Quality of life of early esophageal cancer patients after endoscopic mucosal dissection and its influencing factors analysis
10.3760/cma.j.cn115682-20240202-00671
- VernacularTitle:早期食管癌患者内镜下黏膜剥离术后生活质量的影响因素分析
- Author:
Xiaoping LYU
1
;
Yina YANG
;
Qingtian LI
;
Siting GAO
;
Peng CHEN
;
Tongjun DONG
Author Information
1. 沧州市中心医院消化窥镜室，沧州 061000
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasms;
Early stage;
Endoscopic mucosal resection;
Quality of life;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2025;31(8):1089-1093
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the factors affecting quality of life in patients with early esophageal cancer after endoscopic submucosal dissection (ESD) .Methods:Convenience sampling was used to select 162 early esophageal cancer patients with ESD in Cangzhou Central Hospital from August 2021 to July 2023 who had an on-time follow-up six months as study subjects. General Information Questionnaire and Quality of Life Instruments for Cancer Patients-Esophageal Cancer (QLICP-ES) were used to investigate the patients. Factors affecting the quality of life of patients after ESD for early esophageal cancer were analyzed using univariate analysis and multiple linear regression analysis.Results:Univariate analysis showed statistically significant differences in QLICP-ES scores among patients with different gender, age, marital status, annual income, medical payment method, concomitant diseases, degree of infiltration, vascular invasion, surgical complications, and positive margins ( P<0.05). Multiple linear regression analysis showed that age, marital status, concomitant diseases, vascular invasion, surgical complications, and positive margins were the factors influencing the QLICP-ES scores of patients with ESD for early esophageal cancer, and the differences were statistically significant ( P<0.05) . Conclusions:Quality of life at six months after ESD in patients with early esophageal cancer is at an intermediate to high level. Patients of advanced age, unmarried/divorced/widowed, concomitant diseases, vascular invasion, surgical complications and positive margins have low QLICP-ES scores after ESD for early esophageal cancer. It is recommended that clinical attention be focused on these factors and that targeted nursing measures be taken when necessary.
