Ha Seo-In, Kim Kyunghee, Kim Ji-Su
Nursing Department, Samsung Medical Center Seoul, Republic of Korea.
Faculty of Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea.
Eur J Oncol Nurs. 2016 Oct;24:13-19. doi: 10.1016/j.ejon.2016.08.002. Epub 2016 Aug 26.
After oesophagectomy, anatomical changes and loss of function induce various symptoms that may affect quality of life (QoL) in oesophageal cancer patients. The purpose of this study was to identify the factors influencing QoL in Korean patients who have undergone oesophageal cancer surgery.
This was a cross-sectional study of a convenience sample consisting of 120 surgery patients with oesophageal cancer. We used the EORTC QLQ-C30 and EORTC QLQ-OES18 to measure participants' oesophageal cancer-related symptoms and QoL. Multiple regression analyses were applied to analyse to the relationship between cancer-related symptoms and QoL.
The average score of oesophageal cancer-related symptoms was 19.28 points, and the most common symptom was reflux. The mean score for global health status/QoL was 60.55. There were significant differences in the functional and symptom subscales according to financial burden, operation type (procedure), and treatment period. Dysphagia most affected global health status/QoL, and eating problems most affected the functional and symptom subscales.
Dysphagia and eating problems were confirmed to be the most common symptoms affecting the QoL of patients who had undergone oesophageal cancer surgery. These results can be used to aid in the development of strategies to better manage symptoms in these patients.
食管癌切除术后，解剖结构改变和功能丧失会引发各种症状，可能影响食管癌患者的生活质量（QoL）。本研究的目的是确定影响接受食管癌手术的韩国患者生活质量的因素。
这是一项横断面研究，采用便利抽样法，纳入了120例食管癌手术患者。我们使用欧洲癌症研究与治疗组织核心生活质量问卷（EORTC QLQ-C30）和欧洲癌症研究与治疗组织食管癌特异性问卷（EORTC QLQ-OES18）来测量参与者与食管癌相关的症状和生活质量。应用多元回归分析来分析癌症相关症状与生活质量之间的关系。
与食管癌相关症状的平均得分为19.28分，最常见的症状是反流。总体健康状况/生活质量的平均得分为60.55分。根据经济负担、手术类型（术式）和治疗时间，功能和症状子量表存在显著差异。吞咽困难对总体健康状况/生活质量影响最大，进食问题对功能和症状子量表影响最大。
吞咽困难和进食问题被证实是影响食管癌手术患者生活质量的最常见症状。这些结果可用于帮助制定策略，更好地管理这些患者的症状。
