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Effects of a bowel function improvement program for patients with rectal cancer surgery: A randomized controlled trial

Authors
 Young Man Kim  ;  Eui Geum Oh  ;  Sang Hui Chu  ;  Jeongok Park  ;  Yun Jin Lee  ;  Nam Kyu Kim 
Citation
 EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol.66 : 102382, 2023-10 
Journal Title
EUROPEAN JOURNAL OF ONCOLOGY NURSING
ISSN
 1462-3889 
Issue Date
2023-10
Keywords
Bowel function ; Healthcare resources utilization ; Quality of life ; Rectal cancer surgery ; Self-efficacy
Abstract
Objectives: This study aimed to examine the effectiveness of a bowel function improvement program for male patients with rectal cancer who underwent low anterior resection. Methods: A prospective, unblinded, and randomized controlled trial was conducted. The enrolled 42 patients were assigned to the experimental or control group at a 1:1 ratio. The bowel function improvement program comprised a 4-week intensive program (face-to-face education and telephone coaching) and an 8-week maintenance program (text messages). Self-efficacy, bowel function, health-related quality of life, and healthcare resource utilization were measured. Collected data were analyzed using independent t-tests, chi-square tests, analysis of covariance, and generalized estimation equations to evaluate the effects of the program based on intention-to-treat. Results: The bowel function improvement program was effective in improving bowel function 3 months after discharge. Additionally, the number of unplanned pharmacy visits was lower in the experimental group than in the control group. Health-related quality of life, self-efficacy, and utilization of other healthcare resources were not statistically or clinically significant. Conclusion: These findings indicated that the bowel function improvement program for male patients with rectal cancer was effective in improving bowel function and reducing unplanned healthcare resource utilization. The bowel function improvement program can be delivered as a nurse-led program in clinical practice to promote early recovery after low anterior resection. © 2023
Full Text
https://www.sciencedirect.com/science/article/pii/S1462388923001163
DOI
10.1016/j.ejon.2023.102382
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Park, Jeongok(박정옥) ORCID logo https://orcid.org/0000-0003-4978-817X
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Chu, Sang Hui(추상희) ORCID logo https://orcid.org/0000-0001-6877-5599
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/197820
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