Experience and coping strategies of bowel dysfunction in postoperative patients with rectal cancer: a systematic review of qualitative evidence

PeerJ

article

Dandan Xv¹  Wenjia Long²  Jingyi Wang²  Chen Tang²  Maohui Feng²  Xuanfei Li²  Bei Wang¹  Jun Zhong²  Zhang Yanting¹ 

[1] Department of Nursing, Wuhan University Zhongnan Hospital;Department of Gastrointestinal Surgery, Zhongnan Hospital of Wuhan University

关键词: Rectal cancer;    Postoperative;    Bowel dysfunction;    Experience;    Coping;    Systematic review;    Qualitative;   

DOI  :  10.7717/peerj.15037

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

AimDue to the changes of bowel physiological structure and functional disorders after rectal cancer surgery, patients will face many bowel dysfunction for a long time, which will greatly affect their quality of life. The purpose of this review is to integrate the qualitative research on the experience of bowel dysfunction and coping strategies in postoperative patients with rectal cancer.MethodsSystematic retrieval of PubMed, EMbase, Cochrane Library, CINAHL, Web of Sciences, PsycINFO, Willey and other databases was carried out by using the method of subject words and keywords. The Critical Appraisal Skill Programme (CASP) Qualitative Studies Checklist was used for Qualitative assessment. The findings were extracted from the included study and synthesized into the final themes, which was evaluated strictly in accordance with the ConQual process.ResultsNine studies involving 345 participants were included and two main themes were extracted: “Experience a series of changes caused by bowel dysfunction” and “nmet needs and coping strategies facing bowel dysfunction”. The changes of rectal cancer patients who experience bowel dysfunction after operation mainly include three parts: bowel dysfunction is more than just a bowel reaction, which covers the bowel symptoms themselves and the subsequent body-related symptoms. The interruption of a normal life, mainly reflected in personal, family, and social life. Complex psychological reactions to bowel dysfunction, psychological changes have a dual nature, showing a positive and negative intertwined. There are two main aspects of unmet needs and coping strategies: the demand is mainly manifested in the need for information and support from medical professionals, while the coping strategy mainly includes diet, activity and drug management.ConclusionRectal cancer patient often experience persistent bowel dysfunction after operation, which has a certain physical and mental effects. A series of new needs of postoperative patients are often not fully met, and patients often rely on their own empirical attempts to seek balance, less can get professional support. Future studies need to focus on how to provide continuous information support for postoperative rectal cancer patients, especially professional care from health care staff.

【 授权许可】

CC BY