Evaluation of early recovery quality in elderly patients with gastrointestinal tumor resection by quality of recovery-40 questionnaire
10.3760/cma.j.issn.1673-4904.2019.01.002
- VernacularTitle:40项恢复质量评分量表评估老年胃肠道肿瘤切除术患者早期恢复质量的研究
- Author:
Ying ZHANG
1
;
Liang XU
;
Rongzhen YIN
;
Miaomiao GUO
;
Wei ZHANG
;
Zhengliang MA
Author Information
1. 南京大学医学院附属鼓楼医院麻醉科 210008
- Keywords:
Gastrointestinal neoplasms;
Aged;
Recovery of function;
Quality of recovery-40 questionnaire
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(1):2-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influencing factors and early recovery quality in elderly patients with gastrointestinal tumor resection by the quality of recovery-40 questionnaire (QoR-40 questionnaire). Methods One hundred and forty- two elderly patients who had underwent gastrointestinal tumor resection from February to June 2017 were selected. The patients were over 65 years old. Their body mass index was (22.98 ± 3.20) kg/m2, and American Society of Anesthesilogists (ASA) wasⅡorⅢgrade. The patients were assessed with QoR-40 questionnaire on the first and second day after operation, and the factors affecting the total score of QoR-40 questionnaire on the first and second day after operation were analyzed. Results Compared with those on the first day after operation, the scores of emotional status, physical comfort, psychological support, physical independence, pain and total score of QoR-40 questionnaire on the second day after operation were significantly higher: 42 (39, 43) scores vs. 40 (38, 42) scores, 53 (52, 54) scores vs. 52 (50, 53) scores, 35 (35, 35) scores vs. 35 (34, 35) scores, 15 (13, 15) scores vs. 14 (12, 15) scores, 34 (33, 35) scores vs. 33 (32, 34) scores and 178 (173, 182) scores vs. 174 (169, 177) scores, and there were statistical differences (P<0.01). On the first day after operation, the total score of the QoR-40 questionnaire was related with the type of operation (P<0.05), and it was not related with age, sex and anesthesia (P>0.05);on the second day after operation, the total score of QoR-40 questionnaire was related with age and operation type (P<0.05), and it was not related with sex and anesthesia (P > 0.05). Conclusions The early postoperative period score of QoR-40 questionnaire in patients with colorectal tumor resection and age less than 70 years old is higher, and the recovery quality after operation is relatively good, suggesting that the operation type and age may be an important factor affecting the early recovery quality of the elderly patients with gastrointestinal tumor resection.
