Correlation between readiness for hospital discharge and short-term quality of life in colorectal cancer patients following enhanced recovery after surgery mode_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Jie ¹ ,  HE Yuhua ¹ , JIANG Lili ¹ , LI Ka ²

1. Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. West China School of Nursing, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

HE Yuhua, Email: heyuhua1006@163.com

Keywords：

enhanced recovery after surgery; colorectal cancer; readiness for hospital discharge; quality of life; correlation analysis

DOI：

10.7507/1007-9424.201811028

Video：

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Objective To explore the correlation between readiness for hospital discharge and short-term quality of life among colorectal cancer (CRC) patients following enhanced recovery after surgery (ERAS) mode.Methods Surveys of 127 CRC patients following ERAS mode were conducted in the West China Hospital of Sichuan University. The Readiness for Hospital Discharge Scale and EORTC QLQ-C30 Scale were issued at the discharge and 1 month after the operation, respectively.Results The total score of RHDS was 149.43±33.25. The score of global quality of life was 66.80±18.84. Correlation analysis showed that the total score of RHDS was positively correlated with the score of global quality of life (r=0.220, P=0.013), and negatively correlated with the scores of fatigue, nausea and vomiting, pain, loss of appetite (r=–0.304, P=0.001; r=–0.189, P=0.033; r=–0.257, P=0.004; r=–0.254, P=0.004). The score of personal status dimension were positively correlated with the score of global quality of life and emotional function (r=0.213, P=0.016; r=0.197, P=0.027), and negatively correlated with scores of fatigue, pain and insomnia (r=–0.311, P=0.000; r=–0.264, P=0.003; r=–0.257, P=0.004). The score of knowledge dimension was negatively correlated with nausea and vomiting, pain and loss of appetite (r=–0.212, P=0.017; r=–0.182, P=0.040; r=–0.239, P=0.007). The score of coping ability dimension was positively correlated with the score of global quality of life and physical function (r=0.204, P=0.021; r=0.204, P=0.021), while negatively correlated with scores of fatigue, pain, insomnia and loss of appetite (r=–0.349, P=0.000; r=–0.240, P=0.007; r=–0.202, P=0.022; r=–0.201, P=0.024). The score of expected support was positively correlated with the score of global quality of life (r=0.220, P=0.013), and negatively correlated with scores of fatigue and loss of appetite (r=–0.249, P=0.005; r=–0.227, P=0.010).Conclusions The short term quality of life among CRC patients following ERAS keeps at upper middle level, and positively correlated with the readiness for hospital discharge. It is suggested that discharge preparation service is of great significance to improve the quality of life of patients.

Citation： YANG Jie, HE Yuhua, JIANG Lili, LI Ka. Correlation between readiness for hospital discharge and short-term quality of life in colorectal cancer patients following enhanced recovery after surgery mode. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(2): 157-161. doi: 10.7507/1007-9424.201811028 Copy

1.	Zhao JH, Sun JX, Gao P, et al. Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery: a meta-analysis. BMC Cancer, 2014, 14: 607.
2.	Adamina M, Kehlet H, Tomlinson GA, et al. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery, 2011, 149(6): 830-840.
3.	李卡, 胡艳杰, 刘雨薇, 等. 加速康复外科应用于结直肠癌根治术围手术期管理的效果研究. 中华结直肠疾病电子杂志, 2018, 7(3): 288-293.
4.	ERAS Compliance Group. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg, 2015, 261(6): 1153-1159.
5.	Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
6.	Charlesworth GA, Mckenzie PA. Unit discharge planning model. Clin Nurse Spec, 1996, 10(2): 102-105.
7.	贺育华, 杨婕, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度护患评估差异性分析. 中国普外基础与临床杂志, 2018, 25(12): 1449-1453.
8.	中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015版). 中华消化外科杂志, 2015, 14(8): 606-608.
9.	Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs, 2016, 15(1): 46-53.
10.	Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec, 2007, 21(1): 31-42.
11.	Zhao H, Feng X, Yu R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2015, 24(4): 321-328.
12.	Aaronson NK, Ahmedzai S, Bergman B, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst, 1993, 85(5): 365-376.
13.	万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
14.	王建平, 陈仲庚, 林文娟, 等. 中国癌症病人生活质量的测定─EORTC QLQ-C30在中国的试用. 心理学报, 2000, 32(4): 438-442.
15.	Sprangers MA. Quality-of-life assessment in colorectal cancer patients: evaluation of cancer therapies. Semi Oncol, 1999, 26(6): 691-696.
16.	Lithner M, Jakobsson U, Andersson E, et al. Patients’ perception of information and health-related quality of life 1 month after discharge for colorectal cancer surgery. J Cancer Educ, 2015, 30(3): 514-521.
17.	Lizdenis P, Birutis J, Čelkienė I, et al. Short-term results of quality of life for curatively treated colorectal cancer patients in Lithuania. Medicina, 2015, 51(1): 32-37.
18.	Sevillano J, López-Pérez IC, Herrera E, et al. Cognitive aspects of survey methodology and quality of life assessment. Qual Life Res, 2003, 12(3): 217-218.
19.	Tsunoda A, Nakao K, Hiratsuka K, et al. Prospective analysis of quality of life in the first year after colorectal cancer surgery. Acta Oncol, 2007, 46(1): 77-82.
20.	Mabire C, Dwyer A, Garnier A, et al. Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs, 2017, 74(4): 788-799.
21.	Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
22.	蒋超, 蒲杰, 谢静. 我国台湾地区医院出院准备服务的特点及启示. 中国医疗管理科学, 2017, 7(2): 27-30.
23.	刘琴, 张圆, 冉凌云. 出院准备服务临床应用的研究现状. 护士进修杂志, 2016, 31(17): 1561-1565.
24.	秦环龙, 贾震易. 加速康复外科在结直肠外科应用中应关注的若干问题. 中华结直肠疾病电子杂志, 2017, 6(1): 2-5.
25.	Pan X, Dib HH, Wang X. Service utilization in community health centers in China: A comparison analysis with local hospitals. BMC Health Serv Res, 2006, 93(6): 1-8.

