我可以自行控制肠道症状吗？保肛手术后直肠癌患者控便功能障碍的体验：一项定性研究。
Can I control my bowel symptoms myself? The experience of controlling defaecation dysfunction among patients with rectal cancer after sphincter-saving surgery: a qualitative study.
机构信息
School of Nursing, Fudan University, Shanghai, People's Republic of China.
School of Nursing and health Management, Shanghai University of Medicine and Health Sciences, Shanghai, People's Republic of China.
出版信息
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2031832. doi: 10.1080/17482631.2022.2031832.
PURPOSE
To explore the experience of controlling defaecation dysfunction among patients with rectal cancer after sphincter-saving surgery.
METHODS
This study applied a descriptive qualitative design. Thirty-six patients with rectal cancer were given semi-structured interviews in mainland China from February to July in 2019 after sphincter-saving surgery. Participants were recruited by purposive sampling. The thematic analysis approach was applied to analyse the transcripts.
RESULTS
Three major themes emerged from the data were "having motivations of controlling defecation dysfunction", "using strategies of controlling defecation dysfunction" and "facing barriers of controlling defecation dysfunction".
CONCLUSION
Defaecation dysfunction makes obvious problems for patients after sphincter-saving surgery, although patients tried some self-care methods to cope with the defaecation dysfunction, some barriers still exist in the process of self-controlling of bowel symptoms. There is a strong demand for a systematic and scientific guideline for the self-management of defaecation dysfunction.
目的
探索直肠癌保肛手术后患者控制排便功能障碍的体验。
方法
本研究采用描述性定性设计。2019 年 2 月至 7 月，在中国内地对 36 例接受保肛手术后的直肠癌患者进行半结构式访谈。采用目的抽样法招募参与者。应用主题分析方法对转录本进行分析。
结果
从数据中得出三个主要主题为“控制排便功能障碍的动机”、“使用控制排便功能障碍的策略”和“面临控制排便功能障碍的障碍”。
结论
排便功能障碍给保肛手术后的患者带来明显问题，尽管患者尝试了一些自我护理方法来应对排便功能障碍，但在自我控制肠道症状的过程中仍然存在一些障碍。对于排便功能障碍的自我管理，需要有一个系统和科学的指南。
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