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接受保肢手术或截肢手术的肉瘤成年患者的生活质量

QUALITY OF LIFE IN ADULTS WITH SARCOMAS UNDER CONSERVATIVE SURGERY OR AMPUTATION.

作者信息

Silva RogÉrio Santos, Tabet LÍvia Penna, Batista Katia Torres, Naves Juliana Fakir, Viana Eneida DE Mattos Brito Oliveira, Guilhem Dirce Bellezi

机构信息

Universidade de Brasília, Brasília, DF, Brazil.

Rede SARAH de Hospitais de Reabilitação, Brasília, DF, Brazil.

出版信息

Acta Ortop Bras. 2020 Sep-Oct;28(5):236-242. doi: 10.1590/1413-785220202805230966.

Abstract

OBJECTIVE

To understand the perception of quality of life, functionality, and psychological aspects of adults with lower limb sarcoma who underwent conservative surgery or amputation.

METHODS

Sociodemographic data were collected, and the following questionnaires were used: EORTC QLQ - C30 for quality of life, the Functional Assessment System (MSTS) for functionality and the Beck Depression Inventory (BDI) for depression symptoms.

RESULTS

The sample consisted of 45 young adults with sarcoma, divided into two groups: amputation (29) and conservative surgery (16). Most were male, single and students. Average family income before and after the disease did not differ, but those that were employed had a better perception of general quality of life, as well as those with higher family income after the disease. Regarding the type of surgery, there was a predominance of amputation; osteosarcoma was the most common histological type and the most affected region was the femur. All participants participated in social, cultural, sporting or religious activities. MSTS and Beck scale values did not differ between procedures.

CONCLUSION

Given the scarcity of studies on the subject at the national level, further investigations are suggested to explore aspects related to quality of life for patients with sarcomas.

摘要

目的

了解接受保肢手术或截肢手术的下肢肉瘤成年患者对生活质量、功能及心理方面的认知。

方法

收集社会人口学数据,并使用以下问卷:欧洲癌症研究与治疗组织生活质量问卷核心30条目(EORTC QLQ - C30)评估生活质量、功能评估系统(MSTS)评估功能以及贝克抑郁量表(BDI)评估抑郁症状。

结果

样本包括45名肉瘤青年患者,分为两组:截肢组(29例)和保肢手术组(16例)。大多数为男性、单身且是学生。患病前后的家庭平均收入无差异,但就业者以及患病后家庭收入较高者对总体生活质量的认知更好。关于手术类型,截肢占主导;骨肉瘤是最常见的组织学类型,最常受累部位是股骨。所有参与者都参加社会、文化、体育或宗教活动。两种手术方式的MSTS和贝克量表值无差异。

结论

鉴于国内该主题研究稀缺,建议进一步开展调查以探索肉瘤患者生活质量相关方面。

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