Application of quality of life assessment methods for postoperative patients with colorectal cancer

doi:10.3877/cma.j.issn.2095-3224.2021.06.013

Abstract

Abstract:

Quality of life refers to the experience of individuals in different cultures and value systems on the living conditions related to goals, expectations and concerns. This concept has become an indispensable part of clinical efficacy evaluation methods for cancer patients. It is very important to choose the right QOL assessment method for improving the analysis of surgery and improving the QOL of patients after surgery. In this paper, the application of QOL assessment methods for colorectal cancer patients after operation was reviewed to provide reference for clinicians to choose appropriate assessment methods in follow-up and researches.

Key words: Colorectal neoplasms, Quality of life (QOL), Scale

Mingyu Zheng, Qian Zhang, Guiyu Wang. Application of quality of life assessment methods for postoperative patients with colorectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2021, 10(06): 648-653.

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References 37

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简称	中英文全称	量表类型	条目数量	维度数量	维度内容	特点
QLQ-C30	生活质量核心调查问卷（Quality of Life Questionaire-Core 30）	普适性-癌症	30	15	5个功能维度、9个症状维度和总体生活质量维度	信度较高，广泛应用于临床及科研
QLQ-CR38	结直肠癌特异性生活质量调查问卷38（Quality of Life Questionaire-Colorectal 38）	特异性-结直肠癌	38	12	4个功能维度、8个症状维度	内容全面，个体化检测能力较强，但协调性较差
QLQ-CR29	直肠癌特异性生活质量调查问卷29（Quality of Life Questionaire-Colorectal 29）	特异性-结直肠癌	29	17	6个基本维度、4个性相关维度和7个单独维度	内容简便且具有针对性，尤其对直肠癌敏感
FACT-C	结直肠癌治疗功能评价系统（Functional Assessment of Cancer Therapy Colorectal Cancer）	特异性-结直肠癌	36	5	躯体状况、社会/家庭状况、情感状况、功能状况和结直肠癌特异性条目	结直肠癌应用最为广泛
SF-36	健康状况调查简表（MOS item short from health survey）	通用性	36	8	躯体功能、躯体角色、疼痛、总体健康、活力、社会功能、角色情绪和心理健康	广泛应用于普通人群生活质量评估
CCF-CaQL	克利夫兰诊所结直肠癌生活质量调查问卷（The New Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire）	特异性-结直肠癌	25	4	生活质量、肠道功能、疼痛和对未来的担忧	结合手术特有因素，对低位直肠癌患者术后长期生活质量评估有重要意义
FIQL	大便失禁生活质量量表（Fecal Incontinence Quality of Life scale）	特异性-结直肠癌	29	4	生活方式、竞争/行为、抑郁/自我认知、尴尬	将直肠癌和其他胃肠道疾病患者进行显著区分，维度稳定性高
FISI	大便失禁严重性指数（Fecal Incontinence Severity Index）	普适性-大便失禁症状	31	9	失禁影响、角色、身体功能、社会功能、个人功能、情绪问题、睡眠、精力和总体健康维度	国际通用评估大便失禁症状的严重程度和对生活质量影响的量表
FLIC	癌症患者生活功能指标（The Functional Living Index-Cancer）	普适性-癌症	22	5	生理适应与能力、情绪症状、社会生活能力、家庭状态、恶心呕吐	对角色认知、社交能力、情绪状态及主观感受等精准测评
GIQLI	胃肠生活质量量表（Gastrointestinal Quality of Life Index）	特异性-消化道疾病	36	4	自觉症状、躯体生理功能、生理情绪状况和日常功能	在受检患者中区分出看似正常的人群，但功能维度内容相对不足
NHP	诺丁汉健康调查问卷（Nottingham Health Profile）	普适性-癌症	38	6	精力、疼痛、情绪反应、睡眠、社会孤独感和身体活动能力	对单病种癌症患者生活质量结果具有可靠性，但对多元发癌症干扰因素敏感性较差

简称	中英文全称	量表类型	条目数量	维度数量	维度内容	特点
QLQ-C30	生活质量核心调查问卷（Quality of Life Questionaire-Core 30）	普适性-癌症	30	15	5个功能维度、9个症状维度和总体生活质量维度	信度较高，广泛应用于临床及科研
QLQ-CR38	结直肠癌特异性生活质量调查问卷38（Quality of Life Questionaire-Colorectal 38）	特异性-结直肠癌	38	12	4个功能维度、8个症状维度	内容全面，个体化检测能力较强，但协调性较差
QLQ-CR29	直肠癌特异性生活质量调查问卷29（Quality of Life Questionaire-Colorectal 29）	特异性-结直肠癌	29	17	6个基本维度、4个性相关维度和7个单独维度	内容简便且具有针对性，尤其对直肠癌敏感
FACT-C	结直肠癌治疗功能评价系统（Functional Assessment of Cancer Therapy Colorectal Cancer）	特异性-结直肠癌	36	5	躯体状况、社会/家庭状况、情感状况、功能状况和结直肠癌特异性条目	结直肠癌应用最为广泛
SF-36	健康状况调查简表（MOS item short from health survey）	通用性	36	8	躯体功能、躯体角色、疼痛、总体健康、活力、社会功能、角色情绪和心理健康	广泛应用于普通人群生活质量评估
CCF-CaQL	克利夫兰诊所结直肠癌生活质量调查问卷（The New Cleveland Clinic Colorectal Cancer Quality of Life Questionnaire）	特异性-结直肠癌	25	4	生活质量、肠道功能、疼痛和对未来的担忧	结合手术特有因素，对低位直肠癌患者术后长期生活质量评估有重要意义
FIQL	大便失禁生活质量量表（Fecal Incontinence Quality of Life scale）	特异性-结直肠癌	29	4	生活方式、竞争/行为、抑郁/自我认知、尴尬	将直肠癌和其他胃肠道疾病患者进行显著区分，维度稳定性高
FISI	大便失禁严重性指数（Fecal Incontinence Severity Index）	普适性-大便失禁症状	31	9	失禁影响、角色、身体功能、社会功能、个人功能、情绪问题、睡眠、精力和总体健康维度	国际通用评估大便失禁症状的严重程度和对生活质量影响的量表
FLIC	癌症患者生活功能指标（The Functional Living Index-Cancer）	普适性-癌症	22	5	生理适应与能力、情绪症状、社会生活能力、家庭状态、恶心呕吐	对角色认知、社交能力、情绪状态及主观感受等精准测评
GIQLI	胃肠生活质量量表（Gastrointestinal Quality of Life Index）	特异性-消化道疾病	36	4	自觉症状、躯体生理功能、生理情绪状况和日常功能	在受检患者中区分出看似正常的人群，但功能维度内容相对不足
NHP	诺丁汉健康调查问卷（Nottingham Health Profile）	普适性-癌症	38	6	精力、疼痛、情绪反应、睡眠、社会孤独感和身体活动能力	对单病种癌症患者生活质量结果具有可靠性，但对多元发癌症干扰因素敏感性较差

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