QoL was higher than when using an unweighted measurement (Short Form 36, MOS). Two trends for the different developments in the QoL were established: general life satisfaction and social functioning tended to improve after a continent diversion but decreased after an incontinent diversion. The perceived global satisfaction with both kinds of diversion was high--75% of the patients would choose the same kind of diversion again.
本研究报告了44例患者从术前到术后一年的生活质量（QoL）变化情况，这些患者均为前瞻性观察对象。研究比较了两种手术方式：可控性尿流改道术和不可控性尿流改道术。在大多数方面，生活质量在术后一年内恢复到术前水平。然而，患者在身体活动、性活动和情绪健康方面仍受到限制。使用针对生活不同方面的个体权重（生活满意度问卷——FLZM模块）时，生活质量得分高于使用未加权测量方法（简短健康调查问卷36项版本，MOS）时。确定了生活质量不同发展趋势的两个方面：可控性尿流改道术后总体生活满意度和社会功能倾向于改善，而不可控性尿流改道术后则下降。患者对两种尿流改道方式的总体满意度较高——75%的患者会再次选择同一种尿流改道方式。
