Kim Young Man, Oh Eui Geum, Chu Sang Hui, Park Jeongok, Lee Yun Jin, Kim Nam Kyu
College of Nursing · Reseach Institute of Nursing Science, Jeonbuk National University, Jeonju-si, Republic of Korea; Biomedical Research Institute, Jeonbuk National University Hospital, Jeonju-si, Republic of Korea.
College of Nursing, Yonsei University, Seoul, Republic of Korea; Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
Eur J Oncol Nurs. 2023 Oct;66:102382. doi: 10.1016/j.ejon.2023.102382. Epub 2023 Jul 4.
This study aimed to examine the effectiveness of a bowel function improvement program for male patients with rectal cancer who underwent low anterior resection.
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.
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.
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.
KCT0003505. https://cris.nih.go.kr/cris/search/detailSearch.do/13708.
本研究旨在探讨一项肠道功能改善计划对接受低位前切除术的男性直肠癌患者的有效性。
进行了一项前瞻性、非盲法和随机对照试验。将纳入的42例患者按1:1的比例分配到试验组或对照组。肠道功能改善计划包括一个为期4周的强化计划（面对面教育和电话指导）和一个为期8周的维持计划（短信）。测量自我效能、肠道功能、健康相关生活质量和医疗资源利用情况。使用独立t检验、卡方检验、协方差分析和广义估计方程对收集的数据进行分析，以根据意向性治疗评估该计划的效果。
肠道功能改善计划在出院3个月后对改善肠道功能有效。此外，试验组计划外药房就诊次数低于对照组。健康相关生活质量、自我效能和其他医疗资源利用在统计学或临床上无显著差异。
这些发现表明，针对男性直肠癌患者的肠道功能改善计划在改善肠道功能和减少计划外医疗资源利用方面是有效的。肠道功能改善计划可作为一项由护士主导的计划在临床实践中实施，以促进低位前切除术后的早期恢复。
KCT0003505。https://cris.nih.go.kr/cris/search/detailSearch.do/13708。