1. Zhao JH, Sun JX, Gao P, et al. Fast-track surgery versus traditional perioperative care in laparoscopic colorectal cancer surgery: a meta-analysis. BMC Cancer, 2014, 14: 607.
2. Adamina M, Kehlet H, Tomlinson GA, et al. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery, 2011, 149(6): 830-840.
3. 李卡, 胡艳杰, 刘雨薇, 等. 加速康复外科应用于结直肠癌根治术围手术期管理的效果研究. 中华结直肠疾病电子杂志, 2018, 7(3): 288-293.
4. ERAS Compliance Group. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg, 2015, 261(6): 1153-1159.
5. Fenwick AM. An interdisciplinary tool for assessing patients’ readiness for discharge in the rehabilitation setting. J Adv Nurs, 1979, 4(1): 9-21.
6. Charlesworth GA, Mckenzie PA. Unit discharge planning model. Clin Nurse Spec, 1996, 10(2): 102-105.
7. 贺育华, 杨婕, 蒋理立, 等. 加速康复外科模式下结直肠癌患者出院准备度护患评估差异性分析. 中国普外基础与临床杂志, 2018, 25(12): 1449-1453.
8. 中华医学会肠外肠内营养学分会加速康复外科协作组. 结直肠手术应用加速康复外科中国专家共识(2015版). 中华消化外科杂志, 2015, 14(8): 606-608.
9. Rochefort CM, Rathwell BA, Clarke SP. Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. BMC Nurs, 2016, 15(1): 46-53.
10. Weiss ME, Piacentine LB, Lokken L, et al. Perceived readiness for hospital discharge in adult medical-surgical patients. Clin Nurse Spec, 2007, 21(1): 31-42.
11. Zhao H, Feng X, Yu R, et al. Validation of the Chinese version of the readiness for hospital discharge scale on patients who have undergone laryngectomy. J Nurs Res, 2015, 24(4): 321-328.
12. Aaronson NK, Ahmedzai S, Bergman B, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst, 1993, 85(5): 365-376.
13. 万崇华, 陈明清, 张灿珍, 等. 癌症患者生命质量测定量表EORTC QLQ-C30中文版评介. 实用肿瘤杂志, 2005, 20(4): 353-355.
14. 王建平, 陈仲庚, 林文娟, 等. 中国癌症病人生活质量的测定─EORTC QLQ-C30在中国的试用. 心理学报, 2000, 32(4): 438-442.
15. Sprangers MA. Quality-of-life assessment in colorectal cancer patients: evaluation of cancer therapies. Semi Oncol, 1999, 26(6): 691-696.
16. Lithner M, Jakobsson U, Andersson E, et al. Patients’ perception of information and health-related quality of life 1 month after discharge for colorectal cancer surgery. J Cancer Educ, 2015, 30(3): 514-521.
17. Lizdenis P, Birutis J, Čelkienė I, et al. Short-term results of quality of life for curatively treated colorectal cancer patients in Lithuania. Medicina, 2015, 51(1): 32-37.
18. Sevillano J, López-Pérez IC, Herrera E, et al. Cognitive aspects of survey methodology and quality of life assessment. Qual Life Res, 2003, 12(3): 217-218.
19. Tsunoda A, Nakao K, Hiratsuka K, et al. Prospective analysis of quality of life in the first year after colorectal cancer surgery. Acta Oncol, 2007, 46(1): 77-82.
20. Mabire C, Dwyer A, Garnier A, et al. Meta-analysis of the effectiveness of nursing discharge planning interventions for older inpatients discharged home. J Adv Nurs, 2017, 74(4): 788-799.
21. Gunn S. Patient education and discharge planning to prevent functional decline in the older adult. Gastroenterol Nurs, 2017, 40(4): 272-278.
22. 蒋超, 蒲杰, 谢静. 我国台湾地区医院出院准备服务的特点及启示. 中国医疗管理科学, 2017, 7(2): 27-30.
23. 刘琴, 张圆, 冉凌云. 出院准备服务临床应用的研究现状. 护士进修杂志, 2016, 31(17): 1561-1565.
24. 秦环龙, 贾震易. 加速康复外科在结直肠外科应用中应关注的若干问题. 中华结直肠疾病电子杂志, 2017, 6(1): 2-5.
25. Pan X, Dib HH, Wang X. Service utilization in community health centers in China: A comparison analysis with local hospitals. BMC Health Serv Res, 2006, 93(6): 1-8.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Correlation between readiness for hospital discharge and short-term quality of life in colorectal cancer patients following enhanced recovery after surgery mode

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