Department of Nursing, Chang Gung Memorial Hospital at Linkou, Tao-Yuan, Taiwan.
J Clin Nurs. 2012 Aug;21(15-16):2357-66. doi: 10.1111/j.1365-2702.2011.04034.x. Epub 2012 May 28.
The purposes of this study were to examine how quality of life in colorectal cancer patients with diarrhoea changes with time after surgery and to identify variables influencing patients' quality of life three months following surgery.
Colorectal cancer is one of the most common cancers in the world. Literature that focuses on the impact of the basic attributes, disease characteristics and diarrhoea distress on the quality of life in diarrhoea patients is quite rare.
Survey.
A longitudinal study design was employed with a three-month tracking period. Data were collected in structured, one-on-one interviews at one week and one, two and three months after surgery. Variance and effects of quality of life were analysed by repeated-measures analysis of variance and generalised estimating equation.
Results showed that colorectal cancer patients (n = 35) with diarrhoea after surgery will over time be gradually satisfied with their overall quality of life. Physical health satisfaction is lowest at 1 week after surgery, and it will over time gradually increase. Satisfaction with mental health has the lowest score and does not improve with time. Satisfaction with social relationships is highest between one week and two months after surgery. Satisfaction of environmental relationship will improve with time after surgery. The study results also indicate that patients with lower quality of life satisfaction are younger, women, have had R hemicolectomy and experience higher diarrhoea distress.
Colorectal cancer patients with diarrhoea after surgery will become more satisfied with their overall quality of life with time. Physical and environmental satisfaction will all improve with time. Younger patients will be more dissatisfied with their social and environmental health. More severe diarrhoea distress will impact patients' quality of life the most.
These results can serve as reference for clinical care providers to patients with colorectal cancer after surgery.
本研究旨在探讨结直肠癌术后腹泻患者的生活质量随时间的变化情况，并确定影响术后三个月患者生活质量的变量。
结直肠癌是世界上最常见的癌症之一。关注基本属性、疾病特征和腹泻困扰对腹泻患者生活质量影响的文献相当罕见。
调查。
采用纵向研究设计，跟踪期为三个月。数据在手术后一周、一个月、两个月和三个月进行结构化的一对一访谈中收集。采用重复测量方差分析和广义估计方程分析生活质量的方差和效应。
结果表明，结直肠癌术后腹泻患者（n=35）随着时间的推移，他们对整体生活质量将逐渐满意。术后 1 周时，身体健康满意度最低，随着时间的推移会逐渐增加。心理健康满意度得分最低，且不会随时间改善。术后 1 周至 2 个月时，社会关系满意度最高。术后环境关系满意度会随时间提高。研究结果还表明，生活质量满意度较低的患者年龄较小、为女性、接受过右半结肠切除术且腹泻困扰程度较高。
结直肠癌术后腹泻患者随着时间的推移会对整体生活质量更加满意。身体和环境满意度会随着时间的推移而提高。年龄较小的患者对社会和环境健康的满意度会更低。更严重的腹泻困扰会对患者的生活质量产生最大影响。
这些结果可为临床护理人员为结直肠癌术后患者提供参考。
