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Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer
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Hyun Jun Kwoun, Yun Hee Shin
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J Korean Acad Nurs 2015;45(5):733-741. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.733
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 Abstract
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Purpose
This study was a descriptive survey research to identify the impact of bowel function, anxiety and depression on quality of life in patients with rectal cancer who had a sphincter-preserving resection.
Methods
articipants were 100 patients who had rectal cancer surgery at W hospital in Korea. Bowel function, anxiety & depression, and quality of life were measured using the BFI (Bowel Function Instrument), HADS (Hospital Anxiety-Depression Scale) and the FACT-C (Functional Assessment of Cancer Therapy-Colorectal).
Results
The mean scores were 39.81±5.16 for bowel function, 6.15±3.25 for anxiety, 7.24±3.13 for depression, and 72.50±13.27 for quality of life. There were significant negative correlations between quality of life and anxiety (r= -.59, p <.001) and between quality of life and depression (r= -.53, p <.001). But the correlation between quality of life and bowel function was significantly positive (r=.22, p =.025). The influence of the independent variables on the total quality of life was examined using multiple regression analysis. Anxiety (β= -.38, p =.002), bowel function (β= -.25, p =.028) and occupation (β=.16, p =.048) were identified as factors affecting quality of life. The explanation power of this regression model was 44% and it was statistically significant (F=16.53, p <.001).
Conclusion
The results of this study indicate that in order to improve the bowel function of patients after sphincter-preserving resection for rectal cancer, effective nursing interventions should be developed. As psychological problem such as anxiety and depression can relate to quality of life for these patients, nurses should work on improving the situation by providing continuous emotional nursing.
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Citations
Citations to this article as recorded by  - Lack of Regular Access to Primary Care Physician Associated With Increased Emergency Department Visits Related to Survivorship Needs Among Rectal Cancer Survivors
Jeongyoon Moon, Ebram M. Salama, Anna Y. Wang, Mylène Arsenault, Nathalie Leon, Carmen G. Loiselle, Fateme Rajabiyazdi, Marylise Boutros
Diseases of the Colon & Rectum.2024; 67(12): 1536. CrossRef - Major Low Anterior Resection Syndrome (LARS) and Quality of Life in Patients With Low Rectal Cancer: A Preoperative Survey Using LARS Score and European Organisation for Research and Treatment of Cancer’s 30-Item Core Quality of Life Questionnaire
Ly Huu Phu, Ho Tat Bang, Nguyen Viet Binh, Hoang Danh Tan, Ung Van Viet, Nguyen Trung Tin
Cureus.2023;[Epub] CrossRef - Low Anterior Resection Syndrome in a Reference North American Sample: Prevalence and Associated Factors
Jeongyoon Moon, Alexa Ehlebracht, Michelle Cwintal, Julio Faria, Gabriela Ghitulescu, Nancy Morin, Allison Pang, Carol-Ann Vasilevsky, Marylise Boutros
Journal of the American College of Surgeons.2023; 237(5): 679. CrossRef - The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
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Asian Nursing Research.2021; 15(1): 60. CrossRef - Effectiveness and safety of acupuncture and moxibustion for defecation dysfunction after sphincter-preserving surgery for rectal cancer: protocol for systematic review and meta-analysis
Guixing Xu, Qiwei Xiao, Hanzhou Lei, Yanan Fu, Jing Kong, Qianhua Zheng, Ling Zhao, Fanrong Liang
BMJ Open.2020; 10(5): e034152. CrossRef - Psychosocial behaviour reactions, psychosocial needs, anxiety and depression among patients with rectal cancer before and after colostomy surgery: A longitudinal study
Ying Jin, Jing Zhang, Mei‐Chun Zheng, Xiu‐Qing Bu, Jun‐E Zhang
Journal of Clinical Nursing.2019; 28(19-20): 3547. CrossRef - Predictors of Quality of Life and Social Support as a Mediator between Defecation Function and Quality of Life among Rectal Cancer Patients
Jung Rang Kim, Seon Young Hwang
Korean Journal of Adult Nursing.2019; 31(5): 487. CrossRef
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