Coping strategies and needs for intestinal symptoms in patients with rectal cancer after sphincter-preserving surgery: a Meta-synthesis
10.3760/cma.j.cn115682-20250305-01073
- VernacularTitle:直肠癌保肛术后患者肠道症状应对与需求的Meta整合
- Author:
Chun ZHANG
1
;
Yaolan WANG
;
Lan LI
;
Mingjun HUANG
Author Information
1. 四川大学华西护理学院，成都 610041
- Publication Type:Journal Article
- Keywords:
Rectal cancer;
Intestinal symptoms;
Low anterior resection syndrome;
Coping skills;
Needs;
Qualitative research;
Meta-synthesis
- From:
Chinese Journal of Modern Nursing
2025;31(32):4375-4383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To integrate the qualitative study on the coping strategies and needs of intestinal symptoms in patients with rectal cancer after sphincter-preserving surgery, so as to provide a theoretical basis for formulating personalized nursing interventions.Methods:Qualitative studies on coping strategies and needs of bowel symptoms in patients after rectal cancer surgery was electronically retrieved from the China Biomedical Literature Database, China National Knowledge Infrastructure, WanFang Data, VIP, PubMed, Embase, Wiley, Web of Science, PsycINFO, and CINAHL. The search period was from database establishment to October 31, 2024. The quality of the included studies was assessed using the 2016 version of the Joanna Briggs Institute Center for Evidence-Based Health Care Quality Assessment Criteria for Qualitative Research. The aggregative integration method was used for synthesis.Results:A total of 13 studies were included. Seventy-seven complete research findings were synthesized into four integrated outcomes, including coping with anxiety and stress in adversity, developing proactive coping strategies, psychological adaptation and spiritual reconstruction, and unmet needs within multidimensional support systems.Conclusions:Patients who have undergone rectal cancer surgery cope with bowel symptoms through various methods and demonstrate multifaceted needs during symptom management. Healthcare providers should address patients' multidimensional needs, provide personalized, ongoing guidance to help them effectively manage symptoms and improve their quality of life.
