| Title | The Effectiveness of a Self-management Program of Bowel Dysfunction in Patients With Mid and Low Rectal Cancer After Sphincter-Preserving Surgery A Pilot Randomized Controlled Trial |
| Authors | Li, Cong Li, Zhao-Yu Lu, Qian Zhou, Yu-Jie Qin, Xue-Ying Wu, Ai-Wen Pang, Dong |
| Affiliation | Peking Univ, Sch Nursing, Beijing, Peoples R China PLA Rocket Force Characterist Med Ctr, Beijing, Peoples R China Griffith Univ, Sch Nursing & Midwifery, Gold Coast Campus, Brisbane, Australia Peking Univ Third Hosp, Nursing Dept, Beijing, Peoples R China Peking Univ, Sch Publ Hlth, Beijing, Peoples R China Peking Univ Canc Hosp & Inst, Minist Educ, Dept Gastrointestinal Surg, Key Lab Carcinogenesis & Translat Res, Beijing, Peoples R China Peking Univ, Sch Nursing, 38 Xueyuan Rd, Beijing 100191, Peoples R China Peking Univ Canc Hosp & Inst, Minist Educ, Dept Gastrointestinal Surg, Key Lab Carcinogenesis & Translat Res, 52 Fucheng Rd, Beijing 100142, Peoples R China |
| Keywords | LOW ANTERIOR RESECTION PELVIC FLOOR REHABILITATION QUALITY-OF-LIFE SYNDROME SCORE FOLLOW-UP VALIDATION THERAPY |
| Issue Date | Jan-2023 |
| Publisher | CANCER NURSING |
| Abstract | BackgroundMost patients with mid and low rectal cancer passively react to bowel symptoms after sphincter-preserving surgery (SPS), and their self-management behaviors are scarce in the Chinese patient population.ObjectiveThe aim of this study was to evaluate the effect of a self-management program for bowel symptoms in patients with mid and low rectal cancer after SPS.MethodsA convenient sampling method was used to recruit patients with mid and low rectal cancer after SPS in gastric wards from 2 tertiary hospitals in Beijing, China. Ninety-five patients (intervention, n = 47; control, n = 48) were recruited. The intervention group received a predetermined self-management program plus routine postoperative care; the control group received only routine care in the ward. Data on patients' bowel symptoms, quality of life, and bowel symptom self-management behaviors were collected at baseline and at 3 and 6 months postoperatively using questionnaires. A generalized estimating equation was adopted to examine group effect and time effect.ResultsBowel symptoms and quality of life in both the intervention and control groups of patients improved significantly 6 months after SPS compared with baseline (time effect, P < .001). The total score of patients' bowel symptom self-management behaviors and the score of the therapeutic domain increased significantly in the intervention group compared with those in the control group (group effect, P = .009).ConclusionsSelf-management programs could help prompt patients' self-management behaviors, but the extent to which they impact patients' bowel symptoms requires further investigation.Implications for PracticeThe bowel dysfunction self-management program could alter the behavior of patients. It also effectively improves self-management strategies for bowel symptoms. |
| URI | http://hdl.handle.net/20.500.11897/661787 |
| ISSN | 0162-220X |
| DOI | 10.1097/NCC.0000000000001065 |
| Indexed | SCI(E) SSCI |
| Appears in Collections: | 护理学院 第三医院 公共卫生学院 北京肿瘤医院 |
