The research about the effect of nursling care for rectal cancer patients following sphinctersaving resections who have the bowel movement dysfmetion.

护理对直肠癌保肛术后排便障碍患者效果的研究。

• 批准号: 14572310
• 负责人: SATO Masami
• 金额: $ 1.73万
• 依托单位: Tokai University (2003-2004)Kawasaki City College of Nursing. (2002)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2004
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14572310/
• 关键词: Low Anterior Resection; bowel movement; postoperative dysfunction; nursing care; soiling; rectal cancer; bowel function; QOL; 看護; soiling; 排便傷害; 術後傷害; 肛門括約筋温存術

There is a factor that not physical function, for bowel movement dysfunction after anterior resections. And, lacking research for reducing bowel movement dysfunction is. We had the total number of interview is 108 times. Subjects for research are 38 patients that received LAR (Low Anterior Resection) is 36 patients and received HAR (High Anterior Resection) is 2 patients for rectal cancer, and 19 men. 16 patients documented self bowel movement. Most of the cases faced the change of the bowel movement and it was perplexed. Characteristic bowel movements are a little much feces and frequency bowel movement (18-20 times per day). Gradually bowel movement number of times decreased but depended on the day. It used the hot water washing and forwarding a bowel movement effectively. When centering on the other thing, it was going to and from the missed anxiety and the fear to the intestinal obstruction. Moreover, there was a case to continue in the sitting getting worked up at the toilet, too. Also, we find the tendency of which the bowel movement dysfunction patients have not role function (physical) by SF-36, and depression by POMS. They was living to have been perplexed at, being worried about bowel movement which was mainly changed until the 3 months after leaving hospital. It thinks that it is desirable to nursing care early after leaving hospital. The following became finding. Effective Nursing care for reduce bowel movement after LAR are a) instruction for defecation easily, b) explanation for bowel movement change after LAR, c) coordination for feces property, d) education foods which influence bowel movement, e) education how to live without persisting in the bowel movement, f) instruction pelvic exercise for soiling. It has set about the research which clarifies the effect of "Nursing care program" at present. It releases upgraded [DDAS ; Defecation Dysfunction Assessment Scale] and it plans to publish the effect of nursing care.

有一个因素不是身体功能，肠前切除术后的排便功能障碍。而且，缺乏减少排便功能障碍的研究。我们总共采访了108次。研究对象为38例，其中直肠癌行LAR（低位前切除术）36例，直肠癌行HAR（高位前切除术）2例，男性19例。16例患者记录自己排便。大多数病例都面临排便变化，并感到困惑。典型的排便是粪便略多，排便频率高（每天18-20次）。排便次数逐渐减少，但取决于天数。它利用热水有效地洗涤和促进排便。当把注意力集中在另一件事上时，它会在错过的焦虑和恐惧之间来回切换到肠梗阻。此外，还有一种情况是，在坐着的时候也会在厕所里生气。此外，我们发现排便功能障碍患者在SF-36测试中有角色功能（生理）缺失的趋势，而在POMS测试中有抑郁的趋势。他们一直生活在困惑中，担心排便，直到出院后3个月才主要改变。认为出院后早期护理是可取的。下面是发现。术后排便减少的有效护理包括：a)指导方便排便，b)解释术后排便变化，c)协调粪便性质，d)教育影响排便的食物，e)教育如何不坚持排便，f)指导盆腔运动以防止脏污。目前，对“护理方案”的效果进行了研究。它发布升级的DDAS；排便功能障碍评定量表]并计划公布护理效果。