Effect of rehabilitation nursing base on theory of planned behavior on anorectal dynamics and quality of life in rectal cancer patients after sphincter-preserving surgery for rectal cancer
[Objectives] To investigate the effect of rehabilitation nursing based on the theory of planned behavior on anorectal dynamics and quality of life in patients after sphincter-preserving surgery for rectal cancer. [Methods] A total of 100 patients who underwent radical resection of low rectal cancer...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | zho |
| Published: |
Editorial Office of Journal of Colorectal & Anal Surgery
2023-08-01
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| Series: | 结直肠肛门外科 |
| Subjects: | |
| Online Access: | https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=211&cateName=2023%E5%B9%B4%20%E7%AC%AC29%E5%8D%B7%20%E7%AC%AC4%E6%9C%9F |
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| Summary: | [Objectives] To investigate the effect of rehabilitation nursing based on the theory of planned behavior on anorectal dynamics and quality of life in patients after sphincter-preserving surgery for rectal cancer. [Methods] A total of 100 patients who underwent radical resection of low rectal cancer at Nanchong Central Hospital (the Second Clinical Hospital of North Sichuan Medical University) from January 2021 to December 2021 were selected. They were divided into control group (receiving conventional postoperative nursing) and observation group (receiving rehabilitation nursing based on the theory of planned behavior) according to a random number table, with 50 patients in each group. Eleven patients who did not meet the criteria were excluded, leaving 89 patients (46 patients in the observation group and 43 patients in the control group). The indicators related to anorectal dynamics (anal canal resting pressure, rectal resting pressure, maximum anal canal contraction pressure, initial sensory volume of rectum, volume of rectal urge sensation, maximum tolerable volume of rectum), the incidence of low anterior resection syndrome, and quality of life were compared between the two groups. [Results] Before surgery, there were no significant differences in anal canal resting pressure, rectal resting pressure, maximum anal canal contraction pressure, initial sensory volume of rectum, volume of rectal urge sensation, and maximum tolerable volume of rectum between the two groups (P > 0.05). Six months after surgery, both groups had lower anal canal resting pressure, rectal resting pressure, and maximum anal canal contraction pressure than preoperative levels, and lower initial sensory volume of rectum, volume of rectal urge sensation, and maximum tolerable volume of rectum than preoperative levels (P<0.05). The observation group had lower anal canal resting pressure and rectal resting pressure than the control group, and higher maximum anal canal contraction pressure than the control group. The observation group had higher initial sensory volume of rectum, volume of rectal urge sensation, and maximum tolerable volume of rectum than the control group (P<0.05). Within 6 months postoperatively, 18 patients (39.1%) in the observation group and 28 patients(65.1%) in the control group developed low anterior excision syndrome. The observation group had a lower incidence of low anterior excision syndrome than the control group (χ2=6.010, P=0.014). Before surgery, there were no significant differences in the scores of functional dimension, symptom dimension, overall health status dimension and single item dimension between the two groups (P>0.05). Six months after surgery, both groups had higher functional dimension and overall health status scores than preoperative levels, lower symptom dimension and individual item dimension scores than preoperative levels. The observation group had higher functional dimension and overall health status scores than the control group, and lower symptom dimension and individual item dimension scores than the control group (P<0.05). [Conclusion] Rehabilitation nursing based on the theory of planned behavior after sphincter-preserving surgery for rectal cancer can help improve anorectal dynamics, reduce the incidence of low anterior resection syndrome, and improve patient quality of life. |
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| ISSN: | 1674-0491 |