2026-03-05T23:49:31Z https://hirosaki.repo.nii.ac.jp/oai

oai:hirosaki.repo.nii.ac.jp:00005292 2023-05-16T06:23:58Z 557:1754615242943:561:936

Nursing Interventions and Influencing Subjective QOL in Patients at Different Stages after Surgery for Rectal Cancer Fujita, Akemi Kudo, Seiko 490 rectal cancer ISR LAR subjective QOL We examined the factors influencing subjective quality of life（ QOL） at different postoperative stages in 62 patients with rectal cancer who had undergone intersphincteric resection（ ISR） or low anterior resection（ LAR）. I also examined nursing interventions aimed at improving the patients’ subjective QOL. Subjective QOL was analyzed by using the Schedule for the Evaluation of the Individual Quality of Life – Direct Weighting（ SEIQoL-DW）. In all patients（ ISR and LAR groups combined）, the mean SEIQoL-DW index values were 57.7（ patients less than 1 year after surgery）, 66.6 （patients 1 to less than 2 years after surgery）, and 68.7 （patients 2 or more years after surgery）; the SEIQoL-DW index was significantly lower in patients in the first postoperative year than in those 2 or more years after surgery. These results suggest that subjective QOL is lowest during the first postoperative year and improves with time. Analysis of components of QOL and their indices, as measured by SEIQoL-DW, revealed that family, hobbies （outdoor）, health, friends, and hobbies （indoor） were the primary determinants of subjective QOL. Analysis of cues with low levels of satisfaction despite high importance in the SEIQoL-DW revealed that, to provide nursing interventions to improve subjective QOL, it is important to focus on interventions that 1） manage the dyschezia affecting the postoperative health of patients who have undergone LAR; and 2） provide lifestyle counseling to increase fulfillment in work or hobbies among patients who have undergone LAR. 弘前大学大学院医学研究科・弘前医学会 2018-03-22 eng journal article VoR http://hdl.handle.net/10129/00006365 https://hirosaki.repo.nii.ac.jp/records/5292 40021529713 AN00211444 0439-1721 弘前医学 68 2-4 112 122 https://hirosaki.repo.nii.ac.jp/record/5292/files/HirosakiMedJ_68(2-4)_112.pdf application/pdf 219.4 kB 2018-06-11