Aktaş Nurhan, Baykara Zehra Gocmen
Dişkapi Yildırim Beyazit Training and Research Hospital, Ankara, Turkey.
Gazi University, Faculty of Health Science, Department of Nursing, Ankara, Turkey.
Wound Manag Prev. 2021 Jan;67(1):18-26.
Knowledge about the relationship between quality of life and self-care among patients with colorectal cancer in Turkey is limited.
This prospective, descriptive study evaluated the quality of life and self-care agency of patients who underwent surgery for colorectal cancer.
Patients were recruited to participate preoperatively from the general surgery clinics in 2 hospitals in Turkey. Sociodemographic variables were collected preoperatively, and the Quality of Life Scale for Cancer Patients (EORTC QLQ-C30) Turkish Version 3.0, the Quality of Life Scale for Colorectal Cancer Patients (EORTC QLQ-CR29), and the Self-Care Agency Scale were completed preoperatively and at 1, 3, and 6 months postoperatively.
Thirty-seven (37) patients (average age 59.49 years [±10.84]) who met the inclusion criteria participated in the study. The majority were male (22 patients; 60%), and 25 (67%) did not have a stoma postoperatively. Compared with preoperative scores, QLQ-C30 general well-being, functional status, physical functions, and role performance scores decreased in the first month after surgery and increased in the third and sixth months (58.3 [preoperative] vs 75.0 [month 3] vs 83.3 [month 6]; P = .000). The preoperative QLQ-CR29 excretory system pleasure scores were higher than the postoperative third- and sixth-month scores (1.7 [preoperative] vs 1.0 [month 3] vs 1.0 [month 6]; P = .001). The Self-Care Agency scores at 6 months were higher than the postoperative first month (109.62 ± 11.62 vs 115.19 ± 14.22; P = .006). A positive correlation was found between Self-Care Agency scores and functional status scores of the QLQ-C30 scale at 3 and 6 months postoperatively (P = .000).
Quality of life and Self-Care Agency scores decreased immediately after surgery but increased in the following 6 months. A positive correlation was found between quality of life and self-care agency.
在土耳其，关于结直肠癌患者生活质量与自我护理之间关系的知识有限。
这项前瞻性描述性研究评估了接受结直肠癌手术患者的生活质量和自我护理能力。
从土耳其两家医院的普通外科诊所招募患者在术前参与研究。术前收集社会人口统计学变量，术前、术后1个月、3个月和6个月完成癌症患者生活质量量表（EORTC QLQ-C30）土耳其语版本3.0、结直肠癌患者生活质量量表（EORTC QLQ-CR29）以及自我护理能力量表。
37名符合纳入标准的患者（平均年龄59.49岁[±10.84]）参与了研究。大多数为男性（22例患者；60%），25例（67%）术后没有造口。与术前评分相比，QLQ-C30总体健康、功能状态、身体功能和角色表现评分在术后第一个月下降，在第三个月和第六个月上升（58.3[术前]对75.0[第3个月]对83.3[第6个月]；P = .000）。术前QLQ-CR29排泄系统愉悦感评分高于术后第三个月和第六个月的评分（1.7[术前]对1.0[第3个月]对1.0[第6个月]；P = .001）。6个月时的自我护理能力评分高于术后第一个月（109.62±11.62对115.19±14.22；P = .006）。术后3个月和6个月时，自我护理能力评分与QLQ-C30量表的功能状态评分之间存在正相关（P = .000）。
生活质量和自我护理能力评分在术后立即下降，但在接下来的6个月中上升。生活质量与自我护理能力之间存在正相关。
