University Clinic for Traumatology, Orthopedic Disease, Anesthesiology, Reanimation and Intensive Care Medicine and Emergency Department, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, R. Macedonia.
University Clinic for Neurology, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, R. Macedonia.
Pol Przegl Chir. 2021 Nov 25;94(4):20-26. doi: 10.5604/01.3001.0015.5540.
<b>Introduction:</b> Colorectal cancer is one of the most common cancers worldwide. In most of these patients, quality of life is deteriorated. </br></br> <b>Aim:</b> The aim of our study was to analyze how the disease affects health-related quality of life (HRQoL) and to examine the role of demographic, disease-related, and other factors in the overall quality of life. The second aim was to identify areas where HRQoL could be improved. </br></br> <b> Material and methods:</b> A cross-sectional questionnaire survey was conducted. The study included a modified version of EQ-5D, as well as clinical and socioeconomic characteristics of the country. Patients over the age of 18, who had colorectar surgery, and were followed up at our clinic, were included in the survey. </br></br> <b>Results:</b> In patients after colorectal surgery, bowel control is a major concern that has an impact on their quality of life. The majority of patients expressed gratitude for the care they received and thanked the health-care providers for it. With the EQ-5D modified questionnaire, the concept of "perfect" health was reviewed and analyzed. A response "no difficulty" in any of the five domains was classified as perfect health. Only one-third of the patients said their health was "ideal" (no problems in any of the EQ-5D five domains). </br></br> <b>Discussion:</b> According to the results of this study, patients with CRC have considerably poorer HRQoL than the general population, as indicated by the EQ-5D utility scores. This discovery is in line with some previous research. </br></br> <b>Conclusion:</b> Colorectal surgery survivors' total HRQoL has been found to be lower than in the general population.
<b>引言：</b>结直肠癌是全球最常见的癌症之一。在这些患者中，大多数人的生活质量下降。</br></br> <b>目的：</b>我们的研究旨在分析疾病如何影响健康相关生活质量（HRQoL），并研究人口统计学、疾病相关和其他因素在整体生活质量中的作用。第二个目的是确定可以改善 HRQoL 的领域。</br></br> <b>材料和方法：</b>进行了横断面问卷调查。该研究包括 EQ-5D 的改良版本，以及国家的临床和社会经济特征。调查包括在我们诊所接受过结直肠手术并接受随访的 18 岁以上患者。</br></br> <b>结果：</b>在结直肠手术后的患者中，肠道控制是一个主要问题，会影响他们的生活质量。大多数患者对他们所接受的护理表示感谢，并为此感谢医疗保健提供者。通过改良后的 EQ-5D 问卷，对“完美”健康的概念进行了回顾和分析。在五个领域中的任何一个领域都没有“困难”的回答被归类为完美健康。只有三分之一的患者表示他们的健康“理想”（在 EQ-5D 的五个领域中没有任何问题）。</br></br> <b>讨论：</b>根据这项研究的结果，CRC 患者的 HRQoL 明显低于一般人群，这反映在 EQ-5D 效用评分上。这一发现与一些先前的研究一致。</br></br> <b>结论：</b>发现结直肠手术后幸存者的总体 HRQoL 低于一般人群。
