Analysis of the compliance of defecation function training of patients with ultra-low rectal cancer ;after intersphincteric resection
10.3760/cma.j.issn.1672-7088.2016.24.006
- VernacularTitle:超低位直肠癌患者经肛门内外括约肌间切除术后排便功能训练的依从性研究
- Author:
Yanqiu CHEN
;
Chunhua YUAN
- Publication Type:Journal Article
- Keywords:
Rectal neoplasms;
Toilet training;
Patient compliance;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2016;32(24):1863-1866
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the compliance of defecation function training of patients with ultra- low rectal cancer after intersphincteric resection and the influencing factors. And therefore to provide theoretical reference for the problems and nursing management of training. Methods The study was a reviewing trial. The enterostomal therapist educated patients with ultra-low rectal cancer after intersphincteric resection. Research used the basic information questionnaire, compliance evaluation of defecation function training, defecation diary and Fecal Incontinence Quality of Life Questionnaire as research instruments. And statistical analysis was used to acquired data. Results The score of the defecation function training compliance was (67.67 ± 5.28) points; Anal function and the fecal incontinence quality of life was in negative correlation with the compliance; At 9 and 12 months, anal function of patients who had good compliance were obviously improved (P < 0.05). Factors such as complications, internal sphincterotomy, operation, degree of education, pathologic stage, payment of medical expenses were related to the compliance (P < 0.05 or 0.01); The correlation analysis demonstrated that the compliance decreased with time. Conclusions The compliance of defecation function training of patients is related to anal function and the fecal incontinence quality of life. A effective training program and follow- up appointment is very important. Nurses should provide psychological counseling and health education for them to boost confidence improve quality of life.
