结肠癌患者术后生活质量的评价

目的应用SF-36量表中文版评价结肠癌患者术后的生活质量及其影响因素。方法选取经手术治疗的结肠癌患者116例及100例正常对照应用SF-36量表中文版调查问卷，分析两组间综合评分及量表各维度得分的关系，及其影响因素。结果结肠癌患者术后生活质量综合评分与对照组差异无显著性（P〉0．05），但生理机能和生理职能维度得分较对照组低（P〈0．05）。综合评分影响因素为并存疾病数且呈负相关。各维度影响因素：躯体疼痛维度为并存疾病数、年龄和职业，一般健康状况维度为并存疾病数和体重指数，精力维度为职业，社会功能维度为并存疾病数，生理机能维度为并存疾病数。结论应用SF-36量表中文版评价安徽省结肠癌患者术后的生活质量综合评分较高，提示生活质量较好，但受并存疾病数影响较大。

Quality of life patients with colon cancer of Anhui province

Objective To determine the quality of life (QOL) of patients with colon cancer using MOS SF-36 and to identify its affecting factors.Methods 116 patients with colon cancer receiving surgery and 100 healthy controls were evaluated by MOS SF-36,then the scores of the two groups were compared. Multiple stepwise regression analysis was made to assess the factors affecting QOL. Results The patients reported a relatively uniform and high QOL,irrespective of the stage at diagnosis and time from diagnosis. But the scores of PF and RF domain were lower than that of the healthy controls. Non-cancer related comorbid conditions had more influence on overall QOL. And job,age,non-cancer related comorbid condition had influence on the BP domain;weight mass, non-cancer related comorbid condition had influence on the GH domain;job had influence on the VT domain;Non-cancer related comorbid conditions had more influence on the SF and PF domain. Conclusion The results of this study suggest that the patients with colon cancer of Anhui Province of China experience a relatively high QOL, and non-cancer related comorbid conditions have more influence on overall QOL.