Exploring bowel dysfunction of patients following colorectal surgery: A cohort study

Shu‐Hwa Tan, Yuan‐Mei Liao, Kwo‐Chen Lee, Yi‐Li Ko and Pi‐Chu Lin

Journal of Clinical Nursing, 2019, vol. 28, issue 9-10, 1577-1584

Abstract: Aims and objectives To examine changes in patients’ bowel function and to compare patients’ outcome among different operation and treatment after rectal resection. Background Anal‐preserving surgery is the trend of treatment of colorectal cancer and bowel function after surgery needs to be concerned. Design Prospective cohort study. Methods A total of 38 patients with convenience sampling were recruited from a teaching hospital. The low anterior resection syndrome (LARS) score was used to assess bowel function disturbances before discharge and at 1 week, 1 month and 3 months after discharge. We followed the STROBE checklist to ensure rigour in our study. Results Approximately half of the patients experienced major LARS, including daily stool frequency of more than seven times and stool clustering at least once a week. The LARS scores observed at 1 month after discharge were significantly higher than those observed before discharge. Patients who received intersphincteric resection had higher LARS scores compared with those who received other surgeries. Furthermore, patients who underwent concurrent chemoradiotherapy, operation (OP) and chemotherapy had the highest LARS scores compared with those who underwent only an OP. Conclusion The patients experienced varied intestinal dysfunction after surgery based on their treatment plan and surgical method. Nurses should provide individualised health education for these patients. Relevance to clinical practice A health education booklet is recommended to educate patients about LARS symptoms and the techniques to adapt in their daily lives after surgery.

Date: 2019
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https://doi.org/10.1111/jocn.14757

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:28:y:2019:i:9-10:p:1577-1584

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