University Bordeaux, Laboratoire Handicap, Activité, Cognition, Santé, EA, Bordeaux, France.
Department of Colorectal Surgery, Haut-Leveque Hospital, Bordeaux, France.
J Psychosoc Oncol. 2020 Jan-Feb;38(1):89-102. doi: 10.1080/07347332.2019.1638481. Epub 2019 Jul 15.
To assess colorectal cancer survivors' quality of life (QoL) and fatigue according to stoma status. In this large-scale national survey, we examined and compared QoL (SF-12) and fatigue (QLQ-C30) of colorectal cancer survivors according to stoma status and against population norms. Of the 487 colorectal cancer survivors who participated in the VICAN survey, 43 had a reversed stoma. We randomly selected 43 survivors without stoma as a comparison group. Colorectal cancer survivors had lower QoL scores compared to population norms. Fatigue affected survivors even two years after diagnosis. Participants with a reversed stoma scored lower on the physical QoL scale than participants without stoma. QoL and fatigue are impaired during a considerable period after cancer diagnosis and differ according to stoma status. Interventions aimed at improving QoL and fatigue for colorectal cancer survivors should be offered on a long-term basis, even two years after diagnosis.
评估结直肠癌幸存者的生活质量（QoL）和疲劳状况，根据造口情况。在这项大规模的全国性调查中，我们根据造口情况检查和比较了结直肠癌幸存者的 QoL（SF-12）和疲劳（QLQ-C30），并与人群正常值进行了比较。在参加 VICAN 调查的 487 名结直肠癌幸存者中，有 43 人出现了逆行造口。我们随机选择了 43 名没有造口的幸存者作为对照组。结直肠癌幸存者的 QoL 评分低于人群正常值。即使在诊断两年后，疲劳仍会影响幸存者。与没有造口的参与者相比，逆行造口的参与者在生理 QoL 量表上的得分较低。在癌症诊断后相当长的一段时间内，QoL 和疲劳都会受损，并且根据造口情况而有所不同。为结直肠癌幸存者提供旨在改善 QoL 和疲劳的干预措施应基于长期，即使在诊断两年后也应如此。
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