| 彭昕和,白明华,褚嘉栋,等.基于网络平台调查的392例直肠癌患者治疗意愿影响因素分析[J].肿瘤学杂志,2024,30(6):486-491. |
| 基于网络平台调查的392例直肠癌患者治疗意愿影响因素分析 |
| Analysis of Expectation for Treatment Outcomes and Influencing Factors in 392 Cases with Rectal Cancer Based on Network Platform Survey |
| 投稿时间：2024-04-29 |
| DOI：10.11735/j.issn.1671-170X.2024.06.B006 |
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| 中文关键词: 直肠肿瘤 患者治疗意愿 手术 新辅助治疗 |
| 英文关键词:rectal neoplasms patient preference surgery neoadjuvant treatment |
| 基金项目:浙江省科技厅重点研发“尖兵”计划（2022C03015）；国家卫生健康委员会科研基金（省部共建）（WKJ-ZJ-2305） |
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| 中文摘要: |
| 摘 要：［目的］调查分析直肠癌患者对治疗相关因素的选择及各因素优先等级的排序，希望能对肿瘤医生从患者角度出发进行治疗决策有所帮助，从而提升患者对治疗的满意度。［方法］ 设计一份包含15个直肠癌治疗相关因素的问卷。2023年12月19日至2024年1月12日期间，通过浙江省肿瘤医院平台进行问卷发放，以调查直肠癌患者对直肠癌治疗可能涉及疗效和生活质量相关因素的重要性选择及排序。运用Microsoft Excel、 SPSS 26.0软件进行统计分析。计数资料采用频数、构成比表示，亚组间分类变量的分析采用卡方检验。 ［结果］最终确定有效问卷392份。392例直肠癌患者认为对其整体健康和生活质量“非常重要”的5个影响因素依次为癌症得到治愈(n=376，95.9%)、无手术并发症(n=270，68.9%)、治疗后无永久性结肠造口(n=266，67.9%)、治疗后大便习惯和排便恢复正常 (n=248，63.3%)、恢复正常的运动和体力活动 (n=191，48.7%)。不同治疗状态、分期、年龄、学历的患者之间对影响因素的选择存在差异。 ［结论］ 对治疗后生活质量与器官功能保留的越来越重视是绝大多数患者的共同选择。手术治疗目前仍为患者选择的主要治疗模式，新辅助治疗后的观察等待策略作为一种有效的新兴治疗模式，需要进一步提升医患双方对其认知。 |
| 英文摘要: |
| Abstract：［Objective］ To investigate the expectation on treatment outcomes and related factors in patients with rectal cancer. ［Methods］ A questionnaire survey on the expectation of rectal cancer patients for treatment outcomes was conducted through the platform of Zhejiang Cancer Hospital from December 2023 to January 2024. The factors related to the treatment choices were analyzed. ［Results］ A total of 392 valid questionnaires were collected. The most important expectation related to the treatment con-sidered by participants was completed cure of cancer (n=376， 95.9%)， followed by no any complications after surgery(n=270， 68.9%)， no permanent stoma after treatment (n=266， 67.9%)， normal bowel habits and continence after treatment (n=248， 63.3%)， and normal exercise and physical activity (n=191， 48.7%). Patients with different treatment status， tumor staging， age and education background showed differences in expectation for treatment outcomes. ［Conclusion］ The overall quality of life and preservation of organ function are mostly expected for rectal cancer patients after surgical treatment. At present， surgery remains the major treatment modality of rectal cancer， and the watch and wait (W&W) strategy after neoadjuvant therapy need to be known more as an effective emerging treatment modality for both doctors and patients. |
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