摘要
目的探讨心理及饮食干预对胃癌术后患者生活质量和复发等预后的影响。方法2002年5月至2003年4月辽宁省肿瘤医院对胃癌根治术患者463例给予出院后饮食指导及心理干预治疗。按患者的依从程度分为甲、乙两组,甲组为基本依从,乙组为基本不依从。比较两组患者出院后6个月,2年时体重变化和生活质量。(1)评价生活质量用自制生活质量量表,包括食欲、精神、睡眠、疲乏、疼痛、排便、家庭和同事的理解、对癌症的认知、对治疗的态度、日常生活情节10部分。每个项目分5个等级,满分50分。(2)体重评价:体重增加或减少>3kg为体重增加或减少,≤3kg为体重稳定。结果术后两年进入结果分析417例,甲组253例,乙组164例。(1)生活质量因子评分:治疗后6个月和2年生活质量各项指标两组差异有显著性(P<0.05)。(2)患者复发率分析:两组术后6个月差异无显著性(P>0.05),术后2年差异有显著性(P<0.05)。(3)体重分析:两组比较差异有显著性(P<0.01)。结论胃癌根治术后心理及饮食干预可以显著提高患者生存质量,改善营养状态,延长生存时间。
Objective To investigate the influence of psychological and food intervention on prognosis and quality of life in patients with gastric cancer after radical operation. Methods From May 2002 to April 2003,463 patients after radical operation of gastric cancer in Liaoning Tumor Hospital were treated with psychological and food intervention after discharge from the hospital. The patients were divided into two groups（A and B）according to compliance,group A was compliant,group B was not. The two groups were compared for changes of weight and quality of life from six months to two years after discharge from hospital. （ 1 ） Quality of life was assessed based on a self-designed QOL scale including appetite, mental status, sleep, tiredness, defecation, pain, understanding from family and colleagues, cognition of cancer, attitude to treatment and plots of daily life. Each of the 10 items was rated into 5 grades, and each grade was labeled from 1 to 5 points with the full marks of 50. （2）Patients＇ weight was assessed based on the changes of weight, increasing or decreasing by over 3 kg was defined as weight gain or loss, however,less than 3 kg meant no change. Resuits 417 cases were analyzed two years after operation. Of them 253 belonged in group A and 164 belonged in group B. （ 1 ）Quality of life analysis：The items were significantly different between the 2 groups six months and two year after discharge from hospital （ P 〈 0.05 ）. （ 2 ） Recurrence analysis： The 2 groups had no significant difference six months after operation （ P 〉 0.05 ）, but they were different after two years （ P 〈 0.05 ）. （ 3 ） Weight analysis： The 2 groups were different （ P 〈 0.01 ）. Conclusion Psychological and food intervention after radical operation of gastric cancer can improve quality of life and nutritional state and prolong life.
出处
《中国肿瘤临床与康复》
2007年第1期82-84,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
胃肿瘤/外科学
生活质量
复发
Stomach neoplasms/surgery
Quality of life
Recurrence
