Correlation between defecation disorders and diet in patients undergoing sphincter-preserving surgery for rectal cancer
10.3760/cma.j.cn115682-20240407-01869
- VernacularTitle:直肠癌保肛术后患者排便障碍与饮食情况的相关性分析
- Author:
Zhiqian CHEN
1
;
Xiaotian ZHANG
;
Yanan YANG
;
Miao YU
;
Hongbo CHEN
;
Baohua LI
Author Information
1. 北京大学第三医院护理部，北京 100191
- Keywords:
Sphincter-preserving surgery for rectal cancer;
Defecation disorders;
Diet;
Systematic clustering
- From:
Chinese Journal of Modern Nursing
2024;30(34):4634-4640
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the correlation between defecation disorders and diet in patients undergoing sphincter-preserving surgery for rectal cancer.Methods:This study was a cross-sectional survey. From 2021 to 2023, convenience sampling was used to select 159 patients with rectal cancer who underwent sphincter-preserving surgery at Peking University Third Hospital as participants. The General Information Questionnaire, Food Frequency Questionnaire, and Defecation Questionnaire were used for the survey.Results:The incidence of defecation disorders in 159 patients with rectal cancer after sphincter-preserving surgery was 74.2% (118/159), and the types of defecation disorders with high to low incidence were "frequent defecation (96/159, 60.4%) " "constipation (37/159, 23.3%) " "diarrhea (33/159, 20.8%) " and "fecal incontinence" (24/159, 15.1%). Diets were clustered into 9 categories (vegetables and fruits, carbohydrate staple foods, red meat foods, gas producing foods, dairy products, white meat foods, dessert foods, high-fat foods, and spicy and stimulating foods). Binomial Logistic regression analysis showed that red meat foods and gas producing foods were the influencing factors of frequent defecation ( P<0.05), red meat foods was the influencing factor of diarrhea ( P<0.05), and carbohydrate staple foods was the influencing factor of fecal incontinence ( P<0.05) . Conclusions:The incidence of defecation disorders in patients with rectal cancer after sphincter-preserving surgery is relatively high, and the intake of red meat foods, gas producing foods, and carbohydrate staple foods should be appropriately controlled. Clinical medical and nursing staff should pay close attention to the diet of elderly patients.
