Chất lượng cuộc sống của người bệnh trước và sau phẫu thuật làm hậu môn nhân tạo vĩnh viễn và một số yếu tố liên quan tại 2 bệnh viện ở Việt Nam=Quality of life of patients before and after permanent anal surgery and some related factors at 2 hospitals in Vietnam

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Tác giả: Thị Yến Đinh, Thị Phương Nguyễn, Thị Dung Phan, Mai Linh Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.389-397

Bộ sưu tập: Metadata

ID: 242140

Thêm vào giỏ

Colorectal cancer is a common malignancy in the gastrointestinal tract, accounting for different rates in each country. Surgery to do HMNT is one of the solutions to treat the disease. Carrying an artificial anus seriously affects health, mental and work, and is a burden on families and society. Therefore, we conducted a study to assess the quality of life of patients before and after permanent anal surgery and a number of related factors. Methods: A cross sectional descriptive study interviewed 125 patients diagnosed with colorectal cancer. Permanent anal surgery at Viet Duc University Hospital and National Institute for Cancer Control. QLQ C30 is a tool used to assess the patient's quality of life.The ANOVA or t-test is used to compare the mean between independent group. Results: The quality of life of patients before surgery according to the ratio shows that the rate of maintaining sexual life, eating and exercising are all higher than the rate after surgery. The overall quality of life of patients after permanent anal surgery is quite good, with an average score of 62.5 ± 20.4. There is an association between the position of the artificial anus and the quality of life of the patient (p<
0.001). Conclusion: The patient's quality of life before surgery is affected by symptoms, greatly affected in life and diet. The overall quality of life of patients after permanent anal surgery is at a good level. Factors related to quality of life are the basis for timely interventions to help patients reduce anxiety and improve their quality of life.Ung thư đại trực tràng là một bệnh ác tính hay gặp ở đường tiêu hóa, chiếm tỷ lệ khác nhau ở mỗi quốc gia. Phẫu thuật làm hậu môn nhân tạo (HMNT) là một trong những giải pháp để điều trị bệnh. Việc mang hậu môn nhân tạo ảnh hưởng nghiêm trọng đến sức khỏe, tinh thần và công việc, là gánh nặng cho gia đình và xã hội. Vì thế, chúng tôi thực hiện nghiên cứu đánh giá chất lượng cuộc sống của người bệnh trước và sau phẫu thuật làm hậu môn nhân tạo vĩnh viễn và một số yếu tố liên quan. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang, phỏng vấn trên 125 người bệnh (NB) được chẩn đoán mắc ung thư đại trực tràng. Phẫu thuật làm HMNT vĩnh viễn tại Bệnh viện Hữu nghị Việt Đức và Bệnh viện K. QLQ C30 là công cụ được sử dụng để đánh giá chất lượng cuộc sống của người bệnh. ANOVA hoặc T-test được sử dụng để so sánh giá trị trung bình giữa các nhóm độc lập. Kết quả: Chất lượng cuộc sống của NB trước phẫu thuật cho thấy tỷ lệ duy trì đời sống tình dục, tỷ lệ ăn uống, luyện tập thể dục đều cao hơn so với tỷ lệ sau phẫu thuật. Chất lượng cuộc sống chung của NB sau phẫu thuật làm HMNT vĩnh viễn ở mức khá có điểm số trung bình đạt 62,5 ± 20,4. Có mối liên quan giữa vị trí HMNT với chất lượng cuộc sống của NB (p<
0,001). Kết luận: Chất lượng cuộc sống của NB trước phẫu thuật bị ảnh hưởng bởi các triệu chứng, bị ảnh hưởng nhiều trong đời sống và chế độ ăn uống. Chất lượng cuộc sống chung của NB sau phẫu thuật làm HMNT vĩnh viễn ở mức khá. Yếu tố liên quan đến chất lượng cuộc sống là cơ sở để đưa ra những can thiệp kịp thời nhằm giúp NB giảm bớt lo lắng, nâng cao chất lượng cuộc sống.

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