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| The correlation between quality of life and symptom distress in patients with thoracoscopic and laparoscopic esophagectomy |
| YAN Xuemei1 HAN Yan2 MA Lijuan1 SU Jianping3 |
1.Nursing College of Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830000, China;
2.Department of Thoracic Surgery, Tumor Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China;
3.Nursing Department, Tumor Hospital Affiliated to Xinjiang Medical University, Xinjiang Uygur Autonomous Region, Urumqi 830011, China |
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Abstract Objective To investigate the relationship between symptom distress and quality of life in patients with thoracic and laparoscopic radical resection of esophageal carcinoma. Methods From December 2016 to April 2017, 94 patients with esophageal cancer treated by thoracic laparoscopy combined with radical resection of esophageal carcinoma were investigated by convenient sampling method, and the status of symptom distress and the quality of life score were analyzed. Pearson correlation analysis was used to analyze the correlation between symptom distress and quality of life after radical resection of esophageal carcinoma. Results The most plagued for patients with thoracic laparoscopy combined with radical esophagectomy was the concern for the prospects, the rest in turn were the appearance changes, fatigue, pain, insomnia, loss of appetite and so on. The score of cognitive functional dimension was the highest and the somatic functional status were the lowest in all functional areas of postoperative quality of life. There were no significant differences in the scores of cognitive function, emotional function, diarrhea when compared with Norwegian norm in symptom domains and single item (P ＞ 0.05);the scores of physical function, role function, social function, general health status, constipation and pain were lower than the norm, with statistically significant differences (P ＜ 0.05); Shortness of breath, loss of appetite, fatigue, nausea and vomiting, insomnia, economic difficulties were higher than the norm (P ＜ 0.05). Pearson correlation analysis showed that the scores of symptom distress were negatively correlated with the overall health status, physical function, emotional function, social function, cognitive function and role function of quality of life (P ＜ 0.001). Conclusion After radical resection of esophageal cancer, the symptoms of the patients are common and suffer from multiple symptoms, the quality of life is at a low level. Nursing staff should pay attention to the evaluation and management of patients' symptoms, pay attention to the outcome of nursing care, so as to improve the quality of life in patients with esophageal cancer after operation.
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