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KMID : 1035120220220040225
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Asian Oncology Nursing
2022 Volume.22 No. 4 p.225 ~ p.234
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Characteristics of Defecation Function Related Quality of Life According to Cancer Location in Colorectal Cancer Survivors
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Okimitsu Oyama
Park Dong-Hyuk
Lee Mi-Kyung
Byeon Ji-Yong
Lee Eun-Byeol
Chung Jae-Youn
Jung Hye-Jeong
Park Ji-Soo
Kim Tae-Il
Jee Sun-Ha
Kim Nam-Kyu
Jeon Justin Y.
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Abstract
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Purpose: The purpose of this study is to explore defecation functions related quality of life (QoL) according to the location of cancer in colorectal cancer survivors.
Methods: A total of 120 colorectal cancer survivors (67 colon vs. 53 rectum, mean age: 55.3±10.3 years, 46.7% male) who completed treatment were recruited from a tertiary hospital. QoL and defecation function related QoL were surveyed using the European Organization for Research and Treatment of Cancer (EORTC QLQ-C30) and EORTC QLQ- colorectal cancer specific core (CR29) questionnaire. Physical activity (PA) levels of participants were surveyed using a global PA questionnaire.
Results: There was no statistical difference in general QoL according to the location of cancer, but significant differences were observed in defecation function related QoL. When cancer location is closer to the anus, survivors experience more defecation dysfunction, negatively associated with QoL (Hemicolectomy: 67.71±14.07, anterior resection: 92.22±15.18, lower anterior resection: 151.85±17.20, and ultra-low anterior resection: 263.73±42.69).
Conclusion: When location of cancer is closer to the anus, colorectal survivors experience significantly more defecation dysfunction and poorer QoL. Strategies to reduce defecation dysfunction according to the location of cancer among colorectal cancer patients should be developed.
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KEYWORD
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Colorectal neoplasms, Colorectal surgery, Defecation, Quality of life, Defecation
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