title: Quality of life in rectal cancer patients with permanent colostomy in Xi'an.
abstract: OBJECTIVE
  To observe the quality of life (QOL) in rectal cancer patients with permanent colostomy in different periods after operation.
  
  
  METHODS
  A 1-,3-,6-month prospective study of QOL in 51 rectal cancer patients with permanent colostomy and 50 without permanent colostomy was assessed using European Organization for Research and Treatment of Cancer (EORTC) QOL-30 and CR38 questionnaires.
  
  
  RESULTS
  The variation of QOL in different periods was "v" type. In the 1st postoperative month, these patients had the lowest quality of life scores, accompanied significantly varied functions and severe symptoms. Almost of all indexes of these patients had improved consistently in the postoperative period. The scores of global QOL even better than pre-operative level at 6th months post-operation, but the social function, body image, chemotherapy side effects and financial difficulties had not restored to the baseline level. Patients without permanent colostomy had a better score in most of categories of QOL-30 and CR38.
  
  
  CONCLUSIONS
  The 1st postoperative month was crucial for patients' recovery, in which we should pay great attention to these problems which relate to the recovery of rectal cancer patients with permanent colostomy.
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Xiuxiu
authors.initials: X
authors.lastname: Yang
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Qin
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Haihong
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Junhua
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Jiaobo
authors.initials: J
authors.lastname: Duan
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Dandan
authors.initials: D
authors.lastname: Wang
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Ningning
authors.initials: N
authors.lastname: Fang
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Ping
authors.initials: P
authors.lastname: Zhu
authors.affiliation: Department of infection management Xijing Hospital, Fourth Military Medical University.
authors.forename: Jufang
authors.initials: J
authors.lastname: Fu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001828:Body Image; D003125:Colostomy / Q000523:psychology*; D006801:Humans; D011184:Postoperative Period; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life / Q000523:psychology*; D012004:Rectal Neoplasms / Q000523:psychology / Q000601:surgery*; D058992:Social Participation / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: CR38 questionnaires; EORTC QOL-30; Permanent colostomy; Quality of life; Rectal cancer