Department of Surgery, Kyungpook National University Hospital, Daegu, 130 Dongdeok-Ro, Jung-Gu, 41944, Republic of Korea.
Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
J Cancer Educ. 2024 Aug;39(4):455-463. doi: 10.1007/s13187-024-02430-z. Epub 2024 May 21.
This study aimed to estimate the impact of having fewer opportunities for patient education on health perception of gastric cancer survivors by examining quality-of-life (QoL) responses from patients who had been away for chemotherapy for a year. The full-surveillance (FullSV) group was comprised of gastric cancer survivors with stage I cancer who completed preoperative and postoperative 3-, 6-, 9-, and 12-month surveillances. The returning (RTN) group was comprised of 1-year survivors of stage II cancer who had been away for chemotherapy for a year. Surveillance periods were utilized to provide patient education about expected postoperative weight changes. The European Organisation for Research and Treatment of Cancer QoL questionnaires were used to assess QoL. The study included a total of 278 patients (243 in the FullSV group and 35 in the RTN group). The baseline QoL was not significantly different between the groups. Significant differences in postoperative QoL were revealed by some scales (global health status/QoL, physical functioning, fatigue, financial difficulties, anxiety, dry mouth, and body image), all in favor of the FullSV group. Despite no significant difference in their actual weight changes, stronger weight dissatisfaction was revealed among the RTN group. Patients with fewer educational inputs for postoperative adjustment of weight perception were the ones with stronger dissatisfaction about current weight. The health perception of cancer survivors is under the constant influence of clinician feedback during patient education. For the best cancer survivorship care, sufficient opportunities for adjustment of health perception through patient education need to be ensured.
本研究旨在通过检查接受化疗 1 年以上的胃癌幸存者的生活质量（QoL）反应，来评估患者接受教育的机会较少对胃癌幸存者健康感知的影响。全监测（FullSV）组包括接受过术前和术后 3、6、9 和 12 个月监测的 I 期胃癌幸存者。随访（RTN）组由接受过化疗 1 年以上的 II 期胃癌幸存者组成。监测期用于提供有关预期术后体重变化的患者教育。使用欧洲癌症研究和治疗组织（EORTC）生活质量问卷评估 QoL。该研究共纳入 278 名患者（FullSV 组 243 名，RTN 组 35 名）。两组基线 QoL 无显著差异。一些量表（总体健康状况/生活质量、身体功能、疲劳、经济困难、焦虑、口干和身体形象）揭示了术后 QoL 的显著差异，所有这些都有利于 FullSV 组。尽管两组患者的实际体重变化无显著差异，但 RTN 组的体重不满程度更强。对术后体重感知调整的教育输入较少的患者对当前体重的不满程度更强。癌症幸存者的健康感知受到临床医生在患者教育过程中反馈的持续影响。为了获得最佳的癌症生存护理，需要通过患者教育确保有足够的机会调整健康感知。
