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目的了解不同手术方式的低位直肠癌患者术后生活质量,对直肠癌术后护理及指导提供依据。方法采取前瞻性队列研究对直肠癌术后护理及指导提供依据。结果共调查58例患者,术后总的生存质量及功能量表中躯体功能、角色功能、认知功能、情感功能和社会功能等与术后1个月时的状况相比,在术后3个月、术后6个月时有了明显改善,且保肛手术优于去肛手术(P<0.05)。结论直肠癌术后生存质量是动态变化,与手术时间呈正比,且不同手术方式存在差别。护理工作者应该根据患者的实际情况给予针对性的指导和帮助,以提高其生存质量。
Objective To understand the postoperative quality of life of patients with low rectal cancer with different surgical methods, and provide evidence for postoperative care and guidance of rectal cancer. Methods A prospective cohort study was used to provide evidence for postoperative care and guidance of rectal cancer. RESULTS: A total of 58 patients were investigated for total postoperative quality of life and physical function, role, cognitive function, emotional function, and social function of the functional scale compared with those at 1 month after surgery. At month and 6 months after operation, there was a significant improvement and sphincter preserving surgery was superior to anal resection (P<0.05). Conclusion The quality of life after rectal cancer is dynamic, and it is proportional to the operation time. There are differences in different surgical methods. Nursing workers should provide targeted guidance and help based on the actual situation of the patients to improve their quality of life.