Department of Gastrointestinal Surgery, Affiliated Hospital of Ningbo University School of Medicine, Ningbo, China.
Hospital Dean's Office, Affiliated Hospital of Ningbo University School of Medicine, Ningbo, China.
Ann Palliat Med. 2021 Oct;10(10):10633-10642. doi: 10.21037/apm-21-2420.
Gastric cancer is one of the most common malignant tumors of the digestive tract worldwide. This study aims to evaluate the effect of health education on gastric cancer patients' quality of life after surgery.
China National Knowledge Infrastructure (CNKI) and Wanfang Data (WFD) were searched to obtain relevant studies. Key words: postoperative gastric cancer/health education/quality of life. A total of 88 subject-related literatures were retrieved, and 7 literatures that met the requirements were screened out and included in the meta-analysis research. Cochrane software Revman 5.0 was used to perform heterogeneity test, sensitivity analysis and pool analysis of the included literature.
A total of 7 relevant studies meeting the requirements were included, involving 772 postoperative gastric cancer patients. According to the heterogeneity test results, the fixed effects model and the random effects model were adopted in this study. The results showed that the quality of life score of the health education group was higher than that of the control group (P<0.001), with an OR (95% CI) value of 9.78 (8.59-10.99). The scores of physical function, role function, emotional function, cognitive function, and social function in the experimental group were higher than those in the control group (P<0.001), with OR (95% CI) values of 8.13 (6.65-9.60), 8.99 (7.84-10.14), 9.84 (8.64-11.50), 6.55 (5.59-7.71), and 9.79 (8.59-10.99), respectively.
Health education can improve the overall health score of patients with gastric cancer after surgery. It can also improve the scores of physical function, role function, emotional function, cognitive function, and social function, and can significantly improve patients' quality of life.
胃癌是全球最常见的消化道恶性肿瘤之一。本研究旨在评估健康教育对胃癌患者术后生活质量的影响。
在中国知网（CNKI）和万方数据（WFD）检索相关研究。关键词：术后胃癌/健康教育/生活质量。共检索到 88 篇与主题相关的文献，筛选出符合要求的 7 篇文献进行荟萃分析研究。采用 Cochrane 软件 Revman 5.0 进行异质性检验、敏感性分析和纳入文献的合并分析。
共纳入 7 篇符合要求的相关研究，共纳入 772 例术后胃癌患者。根据异质性检验结果，本研究采用固定效应模型和随机效应模型。结果显示，健康教育组的生活质量评分高于对照组（P<0.001），OR（95%CI）值为 9.78（8.59-10.99）。实验组的身体功能、角色功能、情绪功能、认知功能和社会功能评分均高于对照组（P<0.001），OR（95%CI）值分别为 8.13（6.65-9.60）、8.99（7.84-10.14）、9.84（8.64-11.50）、6.55（5.59-7.71）和 9.79（8.59-10.99）。
健康教育可提高胃癌术后患者的整体健康评分，提高身体功能、角色功能、情绪功能、认知功能和社会功能评分，显著提高患者的生活质量。
