肛肠肿瘤永久性造口患者的心理健康状况、生活质量及相关性调查
Survey on Mental Health Status and Quality of Life and Correlation among Patients with Permanent Stoma of Colorectal Tumor.
机构信息
Department of General Surgery, Chengdu Fifth People's Hospital, Chengdu, Sichuan 611130, China.
Center for Medical Research and Translation, Chengdu Fifth People's Hospital, Chengdu, Sichuan 611130, China.
出版信息
Comput Math Methods Med. 2022 Sep 5;2022:5792312. doi: 10.1155/2022/5792312. eCollection 2022.
BACKGROUND
Colorectal cancer is one of the malignant tumors of the digestive system relatively hidden onset with unobvious early clinical symptoms. Most patients have developed into middle and late stages when they were diagnosed, missing the best period of operation. Advanced colorectal cancer has strong diffusion and metastasis with short survival time, which seriously threatens the life safety of patients.
OBJECTIVE
To investigate the mental health status and quality of life and the relationship between them in patients with permanent stoma of colorectal cancer.
METHODS
In this study, a case-control study was conducted to select 80 patients (stoma group) with colorectal cancer treated by permanent stoma surgery in our hospital from January 2020 to June 2021 and 80 patients (control group) with colorectal cancer treated by sphincter-preserving surgery at the same time. The psychological health degree and quality of life of the two groups of patients were evaluated by the psychological resilience scale (CD-RISC), the positive psychological capital questionnaire (PPQ), and the cancer patient quality of life-specific scale (QOL-LC), and a linear correlation model was used to analyze the correlation of CD-RISC score, PPQ score, and QOL-LC score.
RESULTS
The total scores of tenacity, optimism, self-improvement, and resilience of the patients in the stoma group were significantly lower than those in the control one, and the difference between them was statistically significant ( < 0.05); the four dimensions of self-efficacy, optimism, hope, and resilience and the total score of PPQ of patients in the stoma group were significantly lower than those in the control group, and all of the differences were statistically significant ( < 0.05); the somatic function, psychological function, symptoms of side effects, social function, and the total QOL-LC score of patients in the stoma one were significantly lower than those in the control one, and all of the differences were statistically significant ( < 0.05); the total QOL-LC score of patients in the stoma group showed a significant positive correlation with PPQ score and CD-RISC score ( = 0.511 and = 0.608, < 0.01).
CONCLUSION
The overall level of mental health and life quality of patients with permanent stoma of colorectal cancer was worse than that of patients without stoma measures, and there was a certain correlation between patients' mental health and quality of life.
背景
结直肠癌是一种较为隐匿发病、早期临床症状不明显的消化系统恶性肿瘤。多数患者在确诊时已发展至中晚期，错失了最佳手术时机。晚期结直肠癌扩散转移能力较强，生存时间较短，严重威胁患者的生命安全。
目的
探讨永久性肠造口术对结直肠癌患者心理健康状况及生活质量的影响及二者之间的关系。
方法
采用病例对照研究，选取 2020 年 1 月至 2021 年 6 月在本院行永久性肠造口术治疗的 80 例结直肠癌患者为造口组，同期行保肛手术治疗的 80 例结直肠癌患者为对照组。采用心理弹性量表（CD-RISC）、正性心理资本问卷（PPQ）和癌症患者生活质量特异性量表（QOL-LC）评估两组患者心理健康程度和生活质量，并采用线性相关模型分析 CD-RISC 评分、PPQ 评分和 QOL-LC 评分的相关性。
结果
造口组患者坚韧、乐观、自强和心理弹性总分均显著低于对照组，差异均有统计学意义（ < 0.05）；造口组患者自我效能、乐观、希望和心理弹性 4 个维度及 PPQ 总分均显著低于对照组，差异均有统计学意义（ < 0.05）；造口组患者躯体功能、心理功能、症状副作用、社会功能和 QOL-LC 总分均显著低于对照组，差异均有统计学意义（ < 0.05）；造口组患者 QOL-LC 总分与 PPQ 评分和 CD-RISC 评分均呈显著正相关（ = 0.511、 = 0.608， < 0.01）。
结论
永久性肠造口术会降低结直肠癌患者整体心理健康水平和生活质量，患者心理健康状况与生活质量存在一定相关性。
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