Objective To investigate the impact of service model by both oncology specialists in tumor and community doctors on the quality of life for survivors with colorectal cancer. Methods Sixty one survivors with colorectal cancer were divided as trial group ( n = 31 ) and control group ( n = 31 ). The patients in the trial group were given intervention and follow - up by community doctors under guidance of oncology specialists or medical institutions - community service model. And the patients in the control group were no intervention. The Quality of Life Questionnaire - C30 ( QLQ - C30 ) in European Organization for Research and Treatment of Cancer ( EORTC ) was used to evaluate the quality of life of the patients in both groups at baseline and 3 months after the intervention. Results After 3 months, the differences between the two groups in scores of emotion capacity [ ( 67. 3 ± 12. 5 ) vs. ( 56. 7 ± 13. 2 ) ], general health [ ( 81. 4 ± 6. 9 ) vs. ( 72. 4 ± 6. 4 ) ], insomnia [ ( 23. 7 ± 16. 9 ) vs. ( 50. 3 ±30. 1 ) ], constipation [ ( 20. 8 ± 11. 7 ) vs. ( 36. 3 ± 17. 2 ) ], pain [ ( 0. 9 ±0. 7 ) vs. ( 1. 9 ± 1. 7 ) ] were statistically significant ( P <0. 05 ). Conclusion Under the medical institutions - community service model, the quality of life of colorectal cancer survivors can be effectively improved.%目的 探讨由肿瘤专科医师和社区医师分担的医疗机构-社区转诊模式对大肠癌生存者生活质量的影响.方法 将61例大肠癌生存者分为研究组31例和对照组30例.研究组纳入医疗机构-社区医疗模式,在肿瘤专科医师指导下由社区医师进行干预、随访,在干预前及干预3个月后应用欧洲癌症研究与治疗组织(EORTC)设计的生活质量测定量表(QLQ)体系中的核心量表(QLQ-C30)进行生活质量评价;对照组无干预,在入组时及3个月后采用QLQ-C30进行生活质量评价.结果 研究组干预3个月后,研究组与对照组的情绪功能[(67.3±12.5)分比(56.7±13.2)分]、总体健康功能[(81.4±6.9)分比(72.4±6.4)分]、失眠[(23.7±16.9)分比(50.3±30.1)分]、便秘[(20.8±11.7)分比(36.3±17.2)分]、疼痛症状[(0.9±0.7)分比(1.9±1.7)分]评分比较,差异均有统计学意义(P＜0.05).结论 医疗机构-社区医疗模式下大肠癌生存者的生活质量明显提高.
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