QUALITY OF LIFE AFTER SURGERY OF COLORECTAL CANCER LIVER METASTASES

Teoretična izhodišča: Število pacientov z rakom debelega črevesa in danke (RDČD) raste že desetletja. Pri več kot 50% pacientov z RDČD so prisotni zasevki, ki so v polovici primerov omejeni na jetra. Kirurško zdravljenje se je do sedaj izkazalo za edino potencialno kurativno terapijo jetrnih zasevkov RDČD. Ob napredku takšne medicinske znanosti, ki omogoča daljše preživetje pacientov z rakom, ni več pomembno le, ali in koliko časa bo pacient preživel, ampak tudi, kako bo živel. Vedno pomembnejše je vprašanje kakovosti življenja z boleznijo. Zanimalo nas je, kakšna je kakovost življenja pacienta po operaciji jetrnih zasevkov RDČD in kako bi lahko medicinska sestra prispevala h kakovostnejšemu življenju pacienta. Metode: Raziskava je temeljila na kvantitativni metodologiji, z pomočjo anonimnega anketnega vprašalnika. V raziskavi je sodelovalo 10 pacientov, ki so bili pregledani v ambulanti Abdominalne in splošne kirurgije UKC Maribor. Rezultati: Ugotovili smo, da se kakovost življenja pacienta po operaciji jeter zaradi zasevkov RDČD ni bistveno poslabšala in da imajo pacienti najpogostejše težave na področju fizične aktivnosti in psihične komponente ter pri pojavu bolečine. Sklep: Naša raziskava je prva v Sloveniji, ki je prikazala simptome pacientov v dolgoročnem obdobju po operaciji jeter in ugotavljala njihov vpliv na kakovost življenja. K profesionalni rasti na področju zdravstvene nege bo pripomoglo spremljanje novih dognanj in raziskav v svetu ter seveda nadgrajevanje znanja.Theoretical basics: Number of patients with colorectal cancer has been growing for decades. More than 50 % of patients with colorectal cancer are having metastases, which are half of cases confined to the liver. Surgical treatment has so far proven to be the only potentially curative treatment. With the progress of medical science, which has brought longer survival of patients with cancer, there is no longer a relevant factor only whether and how long the patient will survive, but also how he will live. The quality of life with the disease it seems to be more and more important. In our study we asked ourselves what is the quality of life of the patient with colorectal cancer after surgical removal of liver metastases and how can medical nurse contribute to that. Methods: The study is based on a quantitative method using an anonymous questionnaire. We asked 10 patients to fill the questionnaire. All 10 patients were examined in the Department of Abdominal and General Surgery in University Medical Centre Maribor. Results: We found out that the quality of life of the patient with colorectal cancer after surgical removal of liver metastases has not significantly changed. Patients have the most common problems in physical activity, psychological components, and elimination of pain. Conclusion: Our study is first one in Slovenia which has shown long-term symptoms in patients after the liver surgery and measured their impact on quality of life. Monitoring of new developments and research in the world and of course the upgrading of skills will help to professional growth in nursing