Second Ward, Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin 150081, China.
Department of Nursing, Harbin Medical University Cancer Hospital, Harbin 150081, China.
Ann Palliat Med. 2020 May;9(3):921-926. doi: 10.21037/apm.2020.04.14. Epub 2020 Apr 21.
Patients with gastric cancer often experience postoperative problems such as dumping syndrome, abdominal cramps, and nausea, which have profound effects on their mental health and quality of life. Earlier studies have shown that comprehensive health education can dramatically improve the quality of life of cancer patients after surgery. Thus, in this study, we conducted a health education intervention program in patients who had undergone surgical treatment for gastric cancer and evaluated the effectiveness of this program in improving the postoperative quality of life, with an attempt to offer evidence for better postoperative management of gastric cancer patients.
Totally, 80 patients with gastric cancer who underwent surgery at our center from February 2018 to February 2019 were equally divided into an observation group and control group according to the random number table method. The observation group was offered with interventions regarding health education, including disease awareness-raising, instructions on behavior and lifestyle, rehabilitation management, and mental health counseling, and the control group received the routine nursing intervention. The quality of life one month before and after surgery was assessed by using the Chinese version of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-STO22.
The baseline data and quality of life showed no significant differences between the observation group and the control group one month before surgery (both P>0.05). One month after the surgery, the scores of dysphagia, pain/discomfort, reflux symptoms, and emotional issues and overall score in the observation group decreased significantly (34.86±2.170, 38.66±3.08, 32.26±2.76, 49.55±4.20, and 54.26±7.03, respectively), which were also significantly lower than those in the control group (36.33±3.10, 44.29±3.72, 33.64±3.10, 53.56±3.25, and 60.17±7.28, respectively; all P<0.05).
The comprehensive health education intervention program can effectively improve the quality of life in patients after gastric cancer surgery and deserves further application in clinical settings.
胃癌患者常经历术后问题，如倾倒综合征、腹部痉挛和恶心，这对他们的心理健康和生活质量有深远影响。早期研究表明，综合健康教育可以显著改善癌症患者术后的生活质量。因此，在本研究中，我们对接受胃癌手术治疗的患者进行了健康教育干预，并评估了该方案对改善术后生活质量的有效性，旨在为更好地管理胃癌患者术后生活提供证据。
共纳入 2018 年 2 月至 2019 年 2 月在我院接受手术治疗的 80 例胃癌患者，按随机数字表法分为观察组和对照组，各 40 例。观察组接受健康教育干预，包括疾病知识普及、行为和生活方式指导、康复管理和心理健康咨询，对照组接受常规护理干预。采用欧洲癌症研究与治疗组织（EORTC）生命质量测定量表核心模块 30 项（QLQ-C30）中文版和胃癌患者特异性模块 22 项（QLQ-STO22）中文版评估患者术前 1 个月和术后 1 个月的生活质量。
两组患者术前基线资料和生活质量评分比较差异无统计学意义（均 P＞0.05）。术后 1 个月，观察组吞咽困难、疼痛/不适、反流症状、情绪问题和总体评分均显著降低（34.86±2.170、38.66±3.08、32.26±2.76、49.55±4.20、54.26±7.03），且均低于对照组（36.33±3.10、44.29±3.72、33.64±3.10、53.56±3.25、60.17±7.28），差异均有统计学意义（均 P＜0.05）。
综合健康教育干预方案可有效提高胃癌术后患者的生活质量，值得在临床中进一步应用。
