Jurys Tomasz, Kupilas Andrzej, Szczębara Maciej, Witosińska-Walica Agata, Suchojad Martyna, Paradysz Andrzej, Burzyński Bartłomiej
Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Poland.
Department of Urology and Uro-Oncology, City Hospital, Gliwice, Poland.
Cent European J Urol. 2024;77(3):375-382. doi: 10.5173/ceju.2024.23.R1. Epub 2024 Oct 28.
In the literature on cancer treatment, there is growing interest in quality of life (QoL). Improvement in QoL is coming to be regarded as a key consideration in maintaining standards of care. The choice of medical intervention should be based not only on a patient's physical health, test results, and the stage of the disease, but also on their emotional and psychosocial condition.
The study included a group of 72 men with prostate cancer scheduled for radical prostatectomy (RP). QoL was assessed using standardised and validated questionnaires. The survey was conducted before surgery and then after 3, 6, 9, and 12 months.
Analysis of changes in QoL 3 months after surgery showed a significant decrease in all symptomatic and functional domains, the largest decrease being observed in social functioning. One year after surgery, most scores had returned to their preoperative level, with the exception of those for social functioning, symptoms of pain, insomnia, and financial difficulties. It was noted that preoperative urinary symptom scale scores were significantly lower than those obtained one year after RP, the largest difference being apparent in the first months after surgery. It was also found that the number of people using incontinence precautions significantly increased 3 months after surgery and continued to do so.
The greatest deterioration of QoL occurs in the first months after surgery and mainly affects social, emotional, and sexual functioning, as well as symptoms related to incontinence and fatigue.
在癌症治疗的文献中，人们对生活质量（QoL）的兴趣日益浓厚。生活质量的改善正逐渐被视为维持护理标准的关键考量因素。医疗干预的选择不仅应基于患者的身体健康、检查结果和疾病阶段，还应考虑他们的情绪和心理社会状况。
该研究纳入了一组计划接受根治性前列腺切除术（RP）的72名前列腺癌男性患者。使用标准化且经过验证的问卷对生活质量进行评估。调查在手术前进行，然后在术后3个月、6个月、9个月和12个月进行。
对术后3个月生活质量变化的分析显示，所有症状和功能领域均显著下降，其中社会功能下降最为明显。术后一年，除社会功能、疼痛症状、失眠和经济困难的评分外，大多数评分已恢复到术前水平。值得注意的是，术前泌尿症状量表评分显著低于RP术后一年的评分，术后头几个月差异最为明显。还发现，术后3个月使用尿失禁预防措施的人数显著增加且持续如此。
生活质量在术后头几个月恶化最为严重，主要影响社会、情感和性功能，以及与尿失禁和疲劳相关的症状。
