Spector Nancy M, Hicks Frank D, Pickleman Jack
Loyola University Niehoff School of Nursing, Chicago, Illinois 60626, USA.
Gastroenterol Nurs. 2002 May-Jun;25(3):120-5. doi: 10.1097/00001610-200205000-00007.
Oncologic outcomes of gastroesophageal surgery may be similar, but little is known about the impact on patients' postoperative symptom experience and quality of life (QOL). The purpose of this pilot study was to describe overall QOL and symptom experience of individuals who underwent either total gastrectomy with Roux-en-Y esophagojejunostomy or esophagogastrectomy for adenocarcinoma of the gastroesophageal junction. The Gastroenterology Quality of Life Index (GQLI) and the Life After Gastric Surgery (LAGS), developed by the investigators for measuring symptom frequency, were used to measure variables of interest. The sample (n = 27) had a relatively high QOL, but experienced difficulties with eating patterns, physical functioning, socialization, and happiness. There were significant differences between the two procedures related to QOL and symptom frequency in that individuals who had the total gastrectomy fared somewhat better. Further, patients who had esophagogastrectomy had greater symptom frequency and significantly poorer QOL. Although initially compelling, these data warrant further investigation into the QOL and symptom impact in a more diverse population of patients with cancer of the stomach or esophagus. These results, however, suggest several areas where nursing interventions could help these patients.
胃食管手术的肿瘤学结局可能相似，但对于其对患者术后症状体验和生活质量（QOL）的影响却知之甚少。这项初步研究的目的是描述接受全胃切除加 Roux-en-Y 食管空肠吻合术或胃食管交界腺癌食管胃切除术的患者的总体生活质量和症状体验。研究人员开发的用于测量症状频率的胃肠病生活质量指数（GQLI）和胃切除术后生活（LAGS）被用于测量感兴趣的变量。样本（n = 2）的生活质量相对较高，但在饮食模式、身体功能、社交和幸福感方面存在困难。两种手术在生活质量和症状频率方面存在显著差异，即接受全胃切除术的患者情况稍好。此外，接受食管胃切除术的患者症状频率更高，生活质量明显更差。尽管这些数据最初很有说服力，但仍需对更多不同的胃癌或食管癌患者群体的生活质量和症状影响进行进一步研究。然而，这些结果表明了几个护理干预可以帮助这些患者的领域。
