Factors Effecting the Mental Health of Patients with Esophageal Cancer after Esophageal Cancer after Esophagectomy : Comparison with Gastric Cancer after Gastrectomy

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  • 食道がん手術患者の退院後の精神健康状態に特徴的に影響する要因 : 胃がん手術患者との比較
  • ショクドウ ガン カンジャ ノ タイインゴ ノ セイシン ケンコウ ジョウタイ ニ トクチョウテキ ニ エイキョウ スル ヨウイン イガン シュジュツ カンジャ トノ ヒカク
  • ショクドウ ガン シュジュツ カンジャ ノ タイインゴ ノ セイシン ケンコウ ジョウタイ ニ トクチョウテキ ニ エイキョウスル ヨウイン イガン シュジュツ カンジャ トノ ヒカク

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The present study was undertaken to compare factors effecting the mental health of patients with esophageal cancer discharged from the hospital after esophagectomy with those for patients with gastric cancer after gastrectomy. The subjects of this study were 80 patients underwent esophagectomy and 89 patients underwent gastrectomy more than one year ago and who gave informed consent to participate in the study. The study was based on semi-structured interviews using a questionnaire we prepared as well as a Japanese version of the General Health Questionnaire (GHQ28). Information was also collected from the medical records of individual patients. Mental health status, as evaluated using the GHQ28, served as an objective variable. Twelve variables, obtained from univariate analysis and analysis corrected for age, sex, and follow-up period, served as explanatory variables. Using a logistic model, the odds ratio (OR) and 95% cnfidence interval (95%CI) were calculated. Statistical analyses were performed using the computer program SAS Ver8.2. Factors identified as more closely associated with the mental health of patients with esophageal cancer than of those with gastric cancer were: (1) 30 minutes or more time needed for each meal, (2) difficulty swallowing, (3) sensation of choking of food in the throat, and (4) increased incidence of flu-like symptoms after surgery compared to pre-operatively. These findings indicate that patients after discharge need continuous support from medical professionals.

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