Hyun Jun Kwoun; Yun Hee Shin

doi:10.4040/jkan.2015.45.5.733

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Original Article
Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer: Hyun Jun Kwoun, Yun Hee Shin; Journal of Korean Academy of Nursing 2015;45(5):733-741.
DOI: https://doi.org/10.4040/jkan.2015.45.5.733
Published online: October 30, 2015

¹Wonju Severance Christian Hospital, Wonju, Korea.

²Department of Nursing, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Address reprint requests to: Shin, Yun Hee. Department of Nursing, Wonju College of Medicine, Yonsei University, 20 Ilsan-ro, Wonju 26426, Korea. Tel: +82-33-741-0387, Fax: +82-33-743-9490, yhshin@yonsei.ac.kr

• Received: February 25, 2015 • Revised: March 5, 2015 • Accepted: July 6, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
This study was a descriptive survey research to identify the impact of bowel function, anxiety and depression on quality of life in patients with rectal cancer who had a sphincter-preserving resection.
Methods
articipants were 100 patients who had rectal cancer surgery at W hospital in Korea. Bowel function, anxiety & depression, and quality of life were measured using the BFI (Bowel Function Instrument), HADS (Hospital Anxiety-Depression Scale) and the FACT-C (Functional Assessment of Cancer Therapy-Colorectal).
Results
The mean scores were 39.81±5.16 for bowel function, 6.15±3.25 for anxiety, 7.24±3.13 for depression, and 72.50±13.27 for quality of life. There were significant negative correlations between quality of life and anxiety (r= -.59, p <.001) and between quality of life and depression (r= -.53, p <.001). But the correlation between quality of life and bowel function was significantly positive (r=.22, p =.025). The influence of the independent variables on the total quality of life was examined using multiple regression analysis. Anxiety (β= -.38, p =.002), bowel function (β= -.25, p =.028) and occupation (β=.16, p =.048) were identified as factors affecting quality of life. The explanation power of this regression model was 44% and it was statistically significant (F=16.53, p <.001).
Conclusion
The results of this study indicate that in order to improve the bowel function of patients after sphincter-preserving resection for rectal cancer, effective nursing interventions should be developed. As psychological problem such as anxiety and depression can relate to quality of life for these patients, nurses should work on improving the situation by providing continuous emotional nursing.
Keywords: Rectal cancer; Defecation; Anxiety; Depression; Quality of life

This manuscript is a condensed form of the first author's master's thesis from Yonsei University.

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Table 1

Bowel Function, Anxiety, Depression, and Quality of Life (N=100)

BWM=Basis weight mean.

Table 2

Quality of Life according to General Characteristics (N=100)

CC=Colorectal cancer.

Table 3

Quality of Life according to Characteristics related to Disease and Treatment (N=100)

^*Laparoscopic surgery; ^†Open surgery; CC=Colorectal cancer.

Table 4

Correlations between Bowel Function, Anxiety, Depression and Quality of Life (N=100)

Table 5

Factors Affecting Quality of Life (N=100)

Figure & Data

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Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer

J Korean Acad Nurs. 2015;45(5):733-741. Published online October 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.5.733

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Impact of Bowel Function, Anxiety and Depression on Quality of Life in Patients with Sphincter-preserving Resection for Rectal Cancer

Table 1

Bowel Function, Anxiety, Depression, and Quality of Life (N=100)

BWM=Basis weight mean.

Table 2

Quality of Life according to General Characteristics (N=100)

CC=Colorectal cancer.

Table 3

Quality of Life according to Characteristics related to Disease and Treatment (N=100)

^*Laparoscopic surgery; ^†Open surgery; CC=Colorectal cancer.

Table 4

Correlations between Bowel Function, Anxiety, Depression and Quality of Life (N=100)

Table 5

Factors Affecting Quality of Life (N=100)

Table 1 Bowel Function, Anxiety, Depression, and Quality of Life (N=100)

BWM=Basis weight mean.

Table 2 Quality of Life according to General Characteristics (N=100)

CC=Colorectal cancer.

Table 3 Quality of Life according to Characteristics related to Disease and Treatment (N=100)

^*Laparoscopic surgery; ^†Open surgery; CC=Colorectal cancer.

Table 4 Correlations between Bowel Function, Anxiety, Depression and Quality of Life (N=100)