Patients’ bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer

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dc.contributor.authorLanders, Margaret
dc.contributor.authorMcCarthy, Geraldine
dc.contributor.authorLivingstone, Vicki
dc.contributor.authorSavage, Eileen
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2017-08-01T10:38:28Z
dc.date.available2017-08-01T10:38:28Z
dc.date.issued2014-07-12
dc.date.updated2017-07-27T15:42:56Z
dc.description.abstractAims and objectives: To investigate patients’ bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer and the relationship between bowel symptom experiences and the self-care strategies used. Background: Earlier diagnosis of rectal cancer allows for less invasive surgical treatments such as sphincter-saving procedures to be performed. Although a permanent stoma is generally not required, patients experience changes in bowel function following this surgery. However, limited research exists on patients’ bowel symptom experiences and the self-care strategies used to manage symptoms following sphincter-saving surgery of rectal cancer. Design: Quantitative descriptive correlational. Methods: A convenience sample of 143 patients aged 30 to over 70 years was used. Data were collected (April 2010–December 2010) using the Illness Perception Questionnaires, the Difficulties of Life Scale and a researcher developed Self-care Strategy Measure. The research was underpinned by the Symptom Management Theory. Findings: Relating to the four most effective self-care strategies used respondents reporting more bowel symptom were more likely to use the self-care strategy proximity/knowing the location of a toilet at all times. Females, respondents with high timeline cyclical scores and respondents with high physiological responses scores were more likely to use protective clothing. Respondents reporting more bowel symptom and with high social responses scores were more likely to use bowel medication. Females were more likely to wear incontinence pads. Conclusion: This research provides insights into the daily bowel symptom experiences of patients following sphincter-saving surgery for rectal cancer. It demonstrates the range of self-care strategies that individuals use to manage their bowel symptoms and the self-care-strategies that were most effective for them. Relevance to clinical practice: Patients should be encouraged to report on-going bowel problems following sphincter-saving surgery for rectal cancer. Supportive care for patients should be comprehensive and tailored to meet individual needs.en
dc.description.sponsorshipHealth Research Board (PhD Grant No. 232363)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationLanders, M., McCarthy, G., Livingstone, V. and Savage E. (2014) 'Patients’ bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer', Journal of Clinical Nursing, 23, pp. 2343–2354. doi:10.1111/jocn.12516en
dc.identifier.doi10.1111/jocn.12516
dc.identifier.endpage2354en
dc.identifier.journaltitleJournal of Clinical Nursingen
dc.identifier.startpage2343en
dc.identifier.urihttps://hdl.handle.net/10468/4413
dc.identifier.volume23en
dc.language.isoenen
dc.publisherJohn Wiley & Sons, Inc.en
dc.rights© 2014 John Wiley & Sons Ltd. This is the peer reviewed version of the following article Landers, M, McCarthy, G., Livingstone, V. and Savage E. (2014) 'Patients’ bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal cancer', Journal of Clinical Nursing, 23, pp. 2343–2354, which has been published in final form at http://dx.doi.org/10.1111/jocn.12516. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.en
dc.subjectBowel symptomsen
dc.subjectColo-rectal canceren
dc.subjectSelf-care strategiesen
dc.subjectSphinctersaving surgeryen
dc.subjectSymptom Management Theoryen
dc.titlePatients’ bowel symptom experiences and self-care strategies following sphincter-saving surgery for rectal canceren
dc.typeArticle (peer-reviewed)en
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