The Comparison Of Quality Of Life And Activities Of Daily Living Of Part Of Malignant Cancer Patients Between The Before And After Operation In A Class 3, Level A Hospital Of AnHui Province

Objective: to investigate the level of quality of life and activities of daily life of Part of Malignant cancer patients, and to find the fluctuation of the between the before and after operation in a Grade III Level A hospital of Anhui province. Its effect was evaluated so as to provide evidence for the government to make related policies to improve the quality of life of cancer patients.Methods: The study was conducted at the People's hospital of Chizhou city. 73 earlier period cancer patients who also need operation were investigated by EORTC QLQ-C30 and basic state questionnaire, and moreover, Karnofsky performance scale and questionare of activities of daily life were used too.Results: QOL Level of patients: (1) The score of Emotional Function(EF) were significantly higher in male than in female before operation. But there were no significantly differences in the score of other factors between the two genders after operation. (2)Before operation, the score of Physical Functioning (PF), Role Functioning (RF), Cognitive Functioning (CF), and Globe Health (GH) is higher in patients at the age of below 50 than the people above 50, and the symptom of Fatigue and Pain were more serious in people above 50.While the Insomnia was more serious in patients below 50. After operation, the symptom of Appetite Loss were were lighter in patients below 50 than over 50 too. (3) The score of PF, RF, EF, GH after opretion were significantly higher than that of before operation, but the symptom of Fatigue, Pain, Dyspnoea , Insomnia, Constipation and Financial Difficulties were more serious after operation.IADL level of patients: (1) Rates for loss of independence of IADL in the patients were found to be 21.9 %. (2) There were no differences between the two genders of patients before and after operation. (3) Before operation, significant differences had been found between the two age groups in Travelling, Shopping, Food Preparation, Handling Housework and Total Scale. However, no difference had been found in all the factors after operation. (4)There were significant differences between before and after operation in Using Telepone, Travelling, Handling housework, Take Medincine, Handling Money. After operation, all the scale declined. PADL level of patients: (1) The rates for loss of independence of PADL in the patients were found to be 9.5 %. (2) There were no differences between the two genders of patients before operation. The scales of Getting In and Out of Bed, Getting to Toilet and Total Scale in male were significant higher than female. (3) No differences were found in all the scales between different age groups except Bathing before the operation. After operation, the scales of Closing, Arranging Appearance and Total Scale were higher in patients below 50 than patients over 50.(4) The scales of Closing, Arrangeing Appearance, Walking Independently, Getting In and Out of Bed, Getting to Toilet, Getting Upstairs Independently, Defecation and Total Scale declined significantly after operation. KPS Level of patients: (1) No significant differences had been found in KPS scale between the two genders before operation, but KPS scale of male became higher than that of female after operation. (2) KPS scales of patients below 50 were found higher than patients above 50 both before and after operation. (3) KPS scale of patients declined significantly after operation.Conclusion:It is suggested that (1) The fluctuation of emotion of female should be paid more attention, for they were high risk people of depression. (2) Elder patients were low in PF, RF, CF, GH level, but serious in many sympotom. The also suffered a lot in ADL loss and poor physical strength. (3) Operation made great effort in improving QOL level, but it declined the CF level of patients either. Moreoer, many symptoms became more serious. ADL loss and poor physical strength took place too. In conclution, clinic doctor should take serious in making a decision. Prolonging the life time of patients was not the only aim, and the functional lesion of opration should be taken into consideration. A best decision should be made after considered carefully.