Landers Margaret, Savage Eileen, McCarthy Geraldine, Fitzpatrick Joyce J
Nursing and Midwifery, University College Cork, Ireland.
Clin J Oncol Nurs. 2011 Dec;15(6):E105-13. doi: 10.1188/11.CJON.E105-E113.
The primary aim of this article is to identify the self-care strategies that patients use to manage bowel symptoms experienced following sphincter-saving surgery for rectal cancer. Comparisons will be made with self-care strategies used by patients to manage chronic fecal incontinence and the bowel symptoms associated with other chronic bowel diseases, such as irritable bowel syndrome and inflammatory bowel disease. Published studies and conceptual literature from 2000-2010 were the data sources. Three major themes emerged from the literature reflecting the self-care strategies used by patients to manage bowel symptoms: functional self-care strategies (e.g., taking medication), social activity-related self-care strategies (e.g., planning social events), and alternative self-care strategies (e.g., complementary therapies). An analysis of studies highlighted that, through the process of trial and error, patients learned the strategies that were most effective in the management of their bowel symptoms. Knowledge of such strategies will be beneficial to healthcare professionals when educating patients about effective management of bowel symptoms following sphincter-saving surgery.
本文的主要目的是确定患者用于管理直肠癌保肛手术后出现的肠道症状的自我护理策略。将这些策略与患者用于管理慢性大便失禁以及与其他慢性肠道疾病（如肠易激综合征和炎症性肠病）相关的肠道症状的自我护理策略进行比较。2000年至2010年发表的研究和概念性文献作为数据来源。文献中出现了三个主要主题，反映了患者用于管理肠道症状的自我护理策略：功能性自我护理策略（如服药）、与社交活动相关的自我护理策略（如安排社交活动）和替代性自我护理策略（如补充疗法）。对研究的分析强调，通过反复试验的过程，患者学会了对管理其肠道症状最有效的策略。当医护人员对患者进行关于保肛手术后有效管理肠道症状的教育时，了解这些策略将对他们有益。
