直近一年間の累計
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ID 115990
タイトル別表記
Assessment of QOL Using the ESAS-r-J
著者
Takayama, Yuichi Ogaki Municipal Hospital
Kaneoka, Yuji Ogaki Municipal Hospital
Maeda, Atsuyuki Ogaki Municipal Hospital
Takahashi, Takamasa Ogaki Municipal Hospital
Kiriyama, Muneyasu Ogaki Municipal Hospital
Seita, Kazuaki Ogaki Municipal Hospital
キーワード
ESAS
Gastrectomy
Gastric cancer
Quality of life
Questionnaire
資料タイプ
学術雑誌論文
抄録
Purpose To evaluate the perioperative symptoms of gastric cancer patients undergoing gastrectomy using the Edmonton Symptom Assessment System Revised Japanese version (ESAS-r-J), which is a nine-item visual analogue scale to rate patient symptoms. Methods Between February 2015 and March 2017, 246 patients completed the ESAS-r-J before and after gastrectomy. We evaluated the changes in the prevalence and score of each ESAS-r-J item before and after gastrectomy. In addition, we compared them after gastrectomy between patients who underwent the different approaches. Results Before gastrectomy, anxiety and well-being were the most prevalent items (80%), followed by depression (45%). After gastrectomy, well-being was the most prevalent item (87%), followed by pain (68%). The prevalence of anxiety decreased from 80% to 59% (P = 0.002). The depression and anxiety scores decreased from 1.6 to 1.1 (P < 0.001) and from 2.6 to 1.7 (P = 0.002), respectively. The total score was higher in patients who underwent open surgery than in patients who underwent laparoscopic surgery (16.9 vs 12.9 ; P = 0.031). Conclusions After gastrectomy, psychological symptoms such as depression and anxiety improved despite more physical complaints than before gastrectomy. The laparoscopy was less invasive. It is very important to take care of psychological aspects before gastrectomy.
掲載誌名
The Journal of Medical Investigation
ISSN
13496867
13431420
cat書誌ID
AA11166929
出版者
Tokushima University Faculty of Medicine
68
1-2
開始ページ
90
終了ページ
95
並び順
90
発行日
2021-02
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版