| 5 | 手术类型和患者特征对低位直肠癌术后患者生活质量的影响显示文摘PURPOSE: This study was designed to compare the impact of a permanent colostomy and sociodemographic characteristics on the quality of life of patients operated on for low rectal cancer. METHODS: A cross-sectional study was performed by use of the European Organization for Research and Treatment of Cancer QLQ-C30 and CR-38 questionnaires. Patients came to the hospital to fill out the self-administered questionnaire or were sent the questionnaire by mail, followed by a live or telephone interview. All patients had undergone one of four operations: low anterior resection with colorectal or coloanal anastomosis (non-stoma group), or abdominoperineal resection with pseudocontinent perineal colostomy (nonstom a group) or left lower quadrant colostomy (stoma group). RESULTS: A total of 132 patients were included for analysis and there were no missing data. For the majority of quality of life scores (26/29), there was no significant difference between stoma and nonstoma patients. However, stoma patients complained of diminished body image (P = 0.0022), and this was especially true for married (P = 0.0073 ) and less educated (P = 0.0014) patients at subgroup analysis. Stoma patients experienced greater financial worries (P = 0.0029), whereas nonstoma patients had greater gastrointestinal concerns (P = 0.0098). CONCLUSIONS: Although most quality of life scores between stoma and nonstoma patients were similar, significant differences regarding body image, finance, and gastrointestinal symptoms, espec ially for married and less educated patients, were noticed. These factors should be taken into account, along with oncologic criteria, to better tailor treatmen ts to patients. | Sideris L Zenasni F Vernerey D. M. Pocard 尹勇 | 2006 | 世界核心医学期刊文摘(胃肠病学分册)2006，0，4： | 0 |
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