Actual conditions of postoperative dyschezia recognized by rectal cancer patients and self-care

• Fujita Akemi

  Hirosaki University Graduate School of Health Sciences, Doctoral Course

• Kudo Seiko

  Hirosaki University Graduate School of Health Sciences

• Iwata Manabu

  Hirosaki Stroke and Rehabilitation Center

Bibliographic Information

Other Title

• 直腸がん患者が認識する術後排便障害とセルフケアの実態

Abstract

    The purpose of this study is to reveal the actual conditions of dyschezia as recognized by postoperative rectal cancer patients and their self-care, as well as the subjective QOL (Schedule for the Evaluation of Individual Quality of Life-Direct Weighting: SEIQoL-DW), and to obtain suggestions for the nursing intervention for improving the self-care of dyschezia and QOL. The subjects were 88 patients (age: 62.2 ± 9.3 years), consisting of 33 and 55 patients that received intersphincteric resection (ISR) and low anterior resection (LAR), respectively. The mean of the SEIQoL-DW index was 66.7 ± 15.3 for ISR and 63.8 ± 14.8 for LAR, showing no significant difference. The dyschezia was grouped into seven categories such as [frequent defecation], [irregular number of defecations], [defecation on oral drug administration], [frequent nocturnal defecation], [fecal incontinence], and [anal pain]. The proportions of [irregular number of defecations], [frequent nocturnal defecation], and [fecal incontinence] were significantly higher for ISR than LAR. The self-care of dyschezia can be summarized into eleven categories such as [washing anus], [applying diapers and pads], [controlling dietary intake], and [controlling defecation]. In conclusion, it is important to understand in detail the fecal control, local anal care, food content, and intake method as nursing interventions using a checklist, and to instruct the patients individually in cooperation with physicians and physical therapists.

Journal

• Hirosaki Medical Journal

  Hirosaki Medical Journal 62 (2-4), 186-198, 2011

  Hirosaki University Graduate School of Medicine,Hirosaki Medical Society

Keywords

• Rectal cancer
• ISR
• LAR
• dyschezia
• self-care

Details

• CRID: 1390007359727841152
• NII Article ID: 110008754254
• NII Book ID: AN00211444
• DOI: 10.32216/hirosakiigaku.62.2-4_186
• ISSN: 24344656
• ISSN: 04391721
• HANDLE: 10129/4515
• NDL BIB ID: 023449643
• Web Site: https://hirosaki.repo.nii.ac.jp/records/3737
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I023449643
• Web Site: https://search.jamas.or.jp/link/ui/2012185375
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • NDL
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed