| Title | Experiences of bowel symptoms in patients with rectal cancer after sphincter-preserving surgery: a qualitative meta-synthesis |
| Authors | Li, Cong Tang, Haiyan Zhang, Yue Zhang, Qiuwen Yang, Wantong Yu, Hongxia Pang, Dong |
| Affiliation | PLA Rocket Force Characterist Med Ctr, Beijing, Peoples R China Peking Univ, Sch Nursing, Beijing, Peoples R China Chinese Acad Med Sci, Canc Hosp, Beijing, Peoples R China Peking Univ, Hlth Sci Ctr Evidence Based Nursing, A Joanna Briggs Inst Affiliated Grp, 38 Xueyuan Rd, Beijing 100191, Peoples R China |
| Keywords | ANTERIOR RESECTION SYNDROME SAVING SURGERY LIVED EXPERIENCES SELF-MANAGEMENT DYSFUNCTION CARE |
| Issue Date | Jan-2023 |
| Publisher | SUPPORTIVE CARE IN CANCER |
| Abstract | Purpose This study is to identify and synthesize the available evidence of bowel symptom experiences of patients with rectal cancer after sphincter-preserving surgery (SPS). Methods This qualitative meta-synthesis was conducted following the Joanna Briggs Institute (JBI) qualitative systematic review methodology and reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) guidelines. Seven databases were searched on 22 December 2021. The selected studies were reviewed by two independent reviewers, and disagreements were resolved by discussion or with a third reviewer. Results Seven qualitative articles were included in the meta-synthesis with 192 total rectal cancer patients. The review summarized 53 qualitative findings into three synthesized findings: (a) Patients experienced bowel symptoms and triggered additional physiological problems, and they underestimated bowel symptoms; (b) patients had many negative emotions, and their daily life and social interaction were disturbed; and (c) patients adopted strategies to adapt or control their bowel symptoms. According to the ConQual evidence grading approach, the confidence of the synthesized findings was rated as moderate to low. Conclusions The bowel symptoms of patients with rectal cancer after SPS have troubled their lives. Timely acquisition of symptom-related knowledge and enhancement of their coping abilities are important for the control and management of bowel symptoms. Healthcare professionals should clearly understand the bowel symptoms that patients may experience after SPS and provide supportive care for patients to improve patients' self-management abilities and quality of life. |
| URI | http://hdl.handle.net/20.500.11897/667737 |
| ISSN | 0941-4355 |
| DOI | 10.1007/s00520-022-07473-w |
| Indexed | SCI(E) |
| Appears in Collections: | 护理学院 |
