Effects of expert patient program on early quality of life and adaptation in rectal cancer patients after Miles surgery
10.3760/cma.j.issn.1674-2907.2015.20.014
- VernacularTitle:内行患者计划对直肠癌患者 Miles 术后早期生活质量及造口适应水平的影响
- Author:
Funa YANG
1
;
Li WEI
;
Dongying LIU
Author Information
1. 450008 郑州大学附属肿瘤医院 河南省肿瘤医院护理部
- Keywords:
Rectal cancer;
Quality of life;
Colostomy;
Expert patient program;
Miles surgery
- From:
Chinese Journal of Modern Nursing
2015;(20):2405-2408
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influence of expert patient program on early quality of life and adaptation in patients after Miles surgery. Methods A total of 103 patients after Miles surgery from February 2013 to July 2014 were selected and divided into intervention group (52 cases) and control group (51 cases) randomly by using random number table. The patients of intervention group participated in a two-month course of expert patient program, and the patients of control group received routine outpatient follow-up. Two groups of patients′ quality of life and adaptation were compared after intervention using QLQ-C30 and Ostomy Adjustment Scale (OAS) after two months intervention. Results Before intervention, each dimensions of quality of life and stoma adaptation had no statistical difference ( P > 0. 05). Each dimensions of quality of life and stoma adaptation in the intervention group were better than those in the control group after two months course of expert patient program except the dimensions of fatigue, difficulty breathing and loss of appetite (t = - 6. 79 - 9. 21;P < 0. 05);scores of total stoma adaptation and its each dimensions of the intervention group were higher than those of the control group (t = 2. 60 - 8. 93;P < 0. 05). Conclusions The implementation of expert patient program can significantly improve quality of life and adaptation level in patients after Miles surgery.